{"id":7758,"date":"2020-01-09T09:00:57","date_gmt":"2020-01-09T14:00:57","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=7758"},"modified":"2024-12-04T16:18:25","modified_gmt":"2024-12-04T21:18:25","slug":"thyroid-medication-interactions","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/thyroid-medication-interactions\/","title":{"rendered":"5 things that can mess with your thyroid medication"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Have you been feeling tired and achy, or gaining weight and you just can\u2019t figure out why? It could be an underactive thyroid. Your thyroid, a butterfly-shaped gland in your neck, controls the growth and metabolism of virtually every part of your body. When it\u2019s out of balance, even simple, everyday routines may seem like a monumental task.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you\u2019re newly diagnosed with underactive, or hypothyroid, you may have to take medicine for the rest of your life. That means an adjustment to your daily routine and your lifestyle. Thanks to thyroid medication interactions, your treatment plan can interfere with your daily coffee, a cheese plate after work, or vitamins and supplements you take. Your specific needs will be something you\u2019ll want to discuss with your doctor to help you to start feeling better and getting on with life.<\/span><\/p>\n<p><a href=\"https:\/\/www.singlecare.com\/lp\/1\"><b>RELATED: See our best drug prices<\/b><\/a><\/p>\n<h2><span style=\"font-weight: 400;\">What medications treat hypothyroidism?<\/span><\/h2>\n<p><a href=\"https:\/\/www.singlecare.com\/prescription\/levothyroxine-sodium\"><span style=\"font-weight: 400;\">Levothyroxine<\/span><\/a><span style=\"font-weight: 400;\"> is the most common prescription used to treat <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/hypothyroidism-treatment-and-medications\/\"><span style=\"font-weight: 400;\">hypothyroidism<\/span><\/a><span style=\"font-weight: 400;\">. This medication is also known by several brand names, including:<\/span><\/p>\n<table class=\" singlecare-table\">\n<tbody>\n<tr class=\"header-row\">\n<td><b>Brand name<\/b><\/td>\n<td><b>Coupons<\/b><\/td>\n<td><b>Learn more<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Levoxyl<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/levoxyl\"><span style=\"font-weight: 400;\">Coupons<\/span><\/a><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/levoxyl\/what-is\"><span style=\"font-weight: 400;\">Learn more<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Synthroid<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/synthroid\"><span style=\"font-weight: 400;\">Coupons<\/span><\/a><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/synthroid\/what-is\"><span style=\"font-weight: 400;\">Learn more<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Tirosint<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/tirosint\"><span style=\"font-weight: 400;\">Coupons<\/span><\/a><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/tirosint\/what-is\"><span style=\"font-weight: 400;\">Learn more<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Euthyrox<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/euthyrox\"><span style=\"font-weight: 400;\">Coupons<\/span><\/a><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/euthyrox\/what-is\"><span style=\"font-weight: 400;\">Learn more<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Unithroid<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/unithroid\"><span style=\"font-weight: 400;\">Coupons<\/span><\/a><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/unithroid\/what-is\"><span style=\"font-weight: 400;\">Learn more<\/span><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"font-weight: 400;\">Whether your healthcare provider prescribes the generic or brand name, these medications help to replace the thyroid hormone your body isn\u2019t naturally producing in your blood.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It may take some time to find the right medication, or dosage that works for you\u2014and once you\u2019ve figured out your treatment plan, certain things can mess with how the prescription works for you.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">5 things you should avoid when taking<\/span><span style=\"font-weight: 400;\">\u00a0thyroid medication<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">If you\u2019re new to taking daily prescription medication, you may be surprised that certain thyroid medications interact with common drugs, supplements, and even foods. Here, primary care providers weigh in on the thyroid medication interactions you should know about.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">1. Changing brand names<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Since most of the medications for hypothyroidism contain the same active ingredient (levothyroxine), it might seem harmless to switch between brand names. But, there\u2019s reason to believe that switching between brands or generics could impact how your body reacts to or absorbs the synthetic hormone. The <\/span><a href=\"http:\/\/thyroid.org\/patient-thyroid-information\/what-are-thyroid-problems\/q-and-a-thyroxine-preparations\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">American Thyroid Association<\/span><\/a><span style=\"font-weight: 400;\"> recommends consistency in treatment. In other words, continue taking the same generic (i.e., from the same pharmacy) or the same brand name, unless you check with your doctor first.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">2. Certain foods<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">\u201cLevothyroxine is ideally taken on an empty stomach, at least 30 minutes before meals,\u201d according to Rajnish Jaiswal, MD, associate chief of emergency medicine at Metropolitan Hospital Center in New York City. \u201cTaking it with meals has shown to decrease its absorption from the gut.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Eating certain foods too close to your daily dosage can interfere with how the medication works, including:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Soy-based foods or flours, like edamame, tofu, or miso<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cottonseed meal<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Grapefruit or grapefruit juice<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Walnuts<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">High-calcium foods, like milk, yogurt, or cheese<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">High-fiber foods, like broccoli, cabbage, or kale<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Fatty, fried, or sugary foods can also slow your metabolism and make it harder to absorb medication. If you have trouble remembering to take the medication before eating, discuss your options with your doctor to find a routine that works.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/grapefruit-juice-with-medicine-other-foods\/\"><b>4 foods you shouldn\u2019t mix with medication<\/b><\/a><\/p>\n<h3><span style=\"font-weight: 400;\">3. Your daily coffee<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">We all love our cup of morning joe. Can you still drink coffee after taking thyroid medication? Yes, but your timing is crucial if you want the medicine to work properly<\/span><b>.\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">\u201cDo not drink coffee, not even a sip unless it has been at least an hour since you took your levothyroxine. Coffee will also reduce the amount of medication your body absorbs,\u201d says Tricia Eichenlaub, MSN, APRN, FNP-C, of King\u2019s Daughters Internal Medicine Clinic in Portsmouth, Ohio.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Mornings are hectic enough without remembering to wait 60 minutes between taking your thyroid and grabbing a Starbucks latte. Fortunately, levothyroxine and coffee doesn\u2019t have to be a problem, says Eichenlaub, who goes on to say, \u201cLevothyroxine can be taken on an empty stomach by itself with a full glass of water at night. Just remember to take it at the same time each night.\u201d This can also work for people who have trouble avoiding certain foods.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">4. Vitamins and supplements<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">\u201cYou should also avoid any drugs or supplements that contain <a href=\"https:\/\/www.singlecare.com\/prescription\/ferrous-sulfate\">iron<\/a>, <a href=\"https:\/\/www.singlecare.com\/prescription\/calcium-citrate\">calcium<\/a>, or <a href=\"https:\/\/www.singlecare.com\/prescription\/magnesium\">magnesium<\/a> for at least four hours after taking your thyroid medications,\u201d says Dr. Jaiswal. That also includes <a href=\"https:\/\/www.singlecare.com\/prescription\/multivitamin\">multivitamins<\/a> that contain these minerals.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">When having your thyroid levels tested, you should avoid <a href=\"https:\/\/www.singlecare.com\/prescription\/biotin\">biotin<\/a>, as it can interfere with accurate measurement. Usually, it is recommended to stop biotin for 1-2 weeks prior to checking thyroid labs. Too much iodine can also cause levothyroxine interactions.<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It\u2019s always good to check with your endocrinologist or primary care physician beforehand if you regularly use or plan to add supplements or any other medications to your regimen.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">5. Other medications<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Because regulating hormone levels in the body is so important, some common drugs can\u2019t be taken with thyroid medication.<\/span> <span style=\"font-weight: 400;\">Which ones should you never take along with thyroid medication?<\/span><\/p>\n<p><span style=\"font-weight: 400;\">According to Dr. Jaiswal, some of the common prescription and over-the-counter medications that interact with levothyroxine are:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Antibiotics<\/b><span style=\"font-weight: 400;\">: <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/ciprofloxacin\"><span style=\"font-weight: 400;\">ciprofloxacin<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/rifampin\"><span style=\"font-weight: 400;\">rifampin<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Seizure medications<\/b><span style=\"font-weight: 400;\">: <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/phenytoin\"><span style=\"font-weight: 400;\">phenytoin<\/span><\/a><span style=\"font-weight: 400;\">, fosphenytoin, and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/carbamazepine\"><span style=\"font-weight: 400;\">carbamazepine<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Antidepressants<\/b><span style=\"font-weight: 400;\">: <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/amitriptyline-hcl\"><span style=\"font-weight: 400;\">amitriptyline<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/fluoxetine-hcl\"><span style=\"font-weight: 400;\">fluoxetine<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Antacids and indigestion remedies<\/b><span style=\"font-weight: 400;\">: Omeprazole, pantoprazole, ranitidine, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/tums\"><span style=\"font-weight: 400;\">Tums<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/pepto-bismol\"><span style=\"font-weight: 400;\">Pepto-Bismol<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/hypothyroidism\/expert-answers\/hypothyroidism-diet\/faq-20058554\" target=\"_blank\" rel=\"noopener\"><b>Ulcer medications<\/b><\/a><span style=\"font-weight: 400;\">:<\/span> <a href=\"https:\/\/www.singlecare.com\/prescription\/carafate\"><span style=\"font-weight: 400;\">Carafate<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/sucralfate\"><span style=\"font-weight: 400;\">sucralfate<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Cholesterol-reducing drugs<\/b><span style=\"font-weight: 400;\">: <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/prevalite\"><span style=\"font-weight: 400;\">Prevalite<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/cholestyramine\"><span style=\"font-weight: 400;\">cholestyramine<\/span><\/a><span style=\"font-weight: 400;\">) and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/colestid\"><span style=\"font-weight: 400;\">Colestid<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/colestipol-hcl\"><span style=\"font-weight: 400;\">colestipol<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">It\u2019s all about getting the right thyroid medication at the proper dosage\u2014and avoiding these things that throw that off\u2014to help regulate your levels and let you feel better and get on with life.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Have you been feeling tired and achy, or gaining weight and you just can\u2019t figure out why? It could be an underactive thyroid. Your thyroid, a butterfly-shaped gland in your neck, controls the growth and metabolism of virtually every part of your body. When it\u2019s out of balance, even simple, everyday routines may seem like [&hellip;]<\/p>\n","protected":false},"author":85,"featured_media":54389,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8029],"tags":[3896],"coauthors":[12212],"class_list":["post-7758","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-education","tag-thyroid","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.8 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>5 Thyroid Medication Interactions<\/title>\n<meta name=\"description\" content=\"Thyroid medication interactions include coffee, certain foods, supplements, and other medications. 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