A patient taking levothyroxine develops palpitations, heat intolerance and unexplained weight loss. Which interpretation is most appropriate?
Correct answer: A. The dose may be excessive and needs clinical review
- A. The dose may be excessive and needs clinical review
- B. The medicine is not being absorbed and needs doubling
- C. The patient is developing an allergic reaction to iodine
- D. The symptoms show that hypothyroidism is worsening
Explanation
Palpitations, heat intolerance and weight loss suggest excessive thyroid hormone replacement or thyrotoxicosis. The patient should not independently change the dose, but should have clinical assessment and thyroid function testing.
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About Endocrine and Diabetes Drugs
Endocrine pharmacology includes insulin preparations, oral antidiabetic drugs, thyroid and antithyroid medicines, corticosteroids, sex hormones and drugs affecting calcium balance. Questions address onset and duration, administration, monitoring, hypoglycaemia, steroid adverse effects and the difference between replacing a deficient hormone and suppressing excessive hormone activity.
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