What is the starting dose for levothyroxine (T4) replacement therapy?

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From the FDA Drug Label

The average full replacement dose of levothyroxine sodium is approximately 1.7 mcg/kg/day (e.g., 100-125 mcg/day for a 70 kg adult). For most patients older than 50 years or for patients under 50 years of age with underlying cardiac disease, an initial starting dose of 25-50 mcg/day of levothyroxine sodium is recommended, with gradual increments in dose at 6-8 week intervals, as needed. The recommended starting dose of levothyroxine sodium in elderly patients with cardiac disease is 12.5-25 mcg/day, with gradual dose increments at 4-6 week intervals. In patients with severe hypothyroidism, the recommended initial levothyroxine sodium dose is 12.5-25 mcg/day with increases of 25 mcg/day every 2-4 weeks, accompanied by clinical and laboratory assessment, until the TSH level is normalized.

The starting dose for levothyroxine (T4) replacement therapy is:

  • 25-50 mcg/day for most patients older than 50 years or for patients under 50 years of age with underlying cardiac disease
  • 12.5-25 mcg/day for elderly patients with cardiac disease
  • 12.5-25 mcg/day for patients with severe hypothyroidism
  • 10-15 mcg/kg/day for newborn infants
  • 25 mcg/day for infants at risk for cardiac failure 1

From the Research

Starting Dose for Levothyroxine (T4) Replacement Therapy

The starting dose for levothyroxine (T4) replacement therapy varies based on the patient's age, weight, and medical condition.

  • For young adults, the starting dose is usually around 1.5 microg/kg per day, taken on an empty stomach 2, 3.
  • For elderly patients and those with coronary artery disease, the starting dose should be lower, typically ranging from 12.5 to 50 microg per day 2, 3.
  • Patients with significant comorbidities, low body weight, or residual thyroid function may also require a lower starting dose, such as 25-50 µg per day 4.

Factors Influencing the Starting Dose

Several factors can influence the starting dose of levothyroxine, including:

  • Body weight: The dose is often calculated based on the patient's body weight, with a typical dose range of 1.5-1.8 mcg/kg per day 3.
  • Age: Elderly patients may require lower doses due to decreased thyroid hormone production and increased sensitivity to thyroxine 2, 3.
  • Medical condition: Patients with certain medical conditions, such as coronary artery disease or thyroid cancer, may require adjusted doses 2, 5.
  • Thyroid function: Patients with residual thyroid function or those who have undergone total thyroidectomy may require different starting doses 6, 5.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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