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Occasionallychronic autoimmune thyroiditis may occur in association with other autoimmune disorders such as adrenal insufficiencypernicious anemiaand insulin-dependent diabetes mellitusPatients with concomitant adrenal insufficiency should be treated with replacement glucocorticoids prior to initiation of treatment with levothyroxine sodiumFailure to do so may precipitate an acute adrenal crisis when thyroid hormone therapy is initiateddue to increased metabolic clearance of glucocorticoids by thyroid hormonePatients with diabetes mellitus may require upward adjustments of their antidiabetic therapeutic regimens when treated with levothyroxinesee PRECAUTIONSDrug Interactions

If you forget a dose of levothyroxinetake the missed dose as soon as you remember itIf it is almost time for your next doseskip the missed doseDo not take a double dose of this medication.

Levothyroxine is a replacement for a hormone normally produced by your thyroid gland to regulate the body’s energy and metabolismLevothyroxine is given when the thyroid does not produce enough of this hormone on its own.

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com charges about 15- 20, depending on the dose, for a one-month supply of the brand-name drug levothroid, or 25- 45 for a one-month supply of the brand-name drug synthroid.

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