Elevated Free T4- Palpitation

Question

Asked for Male, 49 Years

Two months back my Thyroxine dose was revised to 50mcg and 75mcg on alternate days. Due to palpitations one week back checked TSH and found to be 1.6 ( 0.27-4.2). Since yesterday night experiencing faster heart beats and checked Free T4 today morning without taking Thyronorm. The FT4 value is 1.91 ( lab ref. 0.89 to 1.76 ). Do i need a dose reduction. Taking 12.5mg Atenolol and the heart pounding is not settling. Unable to meet the doctor due to current situation. Do i need to check TSH again? Kindly advice.

Answers (1)

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Dr. Rohit Hore General Physician 7 yrs exp Nagpur · Accepted Answer

Dr. Rohit Hore

General Physician 7 yrs exp Nagpur

We need to do complete thyroid profile but yess, dose needs to be decreased if t4 is elevated

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