How long after a thyroidectomy should one wait before beginning synthroid (thyroxine)?

Need path results. Start it ASAP after surgery, as long as you won't have post-op radioiodine therapy (RAI) used for some thyroid cancers-- in which case start AFTER RAI. Usually you don't know if you need RAI for sure until final pathology results come in about a week post-op. Some surgeons start Synthroid (thyroxine) right after surgery and stop if path determines need for RAI. Others will wait for path first, then .
Depends. If op for thyroid cancer, wait til they do radioactive iodine ablation if for benign lesions in thyroid, as soon as they know its benign if for hyperthyroidim, within a few days.
Soon . What the thyroidectomy for? If you had the entire gland removed, and the pathology is non cancerous, you ought to be able to start your thyroid replacement right away. If there was a cancer, there might be a role for treating you with radioactive iodine post operatively. In that case you should wait on starting the thyroid replacement until after the treatment . Ask your surgeon.

Related Questions

How long can you live without thyroxine after a thyroidectomy? How long does it take to become unwell?

Hypothyroidism. That is complex. A baby born without a thyroid can have life long severe consequences if treatment is delayed or discontinued. An elderly or compromised person might die because their body can't withstand the additional problem of hypothyroidism. If it is you, otherwise healthy, thyroid was removed you might go a while feeling hypothyroid before you were severely ill. Monitor! take medicine! . Read more...

Total thyroidectomy more than a year ago due to hashimotos disease. How long could I live without taking my thyroxine 150mcg?

Does not add up. Hashimoto is not a reason for thyroidectomy. Why would you not not take replacement medication? You may live for a variable length of time but would not be healthy. Stay on the medication and do not change the dose without consulting your doctor. Read more...

4-21-14 Thyroidectomy r/t thyroiditis, goiter. On Synthroid (thyroxine) 137 mcg- hypo s/s returning have felt great for months. Would adding Cytomel help?

Adjust the dose. Many things affect the TSH level. Tissue in the body has the ability to convert T4 to T3 when needed. There are many things that can alter synthroid (thyroxine) absorption. See if you started taking your medication with food or antacids. This commonly lowers absorption of synthroid (thyroxine), leading to symptoms of hypothyroidism. Meet with your doc to recheck TSH level and have synthroid (thyroxine) redosed. Read more...
Not specific. The signs & symptoms of hypothyroidism are not specific for hypothyroidism (not a single one). Recheck your thyroid labs. If they're normal, your symptoms are due to something else. Having said that, I'm happy to do a trial of Cytomel with the Synthroid (thyroxine) in patients who want to try as long as I don't make them hyperthyroid. Some people report feeling better with comparable labs taking a little T3. Read more...

Is 200mcg of thyroxine a high dose (I've had total thyroidectomy)?

Thyroxine dose. This dose is average. It depends upon age and body weight. Your doc will monitor Total T4, freeT4, TSH levels to optimize. . Read more...

Having a total thyroidectomy. History hypo, multiple nodules, on Synthroid (thyroxine) 100mcg. Had horrible wt gain over yr. Will I likely gain lots of wt after?

No. You do not need a thyroid, you just need thyroid hormone in the correct dose to maintain a normal TSH level. If your thyroid level remains normal, it should not affect your weight. I assume that you are having a total thyroidectomy because you had a thyroid biopsy that was suspicious for thyroid cancer. If this is not the case, you should get a second opinion from an endocrinologist. Read more...

Completely exhausted 1 wk post total thyroidectomy and on Synthroid (thyroxine) 100. When will I feel better and when should levels be checked. I don't have cance?

THYROID EXHAUSTION. You can expect not to feel yourself, particularly energy wise, until and after the supplement being used to replace your thyroid is enough and plenty, and has been in your system for several weeks. Every patient is different but it may take months before you start feeling yourself. Read more...
Ask your surgeon. You asked the question about cancer. By now you should know if you were treated for thyroid cancer or not. If you don't know, you need to ask your surgeon. I'm guessing you don't, since you were placed on synthroid (thyroxine). Levels aren't usually checked for about 6 weeks. It takes quite a while for the level to drop after surgery, and quite a while for the level to stabilize on a new dose . Read more...