ERFA Thyroid (Natural Thyroid) 60 mg 100 tablets

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ERFA Thyroid is a natural replacement for thyroid hormone to counteract age-related thyroid problems. Thyroid decline affects every cell in our body, resulting in a wide range of age-related problems. The thyroid gland is an endocrine gland located just under the Adam's apple in the throat. It secretes a hormone into the bloodstream called thyroxine, which controls the body's metabolism, the rate at which the body burns calories for energy. It also controls the body's utilization of fat. A decline in the secretion of hormones from the thyroid gland (hypothyroidism) can result in poor concentration, confusion, memory problems, cold hands and feet, weight gain, menstrual problems, sleep disorders, dry skin, thinning hair and low energy levels. An underactive thyroid is also a major cause of a common painful musculoskeletal condition known as fibromyalgia.

Dosage Guidelines

Hypothyroidism: Therapy is usually instituted using low doses the increments that depend on the cardiovascular status of the patient. The usual starting dose is 30 mg with increments of 15 mg every 2 to 3 weeks. A lower starting dosage, 15 mg per day is recommended in patients with long standing myxedema, particularly if cardiovascular impairment is suspected, in which case extreme caution is recommended. The appearance of angina is an indication for a reduction in dosage. Most patients require 60 to 120 mg per day. Failure to respond to doses of 180 mg suggests lack of compliance or malabsorption. Maintenance dosages 60 to 120 mg per day usually result in normal serum T4 and T3 levels. Adequate therapy usually results in normal TSH and T4 levels after 2 to 3 weeks of therapy. Readjustment of thyroid hormone dosage should be made within the first four weeks of therapy, after proper clinical and laboratory evaluations, including serum levels of T4, bound and free and TSH.

How to Use

Take this medication by mouth, usually once daily before breakfast or as directed by your doctor. The dosage of thyroid hormones is determined by the indication and must in every case be individualized according to patient response and laboratory findings. One grain (equivalent to 60 mg) or higher dosages are potent and usually require temperature monitoring and occasional blood tests. Persons with more serious thyroid conditions are often prescribed one grain. Dosages under a physician's guidance can often reach three to five grains daily. Dosages of more than one grain are usually increased by a grain over one to two weeks. Quarter grain and half grain whole thyroid supplements (15 mg to 30 mg) provide less potency and are used to support an aging thyroid condition. However, long-term use of low dose whole thyroid extracts may also require occasional breaks and monitoring.

Missed Dose

If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up unless your doctor instructs you to do so. Call your doctor if you miss 2 or more doses in a row. Ask your doctor ahead of time what to do about a missed dose and follow your doctor's specific directions.

Precautions

Before taking thyroid hormone, tell your doctor or pharmacist if you are allergic to it; or to pork; or if you have any other allergies. This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: decreased adrenal gland function, kidney disease (e.g., nephrosis), low pituitary hormone (e.g., hypopituitarism), low testosterone (e.g., hypogonadism), overactive thyroid (hyperthyroidism). Before using this medication, tell your doctor or pharmacist your medical history, especially of: poor food absorption (malabsorption syndrome), heart disease (e.g., angina, high blood pressure, heart failure, irregular heartbeat, heart attack), sugar diabetes (diabetes mellitus), water diabetes (diabetes insipidus), long-term severe underactive thyroid (e.g., myxedema). Before having surgery, tell your doctor or dentist that you are using this medication.If you have diabetes, this drug may make it harder to control your blood sugar levels. Check your blood sugar regularly as directed by your doctor. Tell your doctor immediately if you have symptoms such as increased thirst/urination, shakiness, unusual sweating, and hunger. Your anti-diabetic medication or diet may need to be adjusted. Caution is advised when using this drug in the elderly because they may be more sensitive to its effects, especially the effects on the heart. Current information shows that this drug may be used during pregnancy. Tell your doctor if you are pregnant or intend to become pregnant. Thyroid hormone passes into breast milk. Consult your doctor before breast-feeding.

Side Effects

Nausea and partial hair loss (temporary) may occur in children in the first few months of starting thyroid hormone. If either of these changes persist or worsen, notify your doctor or pharmacist promptly. Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.It is also possible to have too much thyroid hormone. Tell your doctor immediately if any of these signs of too much thyroid hormone occur: diarrhea, headache, heat intolerance, irritability, menstrual changes, nervousness, trouble sleeping, heavy sweating, unusual weight loss. Tell your doctor immediately if any of these rare but very serious side effects occur: fast/irregular/pounding heartbeat, trouble breathing with exercise, swelling of the arms/legs, extreme weakness. Seek immediate medical attention if any of these rare but very serious side effects occur: chest/jaw/left arm pain.A very serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction may include: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. This is not a complete list of possible side effects.

Drug Interactions

Your healthcare professionals (e.g., doctor or pharmacist) may already be aware of any possible drug interactions and may be monitoring you for it. Do not start, stop or change the dosage of any medicine before checking with them first. Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: certain antidepressants (e.g., TCAs such as amitriptyline, imipramine, nortriptyline), diabetes drugs (e.g., glipizide, insulin, metformin, rosiglitazone), digoxin, estrogens (e.g., birth control pills/patch/ring, hormone replacement therapy), ketamine, intravenous blood pressure drugs (e.g., epinephrine, norepinephrine), "blood thinners" (e.g., warfarin). Check the labels on all your medicines (e.g., cough-and-cold products, diet aids) because they may contain ingredients that could increase your heart rate or blood pressure. Ask your pharmacist about the safe use of those products. This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.

Warning

Thyroid hormone should not be used either alone or in combination with diet pills to treat obesity/cause weight loss in patients with normal thyroid production. If used in combination with diet pills (appetite-suppressant drugs), serious, even life-threatening effects could occur.

Notes

Do not share this medication with others. Laboratory and/or medical tests (e.g., thyroid function tests) should be performed regularly to monitor your progress or check for side effects. Some drugs (e.g., androgens, corticosteroids, estrogens, estrogen-containing birth control pills, iodine-containing products, salicylates) can interfere with thyroid function tests, possibly causing false test results. Consult your laboratory personnel or doctor for more details.

Storage

Store at room temperature between 59-86 degrees F (15-30 degrees C) away from light and moisture. Do not store in the bathroom. Keep all medicines away from children.

These statements have not been evaluated by the FDA or Health Canada. This product is not intended to diagnose, cure or prevent disease.