Levothyroxine

A synthetic version of the T4 hormone. Essential for normal growth and mental development in children.

Dosage by Body Weight

Dosing for congenital hypothyroidism is very high in neonates (10-15 mcg/kg) and decreases with age. Must be titrated by an endocrinologist.

  1. Body Weight
    Newborns (3-5 kg)
    Dose
    37.5 mcg to 50 mcg
    Frequency
    Once daily
    Tracking Notes
    Crush tablet in a small amount of water/formula; do not use soy formula.

Formulation

TabletOral Solution

Purpose

Thyroid hormone replacement for hypothyroidism.

Generic Name

Levothyroxine Sodium

Branded Drug Names

Levothyroxine is listed as a generic drug name. Common branded medicines that may contain the same active ingredient include:

Scheduled Drug

Yes. This medicine should be supplied or used only according to applicable prescription and regulatory requirements.

Alternatives

Safety Advice

Alcohol

CAUTION

Levothyroxine: Alcohol can affect blood sugar, hormones, or dehydration risk. Avoid or limit alcohol and follow your clinician advice.

Pregnancy

SAFE IF PRESCRIBED

Levothyroxine: Use during pregnancy only with specialist guidance; dose needs may change and monitoring is important.

Breast Feeding

SAFE IF PRESCRIBED

Levothyroxine: Use while breastfeeding only as directed; endocrine treatments often require ongoing clinical monitoring.

Driving

CAUTION

Levothyroxine: May affect alertness indirectly through low blood sugar, dizziness, or hormone imbalance. Avoid driving if symptoms occur.

Liver

CAUTION

Levothyroxine: Use with medical guidance in liver disease, especially when metabolism or blood sugar control may be affected.

Kidney

CAUTION

Levothyroxine: Kidney disease can change dosing or monitoring needs for several endocrine medicines.

Disclaimer: This information is for educational purposes only. WHO references and weight bands are simplified for tracking and must not replace medical advice. Always consult with a healthcare professional before starting or changing any medication.