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What is L-Thyroxin AL

L-Thyroxin AL is a replacement for a hormone normally produced by your thyroid gland to regulate the body's energy and metabolism. L-Thyroxin AL is given when the thyroid does not produce enough of this hormone on its own.
L-Thyroxin AL treats hypothyroidism. L-Thyroxin AL is also used to treat or prevent goiter (enlarged thyroid gland), which can be caused by hormone imbalances, radiation treatment, surgery, or cancer.
L-Thyroxin AL may also be used for purposes not listed in L-Thyroxin AL guide.

L-Thyroxin AL side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have a serious side effect such as:

Common side effects may include mild hair loss.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
See also: Side effects (in more detail)
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L-Thyroxin AL dosing

Usual Adult Dose for Hypothyroidism:

Oral:
The initial dose is 12.5 to 50 mcg orally once a day. The dosage can be increased in 12.5 to 25 mcg/day increments every 2 to 4 weeks. In older patients or in younger patients with a history of cardiovascular disease, the dosage should be increased in 12.5 to 25 mcg increments every 3 to 6 weeks.
Few patients require doses higher than 200 mcg. Inadequate response to doses higher than 200 mcg is rare and may suggest malabsorption, poor patient compliance and/or drug interactions.
Parenteral: The usual IV or IM dose is 50 to 75% of the oral dose.

Usual Adult Dose for TSH Suppression:

Oral:
The initial dose is 50 mcg orally once a day. The dosage may be increased in 25 to 50 mcg increments every 2 to 4 weeks. The typical maintenance dose is 100 to 200 mcg orally once a day.
Parenteral: The usual IV or IM dose is 50 to 75 % of the oral dose.

Usual Adult Dose for Thyroid Suppression Test:

Oral: 2.6 mcg/kg/day for 7 to 10 days.
Parenteral: The usual IV or IM dose is 50 to 75% of the oral dose.

Usual Adult Dose for Myxedema Coma:

Initial dose: 300 to 500 mcg IV bolus administered one time.
Maintenance dose: 75 to 100 mcg IV once a day until the patient can be converted to oral therapy.

Usual Pediatric Dose for Hypothyroidism:

Congenital hypothyroidism:
Neonatal:
Oral: 10 to 15 mcg/kg/day; if patient is at risk for development of cardiac failure, begin with a lower dose. In severe cases of hypothyroidism, a higher initial dose of 12 to 17 mcg/kg/day may be considered.
IV or IM: 50% to 75% of the oral dose
Oral:
0 to 3 months: 10 to 15 mcg/kg orally once per day; if the infant is at risk for development of cardiac failure use a lower starting dose of approximately 25 mcg/day; if the initial serum T4 is very low (less than 5 mcg/dL) begin treatment at a higher dosage of approximately 50 mcg/day.
3 to 6 months: 8 to 10 mcg/kg or 25 to 50 mcg orally once per day
6 to 12 months: 6 to 8 mcg/kg or 50 to 75 mcg orally once per day
1 to 5 years: 5 to 6 mcg/kg or 75 to 100 mcg orally once per day
6 to 12 years: 4 to 5 mcg/kg or 100 to 125 mcg orally once per day
12 years: 2 to 3 mcg/kg or greater than or equal to 150 mcg orally once per day
Patients in which growth and puberty are complete: 1.7 mcg/kg orally once per day.
For chronic or severe hypothyroidism: 25 mcg orally once per day and increase dosage as needed in increments of 25 mcg every 2 to 4 weeks until the desired effect is achieved.
Comment:
- Hyperactivity in older children may be minimized by starting at one-quarter of the recommended dose and increasing each week by that amount until the full dose is achieved (4 weeks).
-The relative bioavailability between the injection and oral products has not been established. Therefore, caution should be used when switching patients from oral products to the injection as accurate dosing conversion has not been studied.
-A prospective randomized crossover study demonstrated that L-Thyroxin AL and an AB-rated generic L-T4 are not bioequivalent for patients less than 3 years of age with severe congenital hypothyroidism.
Parenteral:
The usual IV or IM dose is 50 to 75% of the oral dose.

Select the most affordable brand or generic drug


StrengthQuantityPrice, USDCountry
ALMOX Liquid / 125mg per 5ml (60ml units) $0.22Alkem Laboratories
ALMOX 125 MG DRY SYRUP 1 bottle(s) (30 ML dry syrup each) $0.25Alkem Laboratories Ltd
Almox 250mg Capsule $0.04Alkem Laboratories Ltd
ALMOX 250MG CAPSULE 1 strip(s) (10 capsules each) $0.43Alkem Laboratories Ltd
ALMOX Capsule/ Tablet / 250mg (10 units) $0.50Alkem Laboratories
ALMOX Capsule/ Tablet / 500mg (10 units) $0.77Alkem Laboratories
Almox 250mg Tablet DT $0.09Alkem Laboratories Ltd
Almox 0.5% w/v EYE-DPS / 10ml $0.95
ALMOX 500 MG CAPSULE 1 strip(s) (10 capsules each) $0.96Alkem Laboratories Ltd
Almox 500mg Capsule $0.10Alkem Laboratories Ltd
LEVOLET tab 750 mg x 10's $1.81Ikon
LEVOLET tab 250 mg x 10's $0.69Ikon
LEVOLET tab 500 mg x 10's $1.25Ikon
100 mcg90 $26.84Canada, India, NZ, Singapore, Turkey, UK, USA
100 mcg90 $30.31Australia, Canada, India, NZ, Singapore, Turkey, UK, USA
100 mcg90 $37.40USA
100 mcg112 $33.90Australia, Canada, NZ, Singapore, Turkey
112 mcg30 $20.45USA
112 mcg90 $32.00Australia, Canada, Mauritius, NZ, Singapore, Turkey, UK, USA
112 mcg90 $34.87Australia, Canada, India, Mauritius, NZ, Singapore, Turkey, UK, USA
125 mcg90 $30.20USA
125 mcg90 $39.24Australia, Canada, NZ, Singapore, Turkey, UK, USA
125 mcg90 $39.64Australia, Canada, India, NZ, Turkey, Singapore, UK, USA
125 mcg100 $33.00USA
137 mcg90 $32.57Australia, Canada, India, Mauritius, NZ, Turkey, Singapore, UK, USA
137 mcg90 $33.17Australia, Canada, India, NZ, Singapore, Turkey, UK, USA
150 mcg30 $7.00
150 mcg90 $32.00Australia, Canada, Mauritius, NZ, Singapore, Turkey, UK, USA
150 mcg90 $36.34Australia, Canada, India, NZ, Singapore, Turkey, UK, USA
150 mcg90 $39.40USA
150 mcg100 $40.38Australia, Canada, India, Mauritius, NZ, Singapore, Turkey, UK, USA
150 mcg100 $40.38Australia, Canada, India, NZ, Turkey, Singapore, UK, USA
175 mcg90 $36.49Australia, Canada, India, NZ, Singapore, Turkey, UK, USA
175 mcg90 $36.58Canada, India, NZ, Singapore, Turkey, UK, USA
175 mcg90 $40.15Australia, Canada, India, Mauritius, NZ, Turkey, UK, USA
200 mcg30 $21.45USA
200 mcg90 $36.00Australia, Canada, Mauritius, NZ, Singapore, Turkey, UK, USA
200 mcg90 $38.22Australia, Canada, India, Mauritius, NZ, Singapore, Turkey, UK, USA
25 mcg84 $44.52Barbados, Canada, NZ, UK
25 mcg90 $27.56Australia, Canada, NZ, Singapore, Turkey, UK, USA
25 mcg90 $41.05USA
25 mcg100 $21.00Australia, Canada, Mauritius, NZ, Singapore, Turkey, UK, USA
300 mcg90 $49.40USA
300 mcg100 $45.66Canada, India, NZ, Singapore, Turkey, UK, USA
300 mcg100 $53.73Australia, Canada, India, Mauritius, NZ, Singapore, Turkey, UK, USA
50 mcg28 $23.48Barbados, Canada, NZ, UK
50 mcg30 $7.00
50 mcg90 $24.89Australia, Canada, India, NZ, Singapore, Turkey, UK, USA
50 mcg90 $28.76Australia, Canada, India, Mauritius, NZ, Turkey, UK, USA
75 mcg90 $24.80USA
75 mcg90 $29.87Australia, Canada, NZ, Singapore, Turkey, UK, USA
75 mcg90 $30.17Australia, Canada, India, NZ, Turkey, Singapore, UK, USA
75 mcg100 $43.76Australia, Canada, India, NZ, Singapore, Turkey, UK, USA
75 mcg100 $59.59Australia, Canada, India, Mauritius, NZ, Turkey, UK, USA
88 mcg30 $19.45USA
88 mcg90 $31.08Australia, Canada, India, NZ, Singapore, Turkey, UK, USA
88 mcg90 $33.89Australia, Canada, India, Mauritius, NZ, Turkey, Singapore, UK, USA
Eltroxin 0.05 mg Tablet $0.03
Eltroxin 0.3 mg Tablet $0.07
Synthroid 0.075 mg Tablet $0.10
Synthroid 0.3 mg Tablet $0.12
Levothyroxine 75 mcg tablet $0.20
Levothroid 25 mcg tablet $0.31
Levothroid 112 mcg tablet $0.34
Levothroid 175 mcg tablet $0.38
Unithroid direct 112 mcg tablet $0.42
Unithroid direct 25 mcg tablet $0.42
Levothyroxine Sodium 25 mcg tablet $0.43
Levothyroxine Sodium 112 mcg tablet $0.46
Unithroid 100 mcg tablet $0.47
Levothyroxine Sodium 150 mcg tablet $0.50
Unithroid 112 mcg tablet $0.53
Levothyroxine Sodium 175 mcg tablet $0.57
Synthroid 25 mcg tablet $0.61
Levoxyl 175 mcg tablet $0.69
Synthroid 100 mcg tablet $0.73
Synthroid 137 mcg tablet $0.87
Levoxyl 300 mcg tablet $2.34
Levothyroxine 100 mcg x 28's $2.07
0 .1mg250 $19.99Canada, Mauritius, Singapore, Turkey, UK, USA
0 .1mg250 $19.99Canada, Mauritius, Singapore, Turkey, UK, USA
0 .2mg250 $21.49Canada, Mauritius, Singapore, Turkey, UK, USA
0 .2mg250 $21.49Canada, Mauritius, Singapore, Turkey, UK, USA
0 .3mg250 $26.49Canada, Mauritius, Singapore, Turkey, UK, USA
0 .3mg250 $26.49Canada, Mauritius, Singapore, Turkey, UK, USA
0 .5mg250 $34.99Canada, Mauritius, Singapore, Turkey, UK, USA
0 .5mg250 $34.99Canada, Mauritius, Singapore, Turkey, UK, USA
0 .8mg250 $45.99Canada, Mauritius, Singapore, Turkey, UK, USA
0 .8mg250 $45.99Canada, Mauritius, Singapore, Turkey, UK, USA
Thyrax 100 mcg x 100's $12.22
Thyronorm 100mcg Tablet $0.02Abbott India Ltd
Thyronorm 75 mcg Tablet $0.02
Thyronorm 150 mcg Tablet $0.02
Thyronorm 112mcg Tablet $0.02Abbott India Ltd
25 mcg x 100's $1.57
Thyronorm 50mcg TAB / 100 $1.64
Thyronorm 100mcg TAB / 100 $1.75
150 mcg x 100's $1.95
THYRONORM 88MCG TABLET 1 packet(s) (100 tablets each) $2.09Abbott India Ltd
THYRONORM tab 150 mcg x 100's $2.34Abbott
THYRONORM 112 MCG TABLET 1 packet(s) (50 tablets each) $1.18Abbott India Ltd
Thyronorm 50mcg Tablet $0.01Abbott India Ltd
Thyronorm 25 mcg Tablet $0.02
Thyronorm 50 mcg Tablet $0.02
Thyronorm 62.5mcg Tablet $0.02Abbott India Ltd
THYRONORM Capsule/ Tablet / 100mcg (100 units) $1.48Abbott India
THYRONORM tab 50 mcg x 100's $1.64Abbott
100 mcg x 100's $1.75
Thyronorm 125mcg TAB / 100 $1.93
THYRONORM 125 MCG TABLET 1 packet(s) (100 tablets each) $2.09Abbott India Ltd
THYRONORM tab 125 mcg x 100's $2.34Abbott
THYRONORM tab 12.5 mcg x 50's $1.11Abbott
Thyrorich 100mcg Tablet $0.02Primus Pharmaceuticals
THYRORICH 25 MCG TABLET 1 packet(s) (100 tablets each) $1.51Primus Pharmaceuticals
THYRORICH 88MCG TABLET 1 packet(s) (100 tablets each) $1.79Primus Pharmaceuticals
THYRORICH tab 50 mcg x 100's $1.34Primus Remedies
Thyrowin 25 mcg Tablet $0.01
25 mcg x 100's $0.77
THYROWIN 50MG TABLET 1 strip(s) (14 tablets each) $0.99Abbott India Ltd
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L-Thyroxin AL - Frequently asked Questions

Can L-Thyroxin AL be stopped immediately or do I have to stop the consumption gradually to ween off?

In some cases, it always advisable to stop the intake of some medicines gradually because of the rebound effect of the medicine.

It's wise to get in touch with your doctor as a professional advice is needed in this case regarding your health, medications and further recommendation to give you a stable health condition.

How should I take L-Thyroxin AL?

Follow all directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results. Do not take this medicine in larger or smaller amounts or for longer than recommended.

Do not share this medication with another person, even if they have the same symptoms you have.

L-Thyroxin AL works best if you take it on an empty stomach, at least 30 minutes before breakfast. Follow your doctor's dosing instructions and try to take the medicine at the same time each day.

It is very important to take L-Thyroxin AL with a full glass (8 ounces) of water. The L-Thyroxin AL tablet can dissolve very quickly and swell in the throat, possibly causing choking or gagging.

While using L-Thyroxin AL, you may need frequent medical tests.

Tell any doctor or dentist who treats you that you are using L-Thyroxin AL.

Store at room temperature away from moisture and heat.

It may take several weeks before your body starts to respond to L-Thyroxin AL. Keep using this medicine even if you feel well. You may need to use L-Thyroxin AL for the rest of your life to replace the thyroid hormone your body cannot produce.

What other drugs will affect L-Thyroxin AL?

Many other medicines can be affected by your thyroid hormone levels. Other medicine may also increase or decrease the effects of L-Thyroxin AL.

Many drugs can interact with L-Thyroxin AL and not all possible interactions are listed in this medication guide.

Tell your doctor about all medications you use, start using, or stop using during your treatment with L-Thyroxin AL. This includes prescription, over-the-counter, vitamin, and herbal products. Give a list of all your medicines to any healthcare provider who treats you.

Who should not take L-Thyroxin AL?

L-Thyroxin AL should not be used to treat obesity or weight problems. Dangerous side effects or death can occur from the misuse of L-Thyroxin AL, especially if you are taking any other weight-loss medications or appetite suppressants.

Since thyroid hormone occurs naturally in the body, almost anyone can take L-Thyroxin AL. However, you may not be able to take this medication if you have certain medical conditions.

To make sure L-Thyroxin AL is safe for you, tell your doctor if you have:

Tell your doctor if you have recently received radiation therapy with iodine (such as I-131).

FDA pregnancy category A. L-Thyroxin AL is not expected to harm an unborn baby. If you become pregnant while taking L-Thyroxin AL, do not stop taking the medicine without your doctor's advice. Having low thyroid hormone levels during pregnancy could harm both mother and baby. Your dose needs may be different during pregnancy.

L-Thyroxin AL can pass into breast milk, but it is not expected to be harmful to a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Your dose needs may be different while you are nursing.

Can L-Thyroxin AL be taken or consumed while pregnant?

Please visit your doctor for a recommendation as such case requires special attention.

Can L-Thyroxin AL be taken for nursing mothers or during breastfeeding?

Kindly explain your state and condition to your doctor and seek medical advice from an expert.

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Reviews

Following the study conducted by gmedication.com on L-Thyroxin AL, the result is highlighted below. However, it must be clearly stated that the survey and result is based solely on the perception and impression of visitors and users of the website as well as consumers of L-Thyroxin AL. We, therefore, urge readers not to base their medical judgment strictly on the result of this study but on test/diagnosis duly conducted by a certified medical practitioners or physician.

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The information was verified by Dr. Vishal Pawar, MD Pharmacology