Hypo On Ptu
Posted 25 February 2011 - 09:34 PM
1/11/11 Started taking PTU 100mg 2x daily a few days later
TSH <0.01 (.3-3.0)
FT4 2.6 (.8-1.8)
FT3 9.1 (1.5-3.5)
2/21/11 Still taking PTU 100mg 2x daily
TSH <0.01 (.3-3.0)
FT4 0.5 (.8-1.8)
FT3 2.1 (1.5-3.5)
My endo called and told me to reduce my dose to 50mg 2x daily today. I have been feeling really hypo. At first I thought that I was adjusting to not being hyper anymore, but today I was crying for no reason on a few different occasions, so then I thought I really must be hypo.
Since I had the labs done, I have taken 4 more days of the higher dose, so I am sure I am even more hypo than I was when I labbed. Anyway, I am wondering if I should skip PTU all together for a few days so that my levels have a chance to bounce back (I know I have heard a few people here mention doing that), or should I just go down to the lower dose and hope they bounce back just because I am on a lower dose?
2-3 weeks ago, I was feeling pretty good. I'd really like to get back to that. In the future I am going to try to do labs every 4 weeks, but what should I do right now?
Thanks for any advice!
Posted 26 February 2011 - 09:23 AM
I feel for you. I have been in your situation. (I as overmedicated after 2.5 weeks on 30mg Tap - the equivalent of 300mg PTU.) I felt like you...very weepy - and so many more horrible symptoms.
Yes, I think it is very likely that you are hypo and that is what is making you feel so horrible. I would call your endo and tell him/her how you are feeling now. You could "forget" to take a dose and see how you feel - but don't tell anyone that I told you to do that! You can even split a PTU pill in half and take half. But I strongly recommend talking to your doctor. If at all possible you do not want to self medicate.
I am sorry you are feeling so poorly.
Posted 22 March 2011 - 12:45 PM
TSH .002 (.3-3)
FT4 1.1 (.8-1.8)
FT3 2.3 (1.5-3.5)
I have only been on this dose a few weeks, so endo is giving me a few more weeks to settle in before potentially changing the dose.
I feel so much better being euthyroid. I am enjoying that for now.
Posted 22 March 2011 - 04:39 PM
Not sure what you meant by a "few weeks" but, if you were on the lower dose for 3 wks. (or more), your most recent labs indicate the need for a dose reduction.
Also not sure what your current dose is but, the most common maintenance doses for PTU are 25mg - 100mg with the dose decreasing as we move forward.
The rule-of-thumb is to take the lowest possible dose to keep the FreeT4 level at mid-range, if not towards the high end of the range.....and the FreeT3 at
mid-range (if not higher).
I know you didn't ask for input but, I just hate to see people overmedicated and am not sure if that's happening to you.
Posted 23 March 2011 - 08:44 AM
Glad you are feeling better.
Posted 23 March 2011 - 08:48 AM
I strongly echo what Carol and Marti have said.