Congenital hypothyroidism Child: 5 mcg PO qd, increase by 5 mcg q 3-4 day until response.
Myxedema Adult: 5 mcg PO qd, increase by 5-10 mcg q 1-2 wk. Maintenance 50-100 mcg qd.
Goiter Child: 5 mcg PO qd, increase by 5 mcg q wk until response.
Adult: 5 mcg PO qd; increase by 5-10 mcg qd q 1-2 wk to 25 mcg. Then increase by 12.5-25 mcg qd q 1-2 wk until response. Maintenance 75 mcg qd.
Adult > 65 yr: 5 mcg PO qd, increase by 5-mcg q 1-2 wk to 25 mcg qd. Then increase by 12.5-25 mcg qd q 1-2 wk.
Myxedema coma, precoma Adult: 25-50 mcg IV, reassess after 4-12 h, then switch to PO ASAP. Pt with known to suspected cardiac disease 10-20 mcg IV.
Thyroid hormone replacement Adult: 25 mcg PO qd, increase by 12.5-25 mcg q 1-2 wk until response. Maintenance 25-75 mcg qd.
Liothyronine suppression test to differentiate hyperthyroidism from euthyroidism Adult:75-100 mcg qd × 7 day. |