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A patient has just been counseled on the appropriate use of his new prescription for levothyroxine. Which of the following statements would verify that the patient has a good understanding of the consultation information that the pharmacist has provided?

1) The patient knows the correct dosage of levothyroxine.
2) The patient understands the potential side effects of levothyroxine.
3) The patient can explain how to take levothyroxine with food.
4) The patient is aware of the drug interactions with levothyroxine.

User Silijon
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Final answer:

Thyroid hormone levels must be carefully monitored when using replacement therapy with levothyroxine due to their essential role in regulating the basal metabolic rate, and the delicate balance required to avoid symptoms of hypo- or hyperthyroidism. Correct dosage and administration are crucial for effectiveness and safety.

Step-by-step explanation:

The replacement of thyroid hormone in cases of hypothyroidism, particularly due to conditions like Hashimoto's thyroiditis or post thyroidectomy for hyperthyroidism, is critical because thyroid hormones like levothyroxine (T4) and triiodothyronine (T3) play essential roles in regulating the body's basal metabolic rate. The level of thyroid hormone must be carefully monitored and adjusted because too little will fail to alleviate the symptoms of hypothyroidism, while too much can cause symptoms of hyperthyroidism. The delicate balance is crucial as it can affect heart rate, body temperature, and overall energy metabolism.

For example, the calculation of correct dosage is important, as seen in a prescription requiring 0.225 mg of Synthroid when available tablets contain 75 µg, necessitating the patient take three tablets to meet the prescription dosage. Synthroid, also known by its generic name levothyroxine, requires proper administration, often recommended to be taken on an empty stomach to ensure optimal absorption.

User Pungggi
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