Chapter 25 Thyroid Disorders Q&A (1 of 33) Sample Questions
1. MP, a 60-year-old patient healthy appearing male with no apparent distress has been diagnosed with high cholesterol 2 weeks ago. He drinks alcohol and smokes tobacco. Past Medical History: Type 2 diabetes mellitus for 5 years.
Current Medication History: Levothyroxine, 0.15 mg QD, and Glyburide, 10 mg BID.
MP did not benefit 3 to 4 weeks after initiating Levothyroxine. What will you recommend the patient to do?
- A. Wait for at least 6 to 8 weeks.
- B. Stop the medication and contact the physician.
- C. Immediately contact the doctor to increase dose.
- D. Call doctor about Levothyroxine and diabetic drug interactions
Tips: Dosage adjustment is made every 4–6 weeks as needed. Generally, it takes 6 weeks to attain a new steady state after dosage adjustments. In the elderly, or in patients with coronary artery disease, start with a dose as low as 12.5 mcg/day as tolerated, and titrate every 4 weeks. High doses may be associated with an increased risk of fracture in elderly patients.