التداخل بين ليفوثيروكسين وليوثيرونين وميتفورمين

Insulin or Oral Hypoglycemics — Initiating thyroid replacement therapy may cause increases in insulin or oral hypoglycemic requirements.

Patients receiving insulin or oral hypoglycemics should be closely watched during initiation of thyroid replacement therapy.

Examples: Thiazides and other diuretics, corticosteroids, phenothiazines, thyroid products, estrogens, oral contraceptives, phenytoin, nicotinic acid, sympathomimetics, calcium channel blockers, and isoniazid.