Manufacturer: Jones Pharma, Inc. Indications: Levothyroxine canadian has several uses:
- As replacement or supplemental therapy in patients with congenital or acquired hypothyroidism of any cause, except transient hypothyroidism during the recovery phase of subacute thyroiditis.
- Suppression of pituitary thyroid-stimulating hormone (TSH) to treat or prevent various types of euthyroid goiters, subacute or chronic lymphocytic thyroiditis (e.g., Hashimoto’s thyroiditis), or multinodule goiter.
- As an adjunct to surgery and radioiodine therapy in the management of thyrotropin-dependent, well-differentiated thyroid cancer.
Rationale for Labeling Change: Levothyroxine tablets may cause choking or gagging or may become stuck in the throat if they are not taken with sufficient amounts of water. Without water, the tablets may rapidly swell and begin to dissolve. Most of the problems related to swallowing disappeared when a full glass of water was consumed.
Precautions Section: A warning has been issued to remind patients to swallow the tablets with a full glass of water.
Adverse Reactions Section: Choking, gagging, difficulty swallowing, and tablets sticking in the throat occurred when the tablets were not taken with water.
Dosage and Administration Section: Levoxyl generic should be taken with water.
Conclusion: Patients assume that because the tablets are small, they would be easy to swallow without water. Unfortunately, this is not the case. For quality and safety purposes, the pharmacist should inform patients about the need to drink water when taking this medication.