Medications causing abnormal thyroid tests in otherwise normal thyroid … In order for Synthroid to be effective, it should always be taken the same way every day. Thus, I can't advise since I don't know all the details and I am not a medical practitioner. Many different types of prescription medications can interfere with replacement thyroid hormones, including drugs that treat breast cancer, depression, osteoporosis and diabetes. Schedule your appointment now for safe in-person care. Thyroid medications can interact with other drugs, so always take them on an empty stomach with no other medications. Omeprazole (Prilosec), esomeprazole (Nexium), and pantoprazole (Protonix) belong to a class of medications known as proton pump inhibitors that can interfere with how you absorb your thyroid medications. For a summary of medications causing abnormal thyroid tests in otherwise normal thyroid (euthyroid) patients, take a look at table 2 below. Today on WebMD Risky Mistakes Pet Owners Make You took it with supplements. Levothyroxine is widely used to treat patients with thyroid disorders. This is important because the amount of medicine you need is very precise. Unfortunately, the bioavailability of levothyroxine can be reduced by a variety of other medications, leading to reduced levothyroxine effect. Therefore, take thyroid hormone four hours before or after ingesting any of these; best on an empty stomach. Generic drugs usually cost less than the brand-name version. Ytake the Protonix (pantoprazole) at least an hour later, or you can take the Protonix (pantoprazole) at nite so there's no conflict. Then an hour later take the Pantoprazole right before you start eating breakfast. Omeprazole (Prilosec), Nexium, and other proton pump inhibitor drugs can be affected by taking supplements, and can affect your ability to absorb certain vitamins and minerals. You eat lots of … Tracy – thank you for reaching out. Dr. Orrange says that iron and calcium supplements interfere with how your body absorbs thyroid medication, so take them at least an hour apart. The calcium stearate and iron oxide in the pantoprazole are present in very small … Thyroid medication should be taken on an empty stomach, one to two hours before eating, taking other medications, supplements or coffee to ensure … Pantoprazole oral tablet is a prescription drug that’s available as the brand-name drug Protonix.It’s also available as a generic drug. One would expect that thyroid hormones other than levothyroxine would interact similarly with the drugs … Take only: Brand name levothyroxine, preferably in the morning an hour before eating. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment. Every medication has different contraindications with food, beverages and supplements. Read the fine print on all prescription drugs and ask your doctor or pharmacist if the medications you’re taking can interfere with your thyroid medication. Brief Answer: Medication interactions Detailed Answer: Take the L thyroxine 60 minutes before breakfast in the morning in the fasting state, with water. <3 Thyroid medication absorption can be impacted by many things, including food, other medications, and supplements. It's important to always take your medication exactly as your doctor … If you take these medications at the same time, your provider may need to increase the dosage of your thyroid medication … St. John's wort, for example, should not be taken with these drugs. Learn more: Mayo Clinic facts about coronavirus disease 2019 (COVID-19) Our COVID-19 patient and visitor guidelines, plus trusted health information Latest on COVID-19 vaccination by site: Arizona patient vaccination updates … Table 2 . 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