Levothyroxine Withdrawal
Levothyroxine helps regulate your metabolism and energy, as it is a replacement for a hormone your thyroid normally produces that does this. Levothyroxine is used to treat low thyroid hormone levels in your body, called hypothyroidism 2. It is also prescribed for hormone imbalances from radiation treatment, surgery or an enlarged thyroid gland, also called goiter. If you suddenly stop taking levothyroxine, your body goes through withdrawal. It is not recommended that you stop taking levothyroxine unless your doctor advises you to do so.
Hypothyroidism
Levothyroxine withdrawal may cause hypothyroidism, or underactive thyroid 234. Hypothyroidism causes weight gain, fatigue, depression and sensitivity to cold because your body does not have enough thyroid hormone so your body processes slow down 2. Patients with thyroid cancer may suffer acute hypothyroidism because of levothyroxine withdrawal 234.
Depression and Anxiety
Weight Loss and Synthroid
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Thyroid cancer patients stop or reduce their dosages of levothyroxine before follow-up or diagnostic procedures. Reducing your dosage or stopping altogether can cause depression and increased anxiety, according to a study published in December 2005 in the “European Journal of Endocrinology.” The study found that there is a consistent pattern of increased anxiety of around 44 percent and depression of around 17 percent in patients undergoing levothyroxine withdrawal 34.
Insulin Resistance
Thyroid hormones help in the modulation of glucose metabolism, your body’s insulin response to blood sugar. Levothyroxine withdrawal can cause a state of insulin resistance, according to a study published in the June 2009 issue of “Thyroid.” Four patients were tested after six weeks of levothyroxine withdrawal and were found to have a significant degree of insulin resistance, which resulted in reduced glucose disposal -- how fast your body stabilizes blood sugar 6. Blood glucose affects your body’s energy level and ability to burn fat.
Dry Skin
Hypothyroidism, Metformin & Weight Loss
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Another symptom of levothyroxine withdrawal is pale or dry skin. The moisture content of the skin is affected by the reduced amount of hormone available, which also causes hypothyroidism. In addition, other physical effects include dry brittle nails and hair loss.
Related Articles
References
- Drugs.com: Levothyroxine; April 26, 2010
- "European Journal of Endocrinology"; Short-term hypothyroidism after Levothyroxine-withdrawal in patients with differentiated thyroid cancer: clinical and quality of life consequences; L.H. Duntas; 2007
- "European Journal of Endocrinology'; Health-related quality of life, anxiety and depression in thyroid cancer patients under short-term hypothyroidism and TSH-suppressive levothyroxine treatment; S. Tegay: Dec. 2005
- MedlinePlus; Hypothyroidism; April 10, 2009
- "Thyroid"; Acute Thyroid Hormone Withdrawal in Athyreotic Patients Results in a State of Insulin Resistance; G. Brenta, et al.; June 2009
- McAninch EA, Bianco AC. The History and Future of Treatment of Hypothyroidism. Ann Intern Med. 2016;164(1):50–56. doi:10.7326/M15-1799
- Jonklaas J. Persistent hypothyroid symptoms in a patient with a normal thyroid stimulating hormone level. Curr Opin Endocrinol Diabetes Obes. 2017;24(5):356–363. doi:10.1097/MED.0000000000000355
- Peterson SJ, Cappola AR, Castro MR, et al. An Online Survey of Hypothyroid Patients Demonstrates Prominent Dissatisfaction. Thyroid. 2018;28(6):707-721. doi:10.1089/thy.2017.0681
- Hoang TD, Olsen CH, Mai VQ, Clyde PW, Shakir MK. Desiccated thyroid extract compared with levothyroxine in the treatment of hypothyroidism: a randomized, double-blind, crossover study. J Clin Endocrinol Metab. 2013;98(5):1982-90. doi:10.1210/jc.2012-4107
- Grozinsky-glasberg S, Fraser A, Nahshoni E, Weizman A, Leibovici L. Thyroxine-triiodothyronine combination therapy versus thyroxine monotherapy for clinical hypothyroidism: meta-analysis of randomized controlled trials. J Clin Endocrinol Metab. 2006;91(7):2592-9. doi:10.1210/jc.2006-0448
- Allergan. Armour Thyroid Helpful Resources.
- Bahn R, Burch H, Cooper D, et al. Hyperthyroidism and other Causes of Thyrotoxicosis: Management Guidelines of the American Thyroid Association and American Association of Clinical Endocrinoloigists. Endocrine Practice. 2011;17(3):456-520. doi:10.4158/ep.17.3.456.
Writer Bio
Caroline Thompson is a professional photojournalist who has been working for print and online publications since 1999. Her work has appeared in the "Sacramento Bee," "People Magazine," "Newsweek" and other publications. She holds a Bachelor of Arts in photojournalism from California State University at Hayward and a personal trainer certification from the university's Health and Fitness Institute.