Thyroid Interactions

Brand names: Thyroid

Route: Oral

FDA Black Box Warning

Drugs with thyroid hormone activity, alone or together with other therapeutic agents, have been used for the treatment of obesity. In euthyroid patients, doses within the range of daily hormonal requirements are ineffective for weight reduction. Larger doses may produce serious or even life-threatening manifestations of toxicity, particularly when given in association with sympathomimetic amines such as those used for their anorectic effects.

Contraindications

CONTRAINDICATIONS Thyroid hormone preparations are generally contraindicated in patients with diagnosed but as yet uncorrected adrenal cortical insufficiency, untreated thyrotoxicosis, and apparent hypersensitivity to any of their active or extraneous constituents. There is no well-documented evidence from the literature, however, of true allergic or idiosyncratic reactions to thyroid hormone.

24 interactions on record

Thyroid hormones increase catabolism of vitamin K-dependent clotting factors, impairing compensatory increases in clotting factor synthesis. Patients stabilized on oral anticoagulants starting thyroid replacement require close monitoring and likely need anticoagulant dose reduction.

Source: NLP:thyroid, unspecified

Thyroid products produce hyperglycemia and may lead to loss of blood glucose control in patients receiving Acarbose. Close observation for loss of glucose control is recommended.

Source: NLP:acarbose

Colestipol binds levothyroxine and liothyronine in the intestine, impairing absorption. Four to five hours should elapse between administration of colestipol and thyroid hormones.

Source: NLP:thyroid, unspecified

Anti-thyroid drugs used with iodine supplementation may lead to hypothyroidism.

Source: NLP:doconexent, niacinamide, .alpha.-tocopherol acetate, dl-, cholecalciferol, beta carotene, ascorbic acid, thiamine mononitrate, riboflavin, pyridoxine hydrochloride, cyanocobalamin, iron, zinc oxide, cupric oxide, potassium iodide, magnesium oxide, folic acid, and levomefolate calcium

Estrogens increase serum thyroxine-binding globulin, decreasing free levothyroxine. Patients without functioning thyroid glands on thyroid replacement may need increased thyroid doses.

Source: NLP:thyroid, unspecified

Thyroid products may produce hyperglycemia and lead to loss of control of glyburide. Patients should be closely observed for loss of control.

Source: NLP:glyburide

Thyroid products may produce hyperglycemia and lead to loss of glycemic control. Patient should be observed closely for loss of control when initiated or withdrawn.

Source: NLP:glipizide

Thyroid products may produce hyperglycemia and lead to loss of blood glucose control. Patient should be closely observed for loss of blood glucose control.

Source: NLP:glipizide and metformin hcl

Initiating thyroid replacement therapy may cause increases in insulin requirements. Patients receiving insulin should be closely monitored during thyroid replacement initiation.

Source: NLP:thyroid, unspecified

Produce hyperglycemia and may lead to loss of glycemic control when used with metformin.

Source: NLP:metformin

May produce hyperglycemia and lead to loss of glycemic control. Monitor patient closely for loss of blood glucose control.

Source: NLP:metformin er 500 mg

Drugs that produce hyperglycemia and may lead to loss of glycemic control; monitor blood glucose.

Source: NLP:metformin hydrochloride

Estrogen-containing oral contraceptives increase serum thyroxine-binding globulin, decreasing free levothyroxine. Patients without functioning thyroid glands may need increased thyroid doses.

Source: NLP:thyroid, unspecified