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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
Tell your doctor about all medications you usestart usingor stop using during your treatment with levothyroxineThis includes prescriptionover-the-countervitaminand herbal productsGive a list of all your medicines to any healthcare provider who treats you.
This medication comes in tablet form and is taken once in the morning on an empty stomachwith a glass of water.
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