Can missing doses of levothyroxine (thyroid hormone replacement medication) cause palpitations?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board

Educational purpose only • Exercise caution as content is pending human review

Article Review Status

Submitted

Under Review

Approved

Last updated: September 24, 2025 • View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

Related Questions

Should I initiate thyroxine (T4) therapy in a 65-year-old male patient with low free T4 levels, normal Thyroid-Stimulating Hormone (TSH) and Triiodothyronine (T3) levels, who is also taking escitalopram (Selective Serotonin Reuptake Inhibitor (SSRI)) 5mg?

What is the recommended adjustment for a 32-year-old female patient with a TSH level of 3.53, Total T3 level of 1.45, and Free T3 level of 3.8, who is currently taking Levothyroxine (T4) 25 mcg daily?

Does a patient with a Thyroid-Stimulating Hormone (TSH) level of 1.59, Triiodothyronine (T3) level of 1.45, and Thyroxine (T4) level of 10.630 require thyroid hormone replacement therapy or antithyroid medication?

Does the risk of palpitations outweigh the risks of over-replacement with a TSH level of 0.030 in a patient on levothyroxine (thyroid hormone replacement medication)?

What levothyroxine (Synthroid) dose should a 61‑year‑old woman, 6 years post‑thyroidectomy, be on given her prior elevated thyroid‑stimulating hormone (TSH) and normal free thyroxine (free T4) while currently taking 75 µg daily?

What is the recommended treatment for acute gout?

What is the dose of letermovir and its modification in patients with impaired renal function?

Which specialist should a patient with small bowel obstruction (SBO) see?

What is the treatment for a hernia in females?

What is the recommended treatment for Enterococcus faecalis vaginal infections?

What is the dosing of letermovir (antiviral medication) for patients under 12 years old with Cytomegalovirus (CMV) infection?

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.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.