The calcium stearate and iron oxide in the pantoprazole are present in very small … This is important because the amount of medicine you need is very precise. You took it with supplements. Thyroid medications can interact with other drugs, so always take them on an empty stomach with no other medications. Ytake the Protonix (pantoprazole) at least an hour later, or you can take the Protonix (pantoprazole) at nite so there's no conflict. Brief Answer: Medication interactions Detailed Answer: Take the L thyroxine 60 minutes before breakfast in the morning in the fasting state, with water. In order for Synthroid to be effective, it should always be taken the same way every day. Dr. Orrange says that iron and calcium supplements interfere with how your body absorbs thyroid medication, so take them at least an hour apart. Take only: Brand name levothyroxine, preferably in the morning an hour before eating. Medications causing abnormal thyroid tests in otherwise normal thyroid … Schedule your appointment now for safe in-person care. Omeprazole (Prilosec), esomeprazole (Nexium), and pantoprazole (Protonix) belong to a class of medications known as proton pump inhibitors that can interfere with how you absorb your thyroid medications. Many different types of prescription medications can interfere with replacement thyroid hormones, including drugs that treat breast cancer, depression, osteoporosis and diabetes. And even the way you take Synthroid can affect how much medicine your body is getting. Tracy – thank you for reaching out. Table 2 . Every medication has different contraindications with food, beverages and supplements. Unfortunately, the bioavailability of levothyroxine can be reduced by a variety of other medications, leading to reduced levothyroxine effect. Today on WebMD Risky Mistakes Pet Owners Make It's important to always take your medication exactly as your doctor … Generic drugs usually cost less than the brand-name version. Thyroid medication should be taken on an empty stomach, one to two hours before eating, taking other medications, supplements or coffee to ensure … For a summary of medications causing abnormal thyroid tests in otherwise normal thyroid (euthyroid) patients, take a look at table 2 below. <3 Thyroid medication absorption can be impacted by many things, including food, other medications, and supplements. If you take these medications at the same time, your provider may need to increase the dosage of your thyroid medication … What I would do if I were in your shoes is that I would ask my doctor how long after taking the medication I should wait to eat or drink anything. You eat lots of … Read the fine print on all prescription drugs and ask your doctor or pharmacist if the medications you’re taking can interfere with your thyroid medication. One would expect that thyroid hormones other than levothyroxine would interact similarly with the drugs … Thus, I can't advise since I don't know all the details and I am not a medical practitioner. Therefore, take thyroid hormone four hours before or after ingesting any of these; best on an empty stomach. Don't delay your care at Mayo Clinic. Learn more: Mayo Clinic facts about coronavirus disease 2019 (COVID-19) Our COVID-19 patient and visitor guidelines, plus trusted health information Latest on COVID-19 vaccination by site: Arizona patient vaccination updates … Levothyroxine is widely used to treat patients with thyroid disorders. St. John's wort, for example, should not be taken with these drugs. 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