Levothyroxine

Also known as: Thyroxine, T4

System: AllopathyClass: Thyroid HormoneComposition: Levothyroxine SodiumPrescription: Prescription OnlyEssential medicine (NLEM): Yes

Levothyroxine replaces missing thyroid hormone in hypothyroidism and is usually taken for life.

Common brands

  • Thyronorm
  • Eltroxin
  • Thyrox

Dosage forms

  • Tablet

Uses

  • Hypothyroidism
  • After thyroid surgery

How it works

Replaces the thyroid hormone T4.

How to take

Take on an empty stomach in the morning, 30-60 minutes before breakfast or tea; keep timing consistent.

Common side effects

  • Usually none at the right dose

Serious side effects — get medical help

  • Palpitations, tremor or weight loss if dose too high

Who should not take it

  • Untreated adrenal insufficiency

Interactions

  • Calcium, iron and antacids (take 4 hours apart)
  • Soy, coffee

Pregnancy & breastfeeding

Safe and important in pregnancy; dose often needs to increase.

Alcohol & driving

No specific restriction.

Storage

Store below 25°C, protected from light and moisture.

Used for these conditions

Brands available in India

Frequently asked questions

What is Levothyroxine used for?

Hypothyroidism, After thyroid surgery

What are the side effects of Levothyroxine?

Usually none at the right dose

How should I take Levothyroxine?

Take on an empty stomach in the morning, 30-60 minutes before breakfast or tea; keep timing consistent.

Who should not take Levothyroxine?

Untreated adrenal insufficiency

Medically reviewed by

Medical review pending

Last updated

9 October 2026

Sources

  • National List of Essential Medicines (NLEM) 2022, MoHFW
  • National Formulary of India, Indian Pharmacopoeia Commission
  • CDSCO approved drug information

This information is for general awareness and does not replace advice from a qualified doctor. Do not start, stop or change any medicine without medical advice.

This information is for general awareness and does not replace advice from a qualified doctor. Do not start, stop or change any medicine without medical advice.