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Exercise caution when administering levothyroxine to patients with cardiovascular disorders and to the elderly in whom there is an increased risk of occult cardiac diseaseIn these patientslevothyroxine therapy should be initiated at lower doses than those recommended in younger individuals or in patients without cardiac diseasesee WARNINGSPRECAUTIONSGeriatric Useand DOSAGE AND ADMINISTRATIONIf cardiac symptoms develop or worsenthe levothyroxine dose should be reduced or withheld for one week and then cautiously restarted at a lower doseOvertreatment with levothyroxine sodium may have adverse cardiovascular effects such as an increase in heart ratecardiac wall thicknessand cardiac contractility and may precipitate angina or arrhythmiasPatients with coronary artery disease who are receiving levothyroxine therapy should be monitored closely during surgical proceduressince the possibility of precipitating cardiac arrhythmias may be greater in those treated with levothyroxineConcomitant administration of levothyroxine and sympathomimetic agents to patients with coronary artery disease may precipitate coronary insufficiency.

Frequency not reportedAutoimmune disorderse.gchronic autoimmune thyroiditisRef]

In generallevothyroxine therapy should be instituted at full replacement doses as soon as possibleDelays in diagnosis and institution of therapy may have deleterious effects on the child’s intellectual and physical growth and development.

You may not be able to take Synthroid if you have certain medical conditionsTell your doctor if you have an untreated or uncontrolled adrenal gland disordera thyroid disorder called thyrotoxicosisor if you have any recent or current symptoms of a heart attack.

Thyroid hormones regulate multiple metabolic processes and play an essential role in normal growth and developmentand normal maturation of the central nervous system and boneThe metabolic actions of thyroid hormones include augmentation of cellular respiration and thermogenesisas well as metabolism of proteinscarbohydrates and lipidsThe protein anabolic effects of thyroid hormones are essential to normal growth and development.

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