Sulcrafate and Levothyroxine

http://www.consultantlive.com/endocrine-diseases/content/article/10162/1337777

If you look at the above link it does say that Sucralfate binds levothyroxine, making it unavailable. It cites an older article from 1994.

http://www.allthyroid.org/disorders/treatments/levothyroxine_dose.html

According to the second link, Levothyroxine should be taken on a completely empty stomach to maximise absorption.

I think your best bet is to go and chat to a pharmacist, or ring your local chemist if you can't get there in the next couple of days.

The best thing I can think to do is to take your L-thyroxine very early morning and then have breakfast after it's had chance to get through. Maybe then you could have your first dose of Sucralfate before lunch? This is just a suggestion of course - you do need to get some professional advice on it.

MMM

Hi Lozzy,

I don't know a thing about the two drugs interating, although MMM covered that very nicely, adding excellent advice.  I can speak to the Sucrafate.  It will coat your stomach and help it to heal.

Even if you took just two doses of Sucrafate it would be helpful.  So, as MMM said, you could take the Levothyroxine (assuming you are only to take it once a day) first thing in the morning, wait the appropriate time, then at the appropriate spaced moment, take the Sucrafate.  You can at least get two, (maybe three if you're only taking Levothyroxine once a day) or even three, with one at bedtime, doses of Sucrafate.

Definitely see if a pharmacist can work up a schedule for you.

Good catch!  Your doctor should have discussed this with you.  It was definitely a miss for him/her.

Good luck!

Denise

That's probably a good strategy. I think you may get better answers out of a pharmacist though - also I wondered if there are contact details for the Sucralfate manufacturers, as it's possible they will have their own technical staff who could advise you. Might be worth writing to them to get the info from the top source as it were.

MMM