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Luai Al Bakour
El Temamy Pharmacy
Akoni Hijyen Teknolojileri Sanayi ve Dış Ticaret LTD. ŞTİ
Britton Chance Center for Biomedical Photonics
Arabian Trade Center - ATC
Medical Facility (32206):
Legality International. (Pvt.) Ltd.
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Replacement therapy in hypothyrodism Myxoedema Severe and chronic hypothyroidism T3 Supression test Simple goitre
Recent MI or thyrotoxicosis; uncorrected adrenal insufficiency; artificial rewarming (IV).
Hypersensitivity reactions, angina, CHF, fever, phlebitis, twitching, changes in BP. Potentially Fatal: Tachycardia, cardiac arrhythmias, cardiopulmonary arrest, MI
Reduced absorption with iron, colestyramine, colestipol, aluminium- and magnesium-containing antacids, calcium carbonate, simethicone, sucralfate. May alter requirements of antidiabetic drugs. Reduced efficacy of thyroid replacement therapy with imatinib. Reduced serum levels with amiodarone, carbamazepine, phenytoin, phenobarbital, rifampicin, oestrogens. Potentially Fatal: Increased therapeutic and toxic effects of liothyronine and TCAs. May change hypoprothrombinaemic response to warfarin and other oral anticoagulants (markedly increased response during replacement). Increased risk of significant hypertension and tachycardia with ketamine.
Angina, heart failure; DM; diabetes insipidus; elderly; long-standing hypothyroidism; adrenal insufficiency; myxoedema. Do not use for wt loss. Pregnancy
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Samir Moussa M.D.
Yaser Habrawi , F.R.C.S.Ed
Dr. Talal Sabouni
Dr. Faisal Dibsi
Dr . Dirar Abboud
Dr. Samer Al-Jneidy
Dr. Hani Najjar
Dr. Tahsin Martini