Brand Name Levothyroxine at Generic Prices
In general, generic medicines are often equivalent to brand name medicines and are usually provided at a much cheaper rate and usually, can be recommended.
However, the case is different with thyroid hormone replacement, as the different brands of thyroid hormones have different fillers and dyes that affect the absorption and metabolism of the thyroid hormone.
Because a small change in the absorption of levothyroxine may make a big difference in both thyroid function tests and how the patient feels, Dr. Friedman in general recommends being on brand name thyroid hormone (T4) replacement, such as Synthroid, Levoxyl, or Unithroid for patients on T4 replacement. This is especially important because pharmacies can substitute the supplier of a generic form of levothyroxine with another one and not notify the patient. The patient may notice that the pill looks different but he or she otherwise does not know that it is a different formulation, and all of the sudden the patient's thyroid function tests may change.
Again for this reason, in the past Dr. Friedman has recommended brand name levothyroxine replacement only.
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