مريضة بدأت ليفوثيروكسين لقصور الدرقية. أي عبارة منها تحتاج تعليماً إضافياً؟

A client has started levothyroxine for hypothyroidism. Which statement needs further teaching?

1. “I’ll probably stay on it for life, even when I feel better.”
2. “I’ll take it on an empty stomach 30 minutes before breakfast.”
3. “I’ll tell my doctor if I get palpitations or can’t sleep.”
4. “I’ll take it with my calcium and iron tablets at breakfast.”

Answer: D) “I’ll take it with my calcium and iron tablets at breakfast.”. Calcium, iron and antacids reduce levothyroxine absorption, so they are separated by about 4 hours. The other statements are correct: empty stomach, palpitations and insomnia suggest overdose, and treatment is usually lifelong.