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Levothyroxine is also effective in the suppression of pituitary TSH secretion in the treatment or prevention of various types of euthyroid goitersincluding thyroid nodulesHashimoto’s thyroiditismultinodular goiter andas adjunctive therapy in the management of thyrotropin-dependent well-differentiated thyroid cancersee INDICATIONS AND USAGEPRECAUTIONSDOSAGE AND ADMINISTRATION
Call your doctor right away if you experience symptoms of allergic reaction.
Occasionallychronic autoimmune thyroiditis may occur in association with other autoimmune disorders such as adrenal insufficiencypernicious anemiaand insulin-dependent diabetes mellitusPatients with concomitant adrenal insufficiency should be treated with replacement glucocorticoids prior to initiation of treatment with levothyroxine sodiumFailure to do so may precipitate an acute adrenal crisis when thyroid hormone therapy is initiateddue to increased metabolic clearance of glucocorticoids by thyroid hormonePatients with diabetes mellitus may require upward adjustments of their antidiabetic therapeutic regimens when treated with levothyroxinesee PRECAUTIONSDrug Interactions
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