Prescribing Thyroxine in Primary Care course for GPs
This session will discuss the initiation of thyroxine for the management of primary and secondary thyroid failure, together with appropriate recommendations for monitoring stable patients.
This session was reviewed by Khyati Bakhai and last updated in July 2019.
Learning Objectives
By the end of this session you will be able to:
- Compare the common causes of hypothyroidism and their clinical presentation
- Describe how to start thyroxine in newly diagnosed patients, including initial dosing strategies
- Describe the frequency with which thyroid functions need to be monitored during follow up
- Explain the common issues around concordance with thyroxine
In a newly diagnosed patient with confirmed hypothyroidism, initiation of thyroxine therapy is required with subsequent tailoring of the dose to restore thyroid function tests to normal.
Simon Page has been a Consultant Physician and Endocrinologist at Nottingham University Hospitals NHS Trust since 1995. He graduated from Bristol Medical School in 1982 and completed his MD thesis studying human thyroid cell cultures at St George’s Hospital in London.
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