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The synthetic t 4 in levothroid levothyroxine sodium is identical to that produced naturally by the human thyroid gland.

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If you have recently had a heart attackor are having any symptoms of a heart attackchest pain or heavy feelingpain spreading to the jaw or shouldernauseasweatinggeneral ill feeling

Common side effects of levothyroxine include tremorschange in appetiteand irregular heartbeats.

Notify your doctor or dentist that you are taking this medicine prior to any surgery.

Occasionallychronic autoimmune thyroiditis may occur in association with other autoimmune disorders such as adrenal insufficiencypernicious anemiaand insulin-dependent diabetes mellitusPatients with concomitant adrenal insufficiency should be treated with replacement glucocorticoids prior to initiation of treatment with levothyroxine sodiumFailure to do so may precipitate an acute adrenal crisis when thyroid hormone therapy is initiateddue to increased metabolic clearance of glucocorticoids by thyroid hormonePatients with diabetes mellitus may require upward adjustments of their antidiabetic therapeutic regimens when treated with levothyroxinesee PRECAUTIONSDrug Interactions

Occasionallychronic autoimmune thyroiditis may occur in association with other autoimmune disorders such as adrenal insufficiencypernicious anemiaand insulin-dependent diabetes mellitusPatients with concomitant adrenal insufficiency should be treated with replacement glucocorticoids prior to initiation of treatment with levothyroxine sodiumFailure to do so may precipitate an acute adrenal crisis when thyroid hormone therapy is initiateddue to increased metabolic clearance of glucocorticoids by thyroid hormonePatients with diabetes mellitus may require upward adjustments of their antidiabetic therapeutic regimens when treated with levothyroxinesee PRECAUTIONSDrug Interactions

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