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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 17 of 17. This is the beginning of the thread.
Posted by Phillipa on June 30, 2007, at 13:43:11
Just read the page on how many meds react with synthroid even zoloft now who ever heard of that. All kinds all classed heart meds, chemo meds,benzos,TCA's so what do you do if you need synthroid? Let me see if I can find it and post it. This amazing called two pharmacists here too and they said the same. Love Phillipa
Posted by Phillipa on June 30, 2007, at 13:48:27
In reply to Synthroid and Other meds did you know how many?, posted by Phillipa on June 30, 2007, at 13:43:11
Here's some. Love Phillipa
Possible food and drug interactions when taking Synthroid
Synthroid can interact with a wide variety of medications. It's advisable to check with your doctor before taking any other drug, but you should be especially wary of the following:Amiodarone (Cordarone)
Androgens (male hormones)
Antacids and anti-gas medications
Antidepressants such as Elavil, Ludiomil, and Zoloft
Blood pressure drugs such as beta blockers, nitroprusside, and thiazide diuretics
Blood-thinning drugs such as Coumadin and heparin
Chloral hydrate (a sedative)
Diabetes drugs such as insulin and Micronase
Digitalis-type drugs such as Lanoxin
Estrogen products and oral contraceptives
Furosemide (Lasix)
Growth hormones
Hormone inhibitors such as Cytadren and Tapazole
Iodide
Iron supplements
Kayexalate
Ketamine (Ketalar)
Lithium (Eskalith, Lithobid)
Methadone and heroin
Metoclopramide (Reglan)
Nonsteroidal anti-inflammatory drugs such as phenylbutazone and aspirin
Parkinson's drugs such as Sinemet
Propylthiouracil (a thyroid inhibitor)
Seizure medications such as Dilantin, Tegretol, and phenobarbital
Steroids such as dexamethasone and hydrocortisone
Stimulants such as epinephrine (EpiPen)
Sucralfate (Carafate)
The cancer drugs 5-fluorouracil, 6-mercaptopurine, mitotane, and tamoxifen
The cholesterol-lowering drugs Colestid, Mevacor, and Questran
The immune-system drugs interferon and interleukin
The tranquilizers Trilafon and Valium
The tuberculosis drugs aminosalicylate, rifampin, and ethionamide
Theophylline (Theo-Dur)
Posted by SheilaC on June 30, 2007, at 14:27:14
In reply to Re: Synthroid and Other meds did you know how many?, posted by Phillipa on June 30, 2007, at 13:48:27
> Here's some. Love Phillipa
>
>
> Possible food and drug interactions when taking Synthroid
> Synthroid can interact with a wide variety of medications. It's advisable to check with your doctor before taking any other drug, but you should be especially wary of the following:
>When I get up in the middle of the night to use the restroom, I take my Synthroid so it doesn't interact with my Estrogen I take in the morning.
> Amiodarone (Cordarone)
> Androgens (male hormones)
> Antacids and anti-gas medications
> Antidepressants such as Elavil, Ludiomil, and Zoloft
> Blood pressure drugs such as beta blockers, nitroprusside, and thiazide diuretics
> Blood-thinning drugs such as Coumadin and heparin
> Chloral hydrate (a sedative)
> Diabetes drugs such as insulin and Micronase
> Digitalis-type drugs such as Lanoxin
> Estrogen products and oral contraceptives
> Furosemide (Lasix)
> Growth hormones
> Hormone inhibitors such as Cytadren and Tapazole
> Iodide
> Iron supplements
> Kayexalate
> Ketamine (Ketalar)
> Lithium (Eskalith, Lithobid)
> Methadone and heroin
> Metoclopramide (Reglan)
> Nonsteroidal anti-inflammatory drugs such as phenylbutazone and aspirin
> Parkinson's drugs such as Sinemet
> Propylthiouracil (a thyroid inhibitor)
> Seizure medications such as Dilantin, Tegretol, and phenobarbital
> Steroids such as dexamethasone and hydrocortisone
> Stimulants such as epinephrine (EpiPen)
> Sucralfate (Carafate)
> The cancer drugs 5-fluorouracil, 6-mercaptopurine, mitotane, and tamoxifen
> The cholesterol-lowering drugs Colestid, Mevacor, and Questran
> The immune-system drugs interferon and interleukin
> The tranquilizers Trilafon and Valium
> The tuberculosis drugs aminosalicylate, rifampin, and ethionamide
> Theophylline (Theo-Dur)
>
>
Posted by stargazer2 on June 30, 2007, at 14:42:41
In reply to Synthroid and Other meds did you know how many?, posted by Phillipa on June 30, 2007, at 13:43:11
Phillipa, isn't that true of all medications that their interactions with many other meds can be a problem but in most cases this is not the case. Perhaps there are more with Synthyroid (calcium, Valium) but I know with most of the meds I take there is another list of medications that have the potential for an interaction. But there are so many that you have to weigh the advantage of taking the med versus not taking it, therefore the safest guide is to take as few as necessary, at the lowest dosage, to minimize side effects or drug interactions.
I know Celexa if often given to the elderly because it has a low potential for interactions with many other medications so many elderly are on more than 5 meds. At least that's what I was told, but like anything else, the literature needs to be searched to prove or dissprove the incidence of interactions with other meds and the frequency of this occurring.
Many meds intereact with blood thinning medications and that would be followed with tests to make sure the level of anticogulation stays constant.
Stargazer
Posted by Phillipa on June 30, 2007, at 16:14:35
In reply to Re: Synthroid and Other meds did you know how many?, posted by SheilaC on June 30, 2007, at 14:27:14
So you're like me trying to work around it you mean they told you it interracted with estrogen at the same time? Can't believe though the endo said to do this take with the valium. Love Phillipa
Posted by Phillipa on June 30, 2007, at 16:18:25
In reply to Re: Synthroid and Other meds did you know how many?, posted by stargazer2 on June 30, 2007, at 14:42:41
Stargazer hence the every six weeks thyroid testing. Hashimotos has a rep for switching back and forth from hyper to hypo as I was hyper last fall. Love Phillipa. As the TSH goes up more meds are needed of synthroid or armour, or cytomel or a combo. Hence why I've always tried to stick to just benzos and a low dose of luvox. Love Phillipa
Posted by Glydin on June 30, 2007, at 19:23:21
In reply to Re: Synthroid and Other meds did you know how many? » stargazer2, posted by Phillipa on June 30, 2007, at 16:18:25
"Possible" interactions.... possible is a key word.
The devil is truly in the details. An informed consumer is important. There can be differences in not enough info, enough info and way too much. Choosing our resources carefully is important and if we find conflicting info questioning that conflicting stuff is prudent and then deciding for ourselves. Critical thinking is important when discerning information.
Before we had all this info, at literally our fingertips, and before everything came with an litany of product insert (in 4 point font) alot of folks seemed to do well on multiple meds despite lack of insight. I think it's a blessing and a curse.
Posted by lymom3 on June 30, 2007, at 19:44:23
In reply to Re: Synthroid and Other meds did you know how many? » Phillipa, posted by Glydin on June 30, 2007, at 19:23:21
Amen to that.
Posted by Phillipa on June 30, 2007, at 20:44:53
In reply to Re: Synthroid and Other meds did you know how many? » Glydin, posted by lymom3 on June 30, 2007, at 19:44:23
Don't get me wrong I agree. As when first ll years ago given synthroid it was fine to take it with breakfast too. The docs said as long as the levels stay okay it was fine. Love Phillipa
Posted by Squiggles on June 30, 2007, at 21:03:37
In reply to Re: Synthroid and Other meds did you know how many?, posted by Phillipa on June 30, 2007, at 13:48:27
Definitely lithium; and i *do* have hypothyroidism
on account of it (though just borderline)-- but that was 5 yrs. ago i was tested; my next result will be soon.Thanks for posting this stuff Phillipa. I used to have a good chart on my Lithium site, but lost it.
What's interesting is which of these drugs bring the Synthroid down and which up-- would have access to that information?Squiggles
Posted by Phillipa on June 30, 2007, at 21:28:06
In reply to Re: Synthroid and Other meds did you know how many » Phillipa, posted by Squiggles on June 30, 2007, at 21:03:37
Squiggles the insert in the box sample of synthroid has all that info and I think I found in one of my google searches. Looked for it before as it very superior to the one I posted can't remember the key words that got me there. I will try again later want to see myself. Love Phillipa
Posted by Maximus on July 2, 2007, at 16:27:11
In reply to Re: Synthroid and Other meds did you know how many » Phillipa, posted by Squiggles on June 30, 2007, at 21:03:37
> Definitely lithium; and i *do* have hypothyroidism
> on account of it (though just borderline)-- but that was 5 yrs. ago i was tested; my next result will be soon.Did i understand correctly? Your last thyroid test was like 5 years ago? I must be wrong. If not i would pursue this doctor for malpractice and ignorance. The protocol is clear. Patients on lithium with hypothyroidism must be checked every 6 months. Though i hope you're in good health...
Posted by Squiggles on July 2, 2007, at 16:35:12
In reply to Re: Synthroid and Other meds did you know how many » Squiggles, posted by Maximus on July 2, 2007, at 16:27:11
I think it was 4 or 5 yrs ago, yes; but
i have been on lithium and Synthroid for
over 20 yrs. so i must be safe by now.It will be interesting to see if there
has been a change. My dr. never had lithium as
no. 1 choice (preferred Valproate - the psychiatrist he consulted
did, and I too think it is a no. 1 drug for me, though in need of frequent monitorning perhaps, yes.I do not have the professional knowledge
to say this practice is good or bad. I
trust my doctor, and if I do raise concerns
my SO points out to my characteristic tendency towards unjustifed scepticism.Squiggles
Posted by Maximus on July 2, 2007, at 18:01:25
In reply to Re: Synthroid and Other meds did you know how many » Maximus, posted by Squiggles on July 2, 2007, at 16:35:12
Well, what can i say. Knowing you a "lil bit", i'm just surprised you have not investigate in that direction, i mean the required tests.
Yet i'm glad you're on Li because valproate has a very poor track record in the treatment of bipolar depression.
Hum, kinda unrelated to the thread but, were you aware that Québec city will create a Neuro-City (Neurocité)? A kind of a giant complex research on brain disorders. It's pretty exciting.
Posted by Squiggles on July 2, 2007, at 18:22:59
In reply to Re: Synthroid and Other meds did you know how many » Squiggles, posted by Maximus on July 2, 2007, at 18:01:25
I think I'm OK on lithium; the TSH may have
gone down a bit; we'll see. I would hate to have to switch, and perhaps that is why i do not take the available opportunity to go myself and get my bloods checked. And rely on my doctor's schedule;
> Yet i'm glad you're on Li because valproate has a very poor track record in the treatment of bipolar depression.Lithium is like water- consciousness wise; this is why i like this drug, but the side effects are physical-- however, from what i have read of Valproate, they are really much worse, esp. for weight gain (about 3x as bad), which is something my dr. is concerned about, but may not have picked up on the net information.
>
> Hum, kinda unrelated to the thread but, were you aware that Québec city will create a Neuro-City (Neurocité)? A kind of a giant complex research on brain disorders. It's pretty exciting.
That sounds great! When?Squiggles
Posted by Maximus on July 2, 2007, at 19:08:13
In reply to Re: Synthroid and Other meds did you know how many » Maximus, posted by Squiggles on July 2, 2007, at 18:22:59
> I think I'm OK on lithium; the TSH may have
> gone down a bit; we'll see.Fingers crossed...
>I would hate to have to switch, and perhaps that >is why i do not take the available opportunity >to go myself and get my bloods checked. And >rely on my doctor's "schedule";
Ah! I knew you had one :-)
> Lithium is like water- consciousness wise; this >is why i like this drug, but the side effects >are physical-- however, from what i have read >of Valproate, they are really much worse, esp. for weight gain (about 3x as bad),
Yep, but a godsend for cases of refractory "mania".
> > Hum, kinda unrelated to the thread but, were you aware that Québec city will create a Neuro-City (Neurocité)? A kind of a giant complex research on brain disorders. It's pretty exciting.
>
>
> That sounds great! When?Begin the construction in 2008. 80% from private, so it has a chance to really see the light...
Posted by Zyprexa on July 8, 2007, at 13:20:05
In reply to Synthroid and Other meds did you know how many?, posted by Phillipa on June 30, 2007, at 13:43:11
Phillipa,
Try an all natural thiroid hormone like Armour, it does not react with much, and you can take it with food, 2 times a day.
This is the end of the thread.
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