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Levothyroxine increases the response to oral anticoagulant therapyThereforea decrease in the dose of anticoagulant may be warranted with correction of the hypothyroid state or when the SYNTHROID dose is increasedProthrombin time should be closely monitored to permit appropriate and timely dosage adjustmentssee Table 2

This is not a list of all drugs or health problems that interact with Synthroidlevothyroxine tablets

Applies to levothyroxineoral capsule liquid filledoral solutionoral tablet.

Hypothyroidism during pregnancy is associated with a higher rate of complicationsincluding spontaneous abortionpre-eclampsiastillbirth and premature deliveryMaternal hypothyroidism may have an adverse effect on fetal and childhood growth and developmentDuring pregnancyserum T 4 levels may decrease and serum TSH levels increase to values outside the normal rangeSince elevations in serum TSH may occur as early as 4 weeks gestationpregnant women taking SYNTHROID should have their TSH measured during each trimesterAn elevated serum TSH level should be corrected by an increase in the dose of SYNTHROIDSince postpartum wellbutrin xl. TSH levels are similar to preconception valuesthe SYNTHROID dosage should return to the pre-pregnancy dose immediately after deliveryA serum TSH level should be obtained 6-8 weeks postpartum.

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