Kmm. Shakir et al., FERROUS SULFATE-INDUCED INCREASE IN REQUIREMENT FOR THYROXINE IN A PATIENT WITH PRIMARY HYPOTHYROIDISM, Southern medical journal, 90(6), 1997, pp. 637-639
Recent studies have shown that under experimental conditions ferrous s
ulfate may reduce the gastrointestinal absorption of orally administer
ed levothyroxine sodium in patients with primary hypothyroidism. We de
scribe a patient who became hypothyroid while taking ferrous sulfate.
The hypothyroid status was corrected by increasing the dose of levothy
roxine, Subsequently, when ferrous sulfate was discontinued, the patie
nt became hyperthyroid while taking the higher dose of thyroid hormone
preparation, Since both hypothyroidism and iron deficiency anemia may
coexist, additional thyroid function testing is recommended in patien
ts treated concurrently with ferrous sulfate and L-thyroxine.