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Synthroid

Levothyroxine

Generic Synthroid is used for treating low thyroid activity and treating or suppressing different types of goiters. It is also used with surgery and other medicines for managing certain types of thyroid cancer. *The bottle of Synthroid 88 mcg contains 50 tablets in one. The rest of dosages are manufactured as 100 tablets in one bottle.

Package	Per bottle	Price	Savings
4 bottles	BGN 35.55	BGN 142.18BGN 35.55	BGN 73.93
3 bottles	BGN 41.99	BGN 125.97BGN 41.99	BGN 36.11
2 bottles	BGN 52.23	BGN 104.45BGN 52.23	BGN 3.60
1 bottles	BGN 54.03	BGN 54.03BGN 54.03

Package	Per bottle	Price	Savings
4 bottles	BGN 40.50	BGN 161.99BGN 40.50	BGN 97.34
3 bottles	BGN 47.99	BGN 143.98BGN 47.99	BGN 50.52
2 bottles	BGN 58.48	BGN 116.97BGN 58.48	BGN 12.70
1 bottles	BGN 64.83	BGN 64.83BGN 64.83

Package	Per bottle	Price	Savings
3 bottles	BGN 29.98	BGN 89.95BGN 29.98	BGN 120.48
2 bottles	BGN 38.67	BGN 77.35BGN 38.67	BGN 62.94
1 bottles	BGN 70.15	BGN 70.15BGN 70.15

Package	Per bottle	Price	Savings
4 bottles	BGN 41.85	BGN 167.39BGN 41.85	BGN 142.00
3 bottles	BGN 49.79	BGN 149.38BGN 49.79	BGN 82.66
2 bottles	BGN 76.54	BGN 153.08BGN 76.54	BGN 1.62
1 bottles	BGN 77.35	BGN 77.35BGN 77.35

Package	Per bottle	Price	Savings
4 bottles	BGN 45.00	BGN 180.00BGN 45.00	BGN 281.03
3 bottles	BGN 54.00	BGN 161.99BGN 54.00	BGN 183.78
2 bottles	BGN 106.25	BGN 212.51BGN 106.25	BGN 18.01
1 bottles	BGN 115.26	BGN 115.26BGN 115.26

Brand(s)

Thyronorm / Eltroxin / Thyrox

Manufacturer

Abbott Laboratories Ltd / GlaxoSmithKline Plc / Macleods Pharmaceuticals Limited

Disease(s)

Thyroid Deficiency

Levothyroxine tablet

What is this medicine?

LEVOTHYROXINE is a thyroid hormone. This medicine can improve symptoms of thyroid deficiency such as slow speech, lack of energy, weight gain, hair loss, dry skin, and feeling cold. It also helps to treat goiter (an enlarged thyroid gland).

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

angina
diabetes
heart disease
high blood pressure
low levels of pituitary hormone
dieting or on a weight loss program
previous heart attack
an unusual or allergic reaction to levothyroxine, other thyroid hormones, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant

How should I take this medicine?

Take this medicine by mouth with plenty of water. It is best to take on an empty stomach, at least 30 minutes before or 2 hours after food. Take at the same time each day. Do not take your medicine more often than directed. Contact your pediatrician regarding the use of this medicine in children. While this drug may be prescribed for children and infants as young as a few days of age for selected conditions, precautions do apply. For infants, you may crush the tablet and place in a small amount of (5-10 ml or 1 to 2 teaspoonfuls) of water, breast milk, or non-soy based infant formula. Do not mix with soy-based infant formula. Give as directed. Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once. NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What may interact with this medicine?

amiodarone
antacids
anti-thyroid medicines
calcium supplements
carbamazepine
cholestyramine
colestipol
digoxin
female hormones, including contraceptive or birth control pills
iron supplements
ketamine
liquid nutrition products like Ensure
medicines for colds and breathing difficulties
medicines for diabetes
medicines for mental depression
medicines or herbals used to decrease weight or appetite
phenobarbital or other barbiturate medications
phenytoin
prednisone or other corticosteroids
rifabutin
rifampin
soy isoflavones
sucralfate
theophylline
warfarin

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while taking this medicine?

Be sure to take this medicine with plenty of fluids. Some tablets may cause choking, gagging, or difficulty swallowing from the tablet getting stuck in your throat. Most of these problems disappear if the medicine is taken with the right amount of water or other fluids. You will need regular exams and occasional blood tests to check the response to treatment. If you are receiving this medicine for an underactive thyroid, it may be several weeks before you notice an improvement. Check with your doctor or health care professional if your symptoms do not improve. It may be necessary for you to take this medicine for the rest of your life. Do not stop using this medicine unless your doctor or health care professional advises you to. This medicine can affect blood sugar levels. If you have diabetes, check your blood sugar as directed. You may lose some of your hair when you first start treatment. With time, this usually corrects itself. If you are going to have surgery, tell your doctor or health care professional that you are taking this medicine.

What side effects may I notice from this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

difficulty breathing, wheezing, or shortness of breath
chest pain
excessive sweating or intolerance to heat
fast or irregular heartbeat
nervousness
skin rash or hives
swelling of ankles, feet, or legs
tremors

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

changes in appetite
changes in menstrual periods
diarrhea
hair loss
headache
trouble sleeping
weight loss

This list may not describe all possible side effects.

Where can I keep my medicine?

Keep out of the reach of children. Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Protect from light and moisture. Keep container tightly closed. Throw away any unused medicine after the expiration date.

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