Country: Singapore
Language: English
Source: HSA (Health Sciences Authority)
Levothyroxine sodium
DCH AURIGA SINGAPORE
0.11126mg
TABLET
Levothyroxine sodium 0.11126mg
ORAL
Prescription Only
Aspen Bad Oldesloe GmbH
ACTIVE
2007-04-16
ELTROXIN Levothyroxine sodium QUALITATIVE AND QUANTITATIVE COMPOSITION Non-scored tablets containing 50 micrograms (0.05 mg) or 100 micrograms (0.1 mg) levothyroxine sodium, which is the monosodium salt of the levorotary isomer of levothyroxine. PHARMACEUTICAL FORM Tablets. CLINICAL PARTICULARS INDICATIONS Hypothyroidism. POSOLOGY AND METHOD OF ADMINISTRATION If the dose of _ELTROXIN _ is increased too rapidly, symptoms such as diarrhoea, nervousness, rapid pulse, insomnia, tremors and sometimes anginal pain where there is latent myocardial ischaemia may occur and the dosage must be reduced or withheld for a day or two, then restarted at a lower level. A pre-therapy ECG is valuable, as changes induced by hypothyroidism may be confused with ECG evidence of ischaemia. Due to a lack of data it is not appropriate to crush levothyroxine tablets and levothyroxine tablets without a score-line must not be halved. Levothyroxine tablets should preferably be taken on an empty stomach. Adults: Initially 50 to 100 mcg daily, preferably taken before breakfast, and adjusted at three to four week intervals by 50 mcg until attainment of clinical and biochemical euthyroidism. This may require doses of 100 to 200 mcg daily. With patients aged over 50 years, it is not advisable to exceed 50 mcg a day initially. Where there is cardiac disease, 25 mcg daily, or 50 mcg on alternate days, is more suitable. In this condition the daily dosage may be increased by 25 mcg at intervals of approximately four weeks. In younger patients, and in the absence of heart disease, a serum levothyroxine (T4) level of about 70 to 160 nanomoles per litre, or a serum thyrotrophin level of less than 5 milli-units per litre, should be aimed at. In those aged over 50, and/or in the presence of heart disease, clinical response is probably a more acceptable criterion of dosage then serum levels. In the event that a dose of 25 mcg is required, the adult may take a 50 mcg tablet on alternative days. Children: In congenital hypothyroidism and juvenile myxoedem Read the complete document