Indian Journal of Endocrinology and Metabolism

: 2017  |  Volume : 21  |  Issue : 4  |  Page : 630--631

Medication counseling for thyroxine

Sanjay Kalra1, AG Unnikrishnan2, Mangesh Tiwaskar3, Rakesh Sahay4, Banshi Saboo5, Vijay Negalur6, Deepak Khandelwal7, Pritam Gupta8, Sujoy Ghosh9, AK Das10, Ganapathi Bantwal11, Sarita Bajaj12, Sameer Agarwal13, Rashmi Aggarwal14, Navneet Agarwal15,  
1 Department of Endocrinology, Bharti Hospital, Karnal, Haryana, India
2 CEO, Chellaram Diabetes Institute, Pune, Maharashtra, India
3 Department of Medicine, Shilpa Medical Research Centre, Mumbai, Maharashtra, India
4 Department of Endocrinology, Osmania Medical College, Hyderabad, Telangana, India
5 Department of Medicine, Dia Care Diabetes Care, Ahmedabad, Gujarat, India
6 Department of Medicine, Diabetes and Thyroid Specialities Center, Thane, Maharashtra, India
7 Department of Endocrinology, Maharaja Agrasen Hospital, New Delhi, India
8 Department of Medicine, Dr. Pritam Gupta's Clinic, New Delhi, India
9 Department of Endocrinology, IGPGMR, Kolkata, West Bengal, India
10 Department of Endocrinology, JIPMER, Puducherry, India
11 Department of Endocrinology, St. John's Medical College, Bengaluru, Karnataka, India
12 Department of Medicine, MLN Medical College, Allahabad, Uttar Pradesh, India
13 Department of Endocrinology, PGIMS, Rohtak, Haryana, India
14 Department of Thryoidology, INMAS, New Delhi, India
15 Department of Medicine, Diabetes, Obesity and Thyroid Center, Gwalior, Madhya Pradesh, India

Correspondence Address:
Sanjay Kalra
Department of Endocrinology, Bharti Hospital, Karnal, Haryana


This communication from the National Indian Patient-centered Thyroid Management group provides a useful tool to help in medication counseling during hypothyroidism management. The authors classify and list aspects of thyroxine use which must be discussed with patients on thyroxine supplementation or replacement. Issues related to concomitant food and medications intake, preconception and pregnancy management, as well as sick day care, are also discussed.

How to cite this article:
Kalra S, Unnikrishnan A G, Tiwaskar M, Sahay R, Saboo B, Negalur V, Khandelwal D, Gupta P, Ghosh S, Das A K, Bantwal G, Bajaj S, Agarwal S, Aggarwal R, Agarwal N. Medication counseling for thyroxine.Indian J Endocr Metab 2017;21:630-631

How to cite this URL:
Kalra S, Unnikrishnan A G, Tiwaskar M, Sahay R, Saboo B, Negalur V, Khandelwal D, Gupta P, Ghosh S, Das A K, Bantwal G, Bajaj S, Agarwal S, Aggarwal R, Agarwal N. Medication counseling for thyroxine. Indian J Endocr Metab [serial online] 2017 [cited 2020 Oct 25 ];21:630-631
Available from:

Full Text

Medication counseling is an integral part of prescription in endocrinology.[1],[2] [Table 1], which is based on published evidence,[3],[4] suggests essential points which can be used while counseling patients on thyroxine. This table can be used for patient education in any form, provided the Indian Journal of Endocrinology and Metabolism is acknowledged.{Table 1}

Financial support and sponsorship


Conflicts of interest

There are no conflicts of interest.


1Siminerio L. Overcoming barriers to better health outcomes in patients with diabetes – Improving and balancing patient education and pharmacotherapy initiation, European Endocrinology Diabetes Management. US Endocrinol 2008;4:44-6.
2Kalra S, Baruah MP, Sahay R. Medication counselling with sodium glucose transporter 2 inhibitor therapy. Indian J Endocrinol Metab 2014;18:597-9.
3Kalra B, Agrawal S, Kalra S. Pre-conception counseling: A thyroidology perspective. Thyroid Res Pract 2013;10:56.
4Khandelwal D, Tandon N. Overt and subclinical hypothyroidism: Who to treat and how. Drugs 2012;72:17-33.