Levothyroxine and liothyronine interactions

Levothyroxine and liothyronine (NP Thyroid), a thyroid hormone has 215 documented interactions across the FDA labels and fact sheets we index: 64 major, 123 moderate, 26 minor, and 2 where a label reports no significant interaction. Each entry below quotes the sentence behind it. This drug page is a starting point, not a verdict for your situation.

Interactions from the label

Major interactions (64)

  • Albuterolbeta-adrenergic agonistMajor

    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. (Levothyroxine and liothyronine label, Boxed warning)

  • AmphetamineCNS stimulantMajor

    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. (Levothyroxine and liothyronine label, Boxed warning)

  • 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. (Levothyroxine and liothyronine label, Boxed warning)

  • Arformoterolbeta-adrenergic agonistMajor

    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. (Levothyroxine and liothyronine label, Boxed warning)

  • ArmodafinilCNS stimulantMajor

    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. (Levothyroxine and liothyronine label, Boxed warning)

  • Articaine and epinephrinelocal anestheticMajor

    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. (Levothyroxine and liothyronine label, Boxed warning)

  • BenzphetamineCNS stimulantMajor

    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. (Levothyroxine and liothyronine label, Boxed warning)

  • Brimonidine and timololalpha-adrenergic agonistMajor

    Patients suspected of developing thyrotoxicosis should be managed carefully to avoid abrupt withdrawal of beta-adrenergic blocking agents that might precipitate a thyroid storm. (Brimonidine and timolol label, Warnings and precautions)

  • 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. (Levothyroxine and liothyronine label, Boxed warning)

  • Budesonide and formoterolcorticosteroidMajor

    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. (Levothyroxine and liothyronine label, Boxed warning)

  • Bupivacaine and epinephrinelocal anestheticMajor

    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. (Levothyroxine and liothyronine label, Boxed warning)

  • 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. (Levothyroxine and liothyronine label, Boxed warning)

  • 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. (Levothyroxine and liothyronine label, Boxed warning)

  • 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. (Levothyroxine and liothyronine label, Boxed warning)

  • 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. (Levothyroxine and liothyronine label, Boxed warning)

  • Presence of uncontrolled non-gonadal endocrinopathies (e.g., thyroid, adrenal, or pituitary disorders). (Choriogonadotropin alfa label, Contraindications)

  • Clomipheneselective estrogen receptor modulatorMajor

    Clomiphene citrate tablets are contraindicated in patients with uncontrolled thyroid or adrenal dysfunction or in the presence of an organic intracranial lesion such as pituitary tumor (see INDICATIONS AND USAGE). (Clomiphene label, Contraindications)

  • DexamethasonecorticosteroidMajor

    When concomitant administration of corticosteroids and levothyroxine is required, administration of corticosteroid should precede the initiation of levothyroxine therapy to avoid adrenal crisis. (Dexamethasone label, Warnings and precautions)

  • DexmethylphenidateCNS stimulantMajor

    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. (Levothyroxine and liothyronine label, Boxed warning)

  • DextroamphetamineCNS stimulantMajor

    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. (Levothyroxine and liothyronine label, Boxed warning)

  • DiethylpropionCNS stimulantMajor

    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. (Levothyroxine and liothyronine label, Boxed warning)

  • DobutaminesympathomimeticMajor

    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. (Levothyroxine and liothyronine label, Boxed warning)

  • Dorzolamide and timololcarbonic anhydrase inhibitorMajor

    Patients suspected of developing thyrotoxicosis should be managed carefully to avoid abrupt withdrawal of beta-adrenergic blocking agents that might precipitate a thyroid storm. (Dorzolamide and timolol label, Warnings and precautions)

  • DroxidopasympathomimeticMajor

    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. (Levothyroxine and liothyronine label, Boxed warning)

  • DulaglutideGLP-1 receptor agonistMajor

    WARNING: RISK OF THYROID C-CELL TUMORS In male and female rats, dulaglutide causes a dose-related and treatment-duration-dependent increase in the incidence of thyroid C-cell tumors (adenomas and carcinomas) after lifetime exposure. (Dulaglutide label, Boxed warning)

  • EphedrinesympathomimeticMajor

    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. (Levothyroxine and liothyronine label, Boxed warning)

  • EpinephrinesympathomimeticMajor

    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. (Levothyroxine and liothyronine label, Boxed warning)

  • Ergotamine and caffeineergot alkaloidMajor

    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. (Levothyroxine and liothyronine label, Boxed warning)

  • Fluticasone and salmeterolcorticosteroidMajor

    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. (Levothyroxine and liothyronine label, Boxed warning)

  • Reactions including anaphylaxis have been reported [see Adverse Reactions (6.2) ] High levels of FSH indicating primary gonadal failure Presence of uncontrolled non-gonadal endocrinopathies (e.g., thyroid, adrenal, or pituitary disorders) [see Indications and Usage (1.1 , 1.2 , 1.3) ] Hypersensitivity reactions to streptomycin or neomycin. (Follitropin label, Contraindications)

  • Formoterolbeta-adrenergic agonistMajor

    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. (Levothyroxine and liothyronine label, Boxed warning)

  • Ipratropium and albuterolanticholinergicMajor

    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. (Levothyroxine and liothyronine label, Boxed warning)

  • Isoproterenolbeta-adrenergic agonistMajor

    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. (Levothyroxine and liothyronine label, Boxed warning)

  • Lanthanumphosphate binderMajor

    Do not take thyroid hormone replacement therapy within 2 hours of dosing with LANTHANUM CARBONATE. (Lanthanum label, Drug interactions)

  • Levalbuterolbeta-adrenergic agonistMajor

    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. (Levothyroxine and liothyronine label, Boxed warning)

  • Lidocaine and epinephrinelocal anestheticMajor

    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. (Levothyroxine and liothyronine label, Boxed warning)

  • LiraglutideGLP-1 receptor agonistMajor

    WARNING: RISK OF THYROID C-CELL TUMORS • Liraglutide causes dose-dependent and treatment-duration-dependent thyroid C-cell tumors at clinically relevant exposures in both genders of rats and mice. (Liraglutide label, Boxed warning)

  • LisdexamfetamineCNS stimulantMajor

    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. (Levothyroxine and liothyronine label, Boxed warning)

  • MethamphetamineCNS stimulantMajor

    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. (Levothyroxine and liothyronine label, Boxed warning)

  • MethylphenidateCNS stimulantMajor

    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. (Levothyroxine and liothyronine label, Boxed warning)

  • Midodrinealpha-adrenergic agonistMajor

    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. (Levothyroxine and liothyronine label, Boxed warning)

  • Mirabegronbeta-adrenergic agonistMajor

    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. (Levothyroxine and liothyronine label, Boxed warning)

  • ModafinilCNS stimulantMajor

    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. (Levothyroxine and liothyronine label, Boxed warning)

  • Nadololbeta blockerMajor

    Patients suspected of developing thyrotoxicosis should be managed carefully to avoid abrupt withdrawal of beta-adrenergic blockade which might precipitate a thyroid storm. (Nadolol label, Warnings)

  • 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. (Levothyroxine and liothyronine label, Boxed warning)

  • OxymetazolinedecongestantMajor

    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. (Levothyroxine and liothyronine label, Boxed warning)

  • PhendimetrazineCNS stimulantMajor

    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. (Levothyroxine and liothyronine label, Boxed warning)

  • PhentermineCNS stimulantMajor

    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. (Levothyroxine and liothyronine label, Boxed warning)

  • Phentermine and topiramateCNS stimulantMajor

    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. (Levothyroxine and liothyronine label, Boxed warning)

  • PhenylephrinedecongestantMajor

    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. (Levothyroxine and liothyronine label, Boxed warning)

  • Pindololbeta blockerMajor

    Patients suspected of developing thyrotoxicosis should be managed carefully to avoid abrupt withdrawal of beta-blockade which might precipitate a thyroid crisis. (Pindolol label, Warnings)

  • Prilocaine and epinephrinelocal anestheticMajor

    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. (Levothyroxine and liothyronine label, Boxed warning)

  • Propranololbeta blockerMajor

    Avoid abrupt withdrawal of beta-blockade, which may precipitate a thyroid storm. (Propranolol label, Warnings and precautions)

  • PseudoephedrinedecongestantMajor

    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. (Levothyroxine and liothyronine label, Boxed warning)

  • Salmeterolbeta-adrenergic agonistMajor

    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. (Levothyroxine and liothyronine label, Boxed warning)

  • SemaglutideGLP-1 receptor agonistMajor

    WARNING: RISK OF THYROID C-CELL TUMORS • In rodents, semaglutide causes dose-dependent and treatment-duration-dependent thyroid C-cell tumors at clinically relevant exposures. (Semaglutide label, Boxed warning)

  • SolriamfetolCNS stimulantMajor

    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. (Levothyroxine and liothyronine label, Boxed warning)

  • Sotalolbeta blockerMajor

    Thyroid Abnormalities Avoid abrupt withdrawal of beta-blockade which might be followed by an exacerbation of symptoms of hyperthyroidism, including thyroid storm. (Sotalol label, Warnings and precautions)

  • Terbutalinebeta-adrenergic agonistMajor

    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. (Levothyroxine and liothyronine label, Boxed warning)

  • Timololbeta blockerMajor

    Patients suspected of developing thyrotoxicosis should be managed carefully to avoid abrupt withdrawal of beta-adrenergic blocking agents that might precipitate a thyroid storm. (Timolol label, Warnings and precautions)

  • TirzepatideGLP-1 receptor agonistMajor

    WARNING: RISK OF THYROID C-CELL TUMORS In rats, tirzepatide causes dose-dependent and treatment-duration-dependent thyroid C-cell tumors at clinically relevant exposures. (Tirzepatide label, Boxed warning)

  • TranylcypromineMAO inhibitorMajor

    People who have thyroid problems (hyperthyroidism) may have a higher chance of having a hypertensive crisis. (Tranylcypromine label, Boxed warning)

  • Umeclidinium and vilanterolanticholinergicMajor

    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. (Levothyroxine and liothyronine label, Boxed warning)

  • Vibegronbeta-adrenergic agonistMajor

    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. (Levothyroxine and liothyronine label, Boxed warning)

Moderate interactions (123)

  • AcarboseantidiabeticModerate

    Insulin or Oral Hypoglycemics — Initiating thyroid replacement therapy may cause increases in insulin or oral hypoglycemic requirements. (Levothyroxine and liothyronine label, Drug interactions)

  • Acebutololbeta blockerModerate

    Abrupt withdrawal of β-blockade may precipitate a thyroid storm; therefore, patients suspected of developing thyrotoxicosis from whom acebutolol therapy is to be withdrawn should be monitored closely. (Acebutolol label, Warnings)

  • AlendronatebisphosphonateModerate

    Levothyroxine The bioavailability of alendronate was slightly decreased when BINOSTO and levothyroxine were co-administered to healthy subjects [see Clinical Pharmacology (12.3) ] . (Alendronate label, Drug interactions)

  • AlogliptinDPP-4 inhibitorModerate

    Insulin or Oral Hypoglycemics — Initiating thyroid replacement therapy may cause increases in insulin or oral hypoglycemic requirements. (Levothyroxine and liothyronine label, Drug interactions)

  • Alogliptin and metforminDPP-4 inhibitorModerate

    Insulin or Oral Hypoglycemics — Initiating thyroid replacement therapy may cause increases in insulin or oral hypoglycemic requirements. (Levothyroxine and liothyronine label, Drug interactions)

  • AmiodaroneantiarrhythmicModerate

    Thyroid Abnormalities Nexterone inhibits peripheral conversion of throxine (T4) to triiodothyronine (T3) and may cause increased T3 levels, and increased levels of inactive reverse T3 (rT3) in clinically euthyroid patients. (Amiodarone label, Warnings and precautions)

  • ApixabananticoagulantModerate

    Drug Interactions Oral Anticoagulants — Thyroid hormones appear to increase catabolism of vitamin K-dependent clotting factors. (Levothyroxine and liothyronine label, Drug interactions)

  • ArgatrobananticoagulantModerate

    Drug Interactions Oral Anticoagulants — Thyroid hormones appear to increase catabolism of vitamin K-dependent clotting factors. (Levothyroxine and liothyronine label, Drug interactions)

  • Atenololbeta blockerModerate

    Abrupt withdrawal of beta blockade might precipitate a thyroid storm; therefore, patients suspected of developing thyrotoxicosis from whom TENORMIN therapy is to be withdrawn should be monitored closely. (Atenolol label, Warnings)

  • Atenolol and chlorthalidonebeta blockerModerate

    Abrupt withdrawal of beta blockade might precipitate a thyroid storm; therefore, patients suspected of developing thyrotoxicosis from whom atenolol and chlorthalidone therapy is to be withdrawn should be monitored closely. (Atenolol and chlorthalidone label, Warnings)

  • AxitinibModerate

    Monitor thyroid function before initiation of, and periodically throughout, treatment with INLYTA. (Axitinib label, Warnings and precautions)

  • Azelastine and fluticasoneantihistamineModerate

    The therapy of myxedema coma requires simultaneous administration of glucocorticoids (See DOSAGE AND ADMINISTRATION). (Levothyroxine and liothyronine label, Precautions)

  • BeclomethasonecorticosteroidModerate

    The therapy of myxedema coma requires simultaneous administration of glucocorticoids (See DOSAGE AND ADMINISTRATION). (Levothyroxine and liothyronine label, Precautions)

  • BetamethasonecorticosteroidModerate

    The therapy of myxedema coma requires simultaneous administration of glucocorticoids (See DOSAGE AND ADMINISTRATION). (Levothyroxine and liothyronine label, Precautions)

  • Betaxololbeta blockerModerate

    Abrupt withdrawal of beta-blockade might precipitate a thyroid storm; therefore, patients known or suspected of being thyrotoxic from whom betaxolol is to be withdrawn should be monitored closely (see Dosage and Administration: Cessation of therapy ). (Betaxolol label, Warnings)

  • BexagliflozinSGLT2 inhibitorModerate

    Insulin or Oral Hypoglycemics — Initiating thyroid replacement therapy may cause increases in insulin or oral hypoglycemic requirements. (Levothyroxine and liothyronine label, Drug interactions)

  • BexaroteneretinoidModerate

    Monitor and replace thyroid hormone if needed. (Bexarotene label, Warnings and precautions)

  • Laboratory Test Interactions Based on reports involving thiazides, bisoprolol fumarate and hydrochlorothiazide tablets may decrease serum levels of protein-bound iodine without signs of thyroid disturbance. (Bisoprolol and hydrochlorothiazide label, Precautions)

  • BivalirudinanticoagulantModerate

    Drug Interactions Oral Anticoagulants — Thyroid hormones appear to increase catabolism of vitamin K-dependent clotting factors. (Levothyroxine and liothyronine label, Drug interactions)

  • BudesonidecorticosteroidModerate

    The therapy of myxedema coma requires simultaneous administration of glucocorticoids (See DOSAGE AND ADMINISTRATION). (Levothyroxine and liothyronine label, Precautions)

  • CanagliflozinSGLT2 inhibitorModerate

    Insulin or Oral Hypoglycemics — Initiating thyroid replacement therapy may cause increases in insulin or oral hypoglycemic requirements. (Levothyroxine and liothyronine label, Drug interactions)

  • Cholestyraminebile acid sequestrantModerate

    Drug Interactions Cholestyramine for Oral Suspension USP may delay or reduce the absorption of concomitant oral medication such as phenylbutazone, warfarin, thiazide diuretics (acidic), or propranolol (basic), as well as tetracycline, penicillin G, phenobarbital, thyroid and thyroxine preparations, estrogens and progestins, and digitalis. (Cholestyramine label, Drug interactions)

  • CiclesonidecorticosteroidModerate

    The therapy of myxedema coma requires simultaneous administration of glucocorticoids (See DOSAGE AND ADMINISTRATION). (Levothyroxine and liothyronine label, Precautions)

  • ClobetasolcorticosteroidModerate

    The therapy of myxedema coma requires simultaneous administration of glucocorticoids (See DOSAGE AND ADMINISTRATION). (Levothyroxine and liothyronine label, Precautions)

  • Colesevelambile acid sequestrantModerate

    Concomitant use with colesevelam hydrochloride may decrease the exposure of the following drugs: Drugs with a narrow therapeutic index (e.g., cyclosporine), phenytoin, thyroid hormone replacement therapy, warfarin, oral contraceptives containing ethinyl estradiol and norethindrone, olmesartan medoxomil, and sulfonylureas (glimepiride, glipizide, glyburide). (Colesevelam label, Drug interactions)

  • Conjugated estrogensestrogenModerate

    Estrogen, Oral Contraceptives — Estrogens tend to increase serum thyroxine-binding globulin (TBg). (Levothyroxine and liothyronine label, Drug interactions)

  • Estrogen, Oral Contraceptives — Estrogens tend to increase serum thyroxine-binding globulin (TBg). (Levothyroxine and liothyronine label, Drug interactions)

  • DabigatrananticoagulantModerate

    Drug Interactions Oral Anticoagulants — Thyroid hormones appear to increase catabolism of vitamin K-dependent clotting factors. (Levothyroxine and liothyronine label, Drug interactions)

  • DanazolandrogenModerate

    Other metabolic events include a reduction in thyroid binding globulin and T4 with increased uptake of T3, but without disturbance of thyroid stimulating hormone or of free thyroxin index. (Danazol label, Precautions)

  • DapagliflozinSGLT2 inhibitorModerate

    Insulin or Oral Hypoglycemics — Initiating thyroid replacement therapy may cause increases in insulin or oral hypoglycemic requirements. (Levothyroxine and liothyronine label, Drug interactions)

  • Dapagliflozin and metforminSGLT2 inhibitorModerate

    Insulin or Oral Hypoglycemics — Initiating thyroid replacement therapy may cause increases in insulin or oral hypoglycemic requirements. (Levothyroxine and liothyronine label, Drug interactions)

  • DeflazacortcorticosteroidModerate

    The therapy of myxedema coma requires simultaneous administration of glucocorticoids (See DOSAGE AND ADMINISTRATION). (Levothyroxine and liothyronine label, Precautions)

  • Desipraminetricyclic antidepressantModerate

    In patients with thyroid disease or those taking thyroid medication, because of the possibility of cardiovascular toxicity, including arrhythmias. e. (Desipramine label, Warnings)

  • Desogestrel and ethinyl estradioloral contraceptiveModerate

    Estrogen, Oral Contraceptives — Estrogens tend to increase serum thyroxine-binding globulin (TBg). (Levothyroxine and liothyronine label, Drug interactions)

  • DesonidecorticosteroidModerate

    The therapy of myxedema coma requires simultaneous administration of glucocorticoids (See DOSAGE AND ADMINISTRATION). (Levothyroxine and liothyronine label, Precautions)

  • Digoxindigitalis glycosideModerate

    Use in Thyroid Disorders and Hypermetabolic States Hypothyroidism may reduce the requirements for digoxin. (Digoxin label, Warnings and precautions)

  • Drospirenone and ethinyl estradioloral contraceptiveModerate

    Estrogen, Oral Contraceptives — Estrogens tend to increase serum thyroxine-binding globulin (TBg). (Levothyroxine and liothyronine label, Drug interactions)

  • EdoxabananticoagulantModerate

    Drug Interactions Oral Anticoagulants — Thyroid hormones appear to increase catabolism of vitamin K-dependent clotting factors. (Levothyroxine and liothyronine label, Drug interactions)

  • EmpagliflozinSGLT2 inhibitorModerate

    Insulin or Oral Hypoglycemics — Initiating thyroid replacement therapy may cause increases in insulin or oral hypoglycemic requirements. (Levothyroxine and liothyronine label, Drug interactions)

  • Empagliflozin and metforminSGLT2 inhibitorModerate

    Insulin or Oral Hypoglycemics — Initiating thyroid replacement therapy may cause increases in insulin or oral hypoglycemic requirements. (Levothyroxine and liothyronine label, Drug interactions)

  • EnoxaparinanticoagulantModerate

    Drug Interactions Oral Anticoagulants — Thyroid hormones appear to increase catabolism of vitamin K-dependent clotting factors. (Levothyroxine and liothyronine label, Drug interactions)

  • EslicarbazepineanticonvulsantModerate

    Abnormal Thyroid Function Tests Dose-dependent decreases in serum T3 and T4 (free and total) values have been observed in patients taking APTIOM. (Eslicarbazepine label, Warnings and precautions)

  • Esmololbeta blockerModerate

    Abrupt withdrawal of beta blockade might precipitate a thyroid storm; therefore, monitor patients for signs of thyrotoxicosis when withdrawing beta blocking therapy. (Esmolol label, Warnings and precautions)

  • Estrogen, Oral Contraceptives — Estrogens tend to increase serum thyroxine-binding globulin (TBg). (Levothyroxine and liothyronine label, Drug interactions)

  • EstradiolestrogenModerate

    Estrogen, Oral Contraceptives — Estrogens tend to increase serum thyroxine-binding globulin (TBg). (Levothyroxine and liothyronine label, Drug interactions)

  • Estradiol and dienogestoral contraceptiveModerate

    Estrogen, Oral Contraceptives — Estrogens tend to increase serum thyroxine-binding globulin (TBg). (Levothyroxine and liothyronine label, Drug interactions)

  • Estrogen, Oral Contraceptives — Estrogens tend to increase serum thyroxine-binding globulin (TBg). (Levothyroxine and liothyronine label, Drug interactions)

  • Estrogen, Oral Contraceptives — Estrogens tend to increase serum thyroxine-binding globulin (TBg). (Levothyroxine and liothyronine label, Drug interactions)

  • Estrogen, Oral Contraceptives — Estrogens tend to increase serum thyroxine-binding globulin (TBg). (Levothyroxine and liothyronine label, Drug interactions)

  • ExenatideGLP-1 receptor agonistModerate

    Insulin or Oral Hypoglycemics — Initiating thyroid replacement therapy may cause increases in insulin or oral hypoglycemic requirements. (Levothyroxine and liothyronine label, Drug interactions)

  • FludrocortisonecorticosteroidModerate

    The therapy of myxedema coma requires simultaneous administration of glucocorticoids (See DOSAGE AND ADMINISTRATION). (Levothyroxine and liothyronine label, Precautions)

  • FlunisolidecorticosteroidModerate

    The therapy of myxedema coma requires simultaneous administration of glucocorticoids (See DOSAGE AND ADMINISTRATION). (Levothyroxine and liothyronine label, Precautions)

  • FluocinonidecorticosteroidModerate

    The therapy of myxedema coma requires simultaneous administration of glucocorticoids (See DOSAGE AND ADMINISTRATION). (Levothyroxine and liothyronine label, Precautions)

  • FluticasonecorticosteroidModerate

    The therapy of myxedema coma requires simultaneous administration of glucocorticoids (See DOSAGE AND ADMINISTRATION). (Levothyroxine and liothyronine label, Precautions)

  • FondaparinuxanticoagulantModerate

    Drug Interactions Oral Anticoagulants — Thyroid hormones appear to increase catabolism of vitamin K-dependent clotting factors. (Levothyroxine and liothyronine label, Drug interactions)

  • FulvestrantestrogenModerate

    Estrogen, Oral Contraceptives — Estrogens tend to increase serum thyroxine-binding globulin (TBg). (Levothyroxine and liothyronine label, Drug interactions)

  • Furosemideloop diureticModerate

    Thyroid hormones High-doses (> 80 mg) of furosemide may inhibit the binding of thyroid hormones to carrier proteins and result in transient increase in free thyroid hormones, followed by an overall decrease in total thyroid hormone levels. (Furosemide label, Drug interactions)

  • GlimepiridesulfonylureaModerate

    Insulin or Oral Hypoglycemics — Initiating thyroid replacement therapy may cause increases in insulin or oral hypoglycemic requirements. (Levothyroxine and liothyronine label, Drug interactions)

  • GlipizidesulfonylureaModerate

    Insulin or Oral Hypoglycemics — Initiating thyroid replacement therapy may cause increases in insulin or oral hypoglycemic requirements. (Levothyroxine and liothyronine label, Drug interactions)

  • Glipizide and metforminsulfonylureaModerate

    Insulin or Oral Hypoglycemics — Initiating thyroid replacement therapy may cause increases in insulin or oral hypoglycemic requirements. (Levothyroxine and liothyronine label, Drug interactions)

  • GlyburidesulfonylureaModerate

    Insulin or Oral Hypoglycemics — Initiating thyroid replacement therapy may cause increases in insulin or oral hypoglycemic requirements. (Levothyroxine and liothyronine label, Drug interactions)

  • Glyburide and metforminsulfonylureaModerate

    Insulin or Oral Hypoglycemics — Initiating thyroid replacement therapy may cause increases in insulin or oral hypoglycemic requirements. (Levothyroxine and liothyronine label, Drug interactions)

  • HalobetasolcorticosteroidModerate

    The therapy of myxedema coma requires simultaneous administration of glucocorticoids (See DOSAGE AND ADMINISTRATION). (Levothyroxine and liothyronine label, Precautions)

  • HeparinanticoagulantModerate

    Drug Interactions Oral Anticoagulants — Thyroid hormones appear to increase catabolism of vitamin K-dependent clotting factors. (Levothyroxine and liothyronine label, Drug interactions)

  • …recommended that appropriate references first be consulted to determine the usual precautions for the use of the other drug; e.g., when epinephrine is injected along with hyaluronidase, the precautions for the use of epinephrine in cardiovascular disease, thyroid disease, diabetes, digital nerve block, ischemia of the fingers and toes etc., should be observed. (Hyaluronidase label, Drug interactions)

  • HydrocortisonecorticosteroidModerate

    The therapy of myxedema coma requires simultaneous administration of glucocorticoids (See DOSAGE AND ADMINISTRATION). (Levothyroxine and liothyronine label, Precautions)

  • Imipraminetricyclic antidepressantModerate

    …levels of the drug; Patients with history of urinary retention, or history of narrow-angle glaucoma because of the drug's anticholinergic properties; hyperthyroid patients or those on thyroid medication because of the possibility of cardiovascular toxicity; patients with a history of seizure disorder because this drug has been shown to lower the seizure threshold;… (Imipramine label, Warnings)

  • Insulin aspartinsulinModerate

    Insulin or Oral Hypoglycemics — Initiating thyroid replacement therapy may cause increases in insulin or oral hypoglycemic requirements. (Levothyroxine and liothyronine label, Drug interactions)

  • Insulin degludecinsulinModerate

    Insulin or Oral Hypoglycemics — Initiating thyroid replacement therapy may cause increases in insulin or oral hypoglycemic requirements. (Levothyroxine and liothyronine label, Drug interactions)

  • Insulin detemirinsulinModerate

    Insulin or Oral Hypoglycemics — Initiating thyroid replacement therapy may cause increases in insulin or oral hypoglycemic requirements. (Levothyroxine and liothyronine label, Drug interactions)

  • Insulin glargineinsulinModerate

    Insulin or Oral Hypoglycemics — Initiating thyroid replacement therapy may cause increases in insulin or oral hypoglycemic requirements. (Levothyroxine and liothyronine label, Drug interactions)

  • Insulin lisproinsulinModerate

    Insulin or Oral Hypoglycemics — Initiating thyroid replacement therapy may cause increases in insulin or oral hypoglycemic requirements. (Levothyroxine and liothyronine label, Drug interactions)

  • Insulin or Oral Hypoglycemics — Initiating thyroid replacement therapy may cause increases in insulin or oral hypoglycemic requirements. (Levothyroxine and liothyronine label, Drug interactions)

  • Thyroid function should be monitored periodically. (Interferon beta-1a label, Warnings and precautions)

  • LanreotideModerate

    Thyroid Function Abnormalities : Decreases in thyroid function may occur; perform tests where clinically indicated. (Lanreotide label, Warnings and precautions)

  • LevonorgestrelprogestinModerate

    Estrogen, Oral Contraceptives — Estrogens tend to increase serum thyroxine-binding globulin (TBg). (Levothyroxine and liothyronine label, Drug interactions)

  • Levonorgestrel and ethinyl estradioloral contraceptiveModerate

    Estrogen, Oral Contraceptives — Estrogens tend to increase serum thyroxine-binding globulin (TBg). (Levothyroxine and liothyronine label, Drug interactions)

  • LinagliptinDPP-4 inhibitorModerate

    Insulin or Oral Hypoglycemics — Initiating thyroid replacement therapy may cause increases in insulin or oral hypoglycemic requirements. (Levothyroxine and liothyronine label, Drug interactions)

  • Linagliptin and metforminDPP-4 inhibitorModerate

    Insulin or Oral Hypoglycemics — Initiating thyroid replacement therapy may cause increases in insulin or oral hypoglycemic requirements. (Levothyroxine and liothyronine label, Drug interactions)

  • Lithiumserotonergic drugModerate

    • Hypothyroidism and Hyperthyroidism: Monitor thyroid function regularly ( 5.7 ). (Lithium label, Warnings and precautions)

  • MedroxyprogesteroneprogestinModerate

    Estrogen, Oral Contraceptives — Estrogens tend to increase serum thyroxine-binding globulin (TBg). (Levothyroxine and liothyronine label, Drug interactions)

  • MegestrolprogestinModerate

    Estrogen, Oral Contraceptives — Estrogens tend to increase serum thyroxine-binding globulin (TBg). (Levothyroxine and liothyronine label, Drug interactions)

  • MetforminbiguanideModerate

    Insulin or Oral Hypoglycemics — Initiating thyroid replacement therapy may cause increases in insulin or oral hypoglycemic requirements. (Levothyroxine and liothyronine label, Drug interactions)

  • MethylprednisolonecorticosteroidModerate

    The therapy of myxedema coma requires simultaneous administration of glucocorticoids (See DOSAGE AND ADMINISTRATION). (Levothyroxine and liothyronine label, Precautions)

  • MifepristoneCYP3A4 inhibitorModerate

    Estrogen, Oral Contraceptives — Estrogens tend to increase serum thyroxine-binding globulin (TBg). (Levothyroxine and liothyronine label, Drug interactions)

  • MiglitolantidiabeticModerate

    Insulin or Oral Hypoglycemics — Initiating thyroid replacement therapy may cause increases in insulin or oral hypoglycemic requirements. (Levothyroxine and liothyronine label, Drug interactions)

  • MometasonecorticosteroidModerate

    The therapy of myxedema coma requires simultaneous administration of glucocorticoids (See DOSAGE AND ADMINISTRATION). (Levothyroxine and liothyronine label, Precautions)

  • NateglinidemeglitinideModerate

    Insulin or Oral Hypoglycemics — Initiating thyroid replacement therapy may cause increases in insulin or oral hypoglycemic requirements. (Levothyroxine and liothyronine label, Drug interactions)

  • Estrogen, Oral Contraceptives — Estrogens tend to increase serum thyroxine-binding globulin (TBg). (Levothyroxine and liothyronine label, Drug interactions)

  • NorethindroneprogestinModerate

    Estrogen, Oral Contraceptives — Estrogens tend to increase serum thyroxine-binding globulin (TBg). (Levothyroxine and liothyronine label, Drug interactions)

  • Norethindrone and ethinyl estradioloral contraceptiveModerate

    Estrogen, Oral Contraceptives — Estrogens tend to increase serum thyroxine-binding globulin (TBg). (Levothyroxine and liothyronine label, Drug interactions)

  • Norgestimate and ethinyl estradioloral contraceptiveModerate

    Estrogen, Oral Contraceptives — Estrogens tend to increase serum thyroxine-binding globulin (TBg). (Levothyroxine and liothyronine label, Drug interactions)

  • Norgestrel and ethinyl estradioloral contraceptiveModerate

    Estrogen, Oral Contraceptives — Estrogens tend to increase serum thyroxine-binding globulin (TBg). (Levothyroxine and liothyronine label, Drug interactions)

  • OctreotideModerate

    Thyroid Function Abnormalities MYCAPSSA suppresses the secretion of thyroid-stimulating hormone, which may result in hypothyroidism. (Octreotide label, Warnings and precautions)

  • Olopatadine and mometasoneantihistamineModerate

    The therapy of myxedema coma requires simultaneous administration of glucocorticoids (See DOSAGE AND ADMINISTRATION). (Levothyroxine and liothyronine label, Precautions)

  • OrlistatModerate

    Drug Interactions and Decreased Vitamin Absorption ORLISTAT may interact with concomitant drugs including cyclosporine, levothyroxine, warfarin, amiodarone, antiepileptic drugs, and antiretroviral drugs [see Drug Interactions (7) ]. (Orlistat label, Warnings and precautions)

  • PasireotideModerate

    Monitoring pituitary function (e.g., thyroid, adrenal, gonadal) prior to initiation of therapy with SIGNIFOR LAR, as well as periodically during treatment, as clinically appropriate, is recommended. (Pasireotide label, Warnings and precautions)

  • PazopanibModerate

    Hypothyroidism : Monitor thyroid tests at baseline, during treatment and as clinically indicated and manage hypothyroidism as appropriate. (Pazopanib label, Warnings and precautions)

  • Phytonadione (vitamin K1)vitamin KModerate

    Drug Interactions Oral Anticoagulants — Thyroid hormones appear to increase catabolism of vitamin K-dependent clotting factors. (Levothyroxine and liothyronine label, Drug interactions)

  • PioglitazonethiazolidinedioneModerate

    Insulin or Oral Hypoglycemics — Initiating thyroid replacement therapy may cause increases in insulin or oral hypoglycemic requirements. (Levothyroxine and liothyronine label, Drug interactions)

  • Pioglitazone and glimepiridethiazolidinedioneModerate

    Insulin or Oral Hypoglycemics — Initiating thyroid replacement therapy may cause increases in insulin or oral hypoglycemic requirements. (Levothyroxine and liothyronine label, Drug interactions)

  • Pioglitazone and metforminthiazolidinedioneModerate

    Insulin or Oral Hypoglycemics — Initiating thyroid replacement therapy may cause increases in insulin or oral hypoglycemic requirements. (Levothyroxine and liothyronine label, Drug interactions)

  • PrednisolonecorticosteroidModerate

    The therapy of myxedema coma requires simultaneous administration of glucocorticoids (See DOSAGE AND ADMINISTRATION). (Levothyroxine and liothyronine label, Precautions)

  • PrednisonecorticosteroidModerate

    The therapy of myxedema coma requires simultaneous administration of glucocorticoids (See DOSAGE AND ADMINISTRATION). (Levothyroxine and liothyronine label, Precautions)

  • ProgesteroneprogestinModerate

    Estrogen, Oral Contraceptives — Estrogens tend to increase serum thyroxine-binding globulin (TBg). (Levothyroxine and liothyronine label, Drug interactions)

  • QuetiapineantipsychoticModerate

    Hypothyroidism Adults: Clinical trials with quetiapine demonstrated dose-related decreases in thyroid hormone levels. (Quetiapine label, Warnings and precautions)

  • RepaglinidemeglitinideModerate

    Insulin or Oral Hypoglycemics — Initiating thyroid replacement therapy may cause increases in insulin or oral hypoglycemic requirements. (Levothyroxine and liothyronine label, Drug interactions)

  • RifampinantibioticModerate

    Substitute non-enzyme inducing therapies at least 2 weeks prior to initiation of irinotecan therapy Decrease irinotecan and active metabolite exposure Levothyroxine Decrease exposure Losartan Parent Decrease AUC by 30% Active metabolite (E3174) Decrease AUC by 40% Methadone In patients well-stabilized on methadone, concomitant administration of rifampin resulted… (Rifampin label, Drug interactions)

  • RifapentineantibioticModerate

    …levonorgestrel Immunosuppressants Cyclosporine, tacrolimus Methylxanthines Theophylline Narcotic analgesics Methadone Phosphodiesterase-5 (PDE-5) Inhibitors Sildenafil Thyroid preparations Levothyroxine Tricyclic antidepressants Amitriptyline, nortriptyline 7.5 Other Interactions The conversion of PRIFTIN to 25-desacetyl rifapentine is mediated by an esterase enzyme. (Rifapentine label, Drug interactions)

  • RivaroxabananticoagulantModerate

    Drug Interactions Oral Anticoagulants — Thyroid hormones appear to increase catabolism of vitamin K-dependent clotting factors. (Levothyroxine and liothyronine label, Drug interactions)

  • SaxagliptinDPP-4 inhibitorModerate

    Insulin or Oral Hypoglycemics — Initiating thyroid replacement therapy may cause increases in insulin or oral hypoglycemic requirements. (Levothyroxine and liothyronine label, Drug interactions)

  • Saxagliptin and metforminDPP-4 inhibitorModerate

    Insulin or Oral Hypoglycemics — Initiating thyroid replacement therapy may cause increases in insulin or oral hypoglycemic requirements. (Levothyroxine and liothyronine label, Drug interactions)

  • Sevelamerphosphate binderModerate

    For oral medication where a reduction in the bioavailability of that medication would have a clinically significant effect on its safety or efficacy (e.g., cyclosporine, tacrolimus, levothyroxine), consider separation of the timing of the administration of the two drugs [see Clinical Pharmacology (12.3) ] . (Sevelamer label, Drug interactions)

  • SitagliptinDPP-4 inhibitorModerate

    Insulin or Oral Hypoglycemics — Initiating thyroid replacement therapy may cause increases in insulin or oral hypoglycemic requirements. (Levothyroxine and liothyronine label, Drug interactions)

  • Sitagliptin and metforminDPP-4 inhibitorModerate

    Insulin or Oral Hypoglycemics — Initiating thyroid replacement therapy may cause increases in insulin or oral hypoglycemic requirements. (Levothyroxine and liothyronine label, Drug interactions)

  • SomatropinModerate

    Hypothyroidism: Monitor thyroid function periodically as hypothyroidism may occur or worsen after initiation of somatropin. (Somatropin label, Warnings and precautions)

  • SorafenibModerate

    • Impairment of Thyroid Stimulating Hormone Suppression (TSH) in DTC : Monitor TSH monthly and adjust thyroid replacement therapy in patients with thyroid cancer. (Sorafenib label, Warnings and precautions)

  • SunitinibModerate

    • Thyroid Dysfunction : Monitor thyroid function at baseline, periodically during treatment, and as clinically indicated. (Sunitinib label, Warnings and precautions)

  • Tamoxifenselective estrogen receptor modulatorModerate

    Drug-Laboratory Test Interactions There are postmarketing reports of T 4 elevations in postmenopausal patients taking tamoxifen that may be explained by increases in thyroid-binding globulin. (Tamoxifen label, Drug interactions)

  • TriamcinolonecorticosteroidModerate

    The therapy of myxedema coma requires simultaneous administration of glucocorticoids (See DOSAGE AND ADMINISTRATION). (Levothyroxine and liothyronine label, Precautions)

  • Trimipraminetricyclic antidepressantModerate

    Caution is advised in patients with history of urinary retention because of the drug's anticholinergic properties; hyperthyroid patients or those on thyroid medication because of the possibility of cardiovascular toxicity; patients with a history of seizure disorder, because this drug has been shown to lower the seizure threshold; patients receiving guanethidine… (Trimipramine label, Warnings)

  • Vitamin KVitamin and mineralModerate

    Drug Interactions Oral Anticoagulants — Thyroid hormones appear to increase catabolism of vitamin K-dependent clotting factors. (Levothyroxine and liothyronine label, Drug interactions)

  • WarfarinanticoagulantModerate

    Drug Interactions Oral Anticoagulants — Thyroid hormones appear to increase catabolism of vitamin K-dependent clotting factors. (Levothyroxine and liothyronine label, Drug interactions)

Minor mentions (26)

  • Amitriptylinetricyclic antidepressantMinor

    Guanethidine or similarly acting compounds; thyroid medication; alcohol, barbiturates and other CNS depressants; and disulfiram – see WARNINGS section. (Amitriptyline label, Drug interactions)

  • Bisoprololbeta blockerMinor

    Abrupt withdrawal of beta-blockade may be followed by an exacerbation of the symptoms of hyperthyroidism or may precipitate thyroid storm. (Bisoprolol label, Warnings)

  • Cytologic abnormalities characterized by giant, hyperchromatic nuclei have been reported in lymph nodes, pancreas, thyroid, adrenal glands, liver, and bone marrow. (Busulfan label, Warnings)

  • CarbamazepineanticonvulsantMinor

    …dicumarol, dihydropyridine calcium channel blockers (e.g., felodipine), doxycycline, ethosuximide, everolimus, felbamate, glucocorticoids, haloperidol, imatinib, itraconazole, lamotrigine, levothyroxine, lorazepam, methadone, methsuxamide, mianserin, midazolam, mirtazapine, nefazodone, olanzapine, oral and other hormonal contraceptives, oxcarbazepine, paliperidone, phenytoin,… (Carbamazepine label, Drug interactions)

  • Carvedilolbeta blockerMinor

    Abrupt withdrawal of β-blockade may be followed by an exacerbation of the symptoms of hyperthyroidism or may precipitate thyroid storm. (Carvedilol label, Warnings and precautions)

  • Colestipolbile acid sequestrantMinor

    Cholestyramine or Colestipol - Cholestyramine or colestipol binds both T 4 and T 3 in the intestine, thus impairing absorption of these thyroid hormones. (Levothyroxine and liothyronine label, Drug interactions)

  • CyclophosphamideimmunosuppressantMinor

    Secondary malignancies (urinary tract cancer, myelodysplasia, acute leukemias, lymphomas, thyroid cancer, and sarcomas) have been reported in patients treated with cyclophosphamide-containing regimens . (Cyclophosphamide label, Warnings and precautions)

  • Other Medications Used for the Management of Fanconi Syndrome PROCYSBI can be administered with other electrolyte and mineral replacements necessary for management of Fanconi syndrome, as well as vitamin D and thyroid hormone. (Cysteamine label, Drug interactions)

  • Divalproex (valproate)anticonvulsantMinor

    Effect on Ketone and Thyroid Function Tests Valproate is partially eliminated in the urine as a keto-metabolite which may lead to a false interpretation of the urine ketone test. (Divalproex (valproate) label, Warnings and precautions)

  • Cases of myelodysplastic syndrome, acute leukemias, lymphomas, thyroid cancers, and sarcomas have occurred and may develop several years after chemotherapy has been discontinued. (Ifosfamide label, Warnings and precautions)

  • ImatinibCYP3A4 inhibitorMinor

    Hypothyroidism has been reported in thyroidectomy patients undergoing levothyroxine replacement. (Imatinib label, Warnings and precautions)

  • Thyroid Disorders Both hypothyroidism and hyperthyroidism have been reported [see Adverse Reactions (6.2) ] . (Lenalidomide label, Warnings and precautions)

  • MethyltestosteroneandrogenMinor

    Free thyroid hormone levels remain unchanged, however, and there is no clinical evidence of thyroid dysfunction. (Methyltestosterone label, Precautions)

  • Metoprololbeta blockerMinor

    Thyrotoxicosis: Abrupt withdrawal in patients with thyrotoxicosis might precipitate a thyroid storm. (Metoprolol label, Warnings and precautions)

  • Abrupt withdrawal in thyrotoxicosis might precipitate a thyroid storm. (Metoprolol and hydrochlorothiazide label, Warnings and precautions)

  • Minocyclinetetracycline antibioticMinor

    EMROSI may induce hyperpigmentation in many organs, including nails, bone, skin, eyes, thyroid, visceral tissue, oral cavity (teeth, mucosa, alveolar bone), sclerae and heart valves. (Minocycline label, Warnings and precautions)

  • MitotaneCYP3A4 inducerMinor

    In cases of cognitive dysfunction, thyroid function should be evaluated as mitotane may induce hypothyroidism. (Mitotane label, Warnings and precautions)

  • Nebivololbeta blockerMinor

    Abrupt withdrawal of β-blockers may be followed by an exacerbation of the symptoms of hyperthyroidism or may precipitate a thyroid storm. (Nebivolol label, Warnings and precautions)

  • Nortriptylinetricyclic antidepressantMinor

    Great care is required if Pamelor is given to hyperthyroid patients or to those receiving thyroid medication, since cardiac arrhythmias may develop. (Nortriptyline label, Warnings)

  • Pilocarpinecholinergic agonistMinor

    …performed, the following concomitant drugs were used in at least 10% of patients in either or both Sjogren's efficacy studies: acetylsalicylic acid, artificial tears, calcium, conjugated estrogens, hydroxychloroquine sulfate, ibuprofen, levothyroxine sodium, medroxyprogesterone acetate, methotrexate, multivitamins, naproxen, omeprazole, paracetamol, and prednisone. (Pilocarpine label, Drug interactions)

  • Warnings Potassium iodide can cause fetal harm, abnormal thyroid function, and goiter when administered to a pregnant woman. (Potassium iodide label, Warnings)

  • Protriptylinetricyclic antidepressantMinor

    On rare occasions, hyperthyroid patients or those receiving thyroid medication may develop arrhythmias when this drug is given. (Protriptyline label, Warnings)

  • Losartan, glipizide and levothyroxine did not show any changes in exposure when co-administered with LOKELMA. (Sodium zirconium cyclosilicate label, Drug interactions)

  • TestosteroneandrogenMinor

    Free thyroid hormone concentrations remain unchanged, however, and there is no clinical evidence of thyroid dysfunction. (Testosterone label, Warnings and precautions)

  • Valproic acidanticonvulsantMinor

    Effect on Ketone and Thyroid Function Tests Valproate is partially eliminated in the urine as a keto-metabolite which may lead to a false interpretation of the urine ketone test. (Valproic acid label, Warnings and precautions)

  • Zoledronic acidbisphosphonateMinor

    Hypocalcemia and Mineral Metabolism Preexisting hypocalcemia and disturbances of mineral metabolism (e.g., hypoparathyroidism, thyroid surgery, parathyroid surgery; malabsorption syndromes, excision of small intestine) must be effectively treated before initiating therapy with Reclast. (Zoledronic acid label, Warnings and precautions)

No significant interaction reported (2)

  • FenoprofenNSAIDNo interaction

    Thyroid-stimulating hormone, total thyroxine, and thyrotropin-releasing hormone response are not affected. (Fenoprofen label, Drug interactions)

  • Montelukastleukotriene receptor antagonistNo interaction

    …adjustment is needed when SINGULAIR is co-administered with theophylline, prednisone, prednisolone, oral contraceptives, fexofenadine, digoxin, warfarin, gemfibrozil, itraconazole, thyroid hormones, sedative hypnotics, non-steroidal anti-inflammatory agents, benzodiazepines, decongestants, and Cytochrome P450 (CYP) enzyme inducers [see Clinical Pharmacology (12.3)… (Montelukast label, Drug interactions)

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Not medical advice. Severity reflects the label's wording, not your circumstances. A "major" flag can be routine under supervision and a "minor" one can matter at high doses. Ask a pharmacist.