THYROID

Drugs in Pregnancy and Lactation.

Welcome to Pregnancy Without Pounds

You absolutely DO NOT have to pack on extra pregnancy weight.
before and after birth photos before and after birth photos

7 Months Pregnant

6 Days After Birth

Discover the secrets that most pregnant women will never know about pregnancy. Inside you'll learn...
  • How to avoid unwanted excess pounds (for a healthy pregnancy and baby!).
  • Exactly which pregnancy exercises get you fit and toned.
  • How to have an easy labor and quick recovery.
  • Exactly what you need to do now to lose weight quickly after delivery.
  • Secrets to minimize stretch marks and cellulite.
  • And you'll also get a FREE subscription to Michelle Moss's exclusive Pregnancy Secrets e-Letter...

Get a FREE subscription to my Pregnancy Exercise, Diet and Beauty Tips Newsletter sent to you each week.

Sign In!

.


Name: THYROID
Class: Thyroid
Risk Factor:    A

Fetal Risk Summary

Thyroid contains the two thyroid hormones levothyroxine (T4) and liothyronine (T3) plus other materials peculiar to the thyroid gland. It is used during pregnancy for the treatment of hypothyroidism. Neither T4 nor T3 crosses the placenta when physiologic serum concentrations are present in the mother (see Levothyroxine and Liothyronine). In one report, however, two patients, each of whom had produced two cretins in previous pregnancies, were given huge amounts of thyroid, up to 1600 mg/day or more (1). Both newborns were normal at birth even though one was found to be athyroid. The authors concluded that sufficient hormone was transported to the fetuses to prevent hypothyroidism.

Congenital defects have been reported with the use of thyroid but are thought to be caused by maternal hypothyroidism or other factors (see Levothyroxine and Liothyronine).

In a surveillance study of Michigan Medicaid recipients involving 229,101 completed pregnancies conducted between 1985 and 1992, 44 newborns had been exposed to thyroid during the 1st trimester (F. Rosa, personal communication, FDA, 1993). One (2.3%) major birth defect (two expected), a cardiovascular defect (0.5 expected), was observed.

Combination therapy with thyroid-antithyroid drugs was advocated at one time for the treatment of hyperthyroidism but is now considered inappropriate (see Propylthiouracil).

Breast Feeding Summary

See Levothyroxine and Liothyronine.

Reference

  • Carr EA Jr, Beierwaltes WH, Raman G, Dodson VN, Tanton J, Betts JS, Stambaugh RA. The effect of maternal thyroid function on fetal thyroid function and development. J Clin Endocrinol Metab 1959;19:1–18.

    Index

    Q&A about Thyroid

    ????????...
    Thyroid...?
    my mom keeps complaining about some kind of a thyroid disorder' she keeps asking me that is there a some kind of a thyroid diseases where you feel hungrey and you gain weight and you feel something in you throat'is it a contagious diseases..........I dont know anything about it so please help
    shargris...
    No it is not contagious. It may be inheirted though.

    many women have thyroid problems , less men.

    She needs to see a dr. and have a blood test taken. This is easily diganosed and not a problem to control with the proper meds.

    Weight gain and tiredness go along with thyroid disease that is not treated. Good luck
    Diana J
    How much does your thyroid play on being overweight?
    I take thyroid medicine and it seems that when I started taking thyroid medicine years ago I started putting on weight. Now I am quite a bit overweight. Nothing seems to help. My thyroid has never been regulated right. Doctors just don't seem to pay much attention when I bring this up.
    Find another doctor and insist.

    I'm severely hypothyroid. Without meds my TSH is 128 (normal is 4-10'ish). I still lost 198 lbs in 11 months on the Kimkins diet, which is low calorie low carb. Another member, Lynda, lost 213 lbs in 10 months (see her story below).

    If you have insurance ask for a referral to an endocrinologist. It's not just about body weight, your thyroid regulates every single organ in your body, including your heart and liver (cholesterol).
    sissy
    What does a surgery to remove the thyroid consists of, recovery time, is it an outpatient procedure?
    I noticed a pea sized nodule on my throat, thyroid. I have had an ultrsound and needle biopsy. The biopsy showed abnormal cells so I am going to have surgery to remove the thyroid. What takes place in this surgery? Don't know what to expect!! Kinda scared too!
    elmo
    I had my thyroid removed 3 weeks ago. I only just went back to work today. ( and im not a sook:)) I went in at 7am, and was in the recoverry room by 1.30pm, and was sent to my ward by 3pm. I woke to a huge sore throat and neck,and could not move very much at all. My voice is still husky, as they move your vocals cords around a bit. and I stayed in hospital for nearly 3 days so they could keep and eye on my calcium levels, as your calcium ducts are behind your thyroid gland. I did have nerve damage to the right hand side of my neck, but it is healing slowly,and I am the only one that hates my scar (either that or everyone is just being nice to me lol) The scar is only about 2 inches wide on me, and i coldnt bring myself to look at it for a few days. You will be able to move your head and drive after a few days, but do find yourself a compfy pillow as sleeping was highly uncomfortable as you dont realise how much you need to use your neck muscles in every day life. All I can suggest is ask people that have had it done. Good luck and I hope this has helped. :) Oh and I forgot to say that I am only 29 years old, so all of this CAN happen at any time of your life too.
    Adi
    How to fix hypothyroidism after thyroid being removed via surgery?
    A friend of mine have part of her thyroid being removed several years ago (not sure exactly why), and logically she's having hypothyroidism problem currently, although the doctor gave her medicine to meet the requirement.

    Anyone know how to fix this problem?

    Thanks.
    nicerose...
    There is no way to fix the problem. She will be on a thyroid medication for the rest of her life. After you start synthroid it will take about 6 weeks for the medication to start really kicking in. I bet the reason she had part of her thyroid removed was due to hyperthyroidism (overactive thyroid). Now that she doesn't have all of her thyroid it has become underactive. They do the procedure because it is much easier to treat hypothyroidism tan to treat hyperthroidism. I hope this helps. She just needs to take her medication at the same time every day and in a matter of a few weeks she will likely be okay. Tell her to take care of herself to. Eat right and exercise.
    nonyabiz...
    What are the most common treatment methods for thyroid problems?
    My docotor is testing my blood for thyroid problems, and I would like to know what treatments they may suggest if I do have any problems. Also, what are the possible issues with my thyroid that they may be checking for? Signs and symptoms? Not sure if this makes a difference, but I am a 22 yr old female - two children/c-section.
    victim_o...
    FIRST THING~ If your doctor won't listen to YOU, get a new one! YOU KNOW when your body is good & when it's not! I refuse to listen to someone who won't listen to me...because they think they know it all since they "went to school for the degree". Well, they didn't go to school & study MY BODY! So, get a new doc, and don't feel bad about it. What if something bad happened to you? Would you hesitate to let that doc know at that point? DON"T LET IT GET THERE!

    I have given several links below to read & perhaps you can read through & understand the different thyroid symptoms & problems.

    Here is some information about myself, plus some symptoms since you seemed to be interested:

    I have low thyroid. I've had it for 10 years. I got it after I had my second child at about the age of 25. If you have low thyroid...here's a great question to answer: Can you see the floor of your house? That was what was asked of me at one point, and to my amazement, the answer was no!

    My signs are: messy house, no desire to do anything...go anywhere, spend time with my kids or my guy, sleep a lot, hard to keep my eyes open at times, HUGE weight gain that over the past years have not found an easy way to take off...so I give up a lot, I have terribly dry hair & don't wash it a lot so it stays strong, I have bumps on my face...not like pimples, but I think it's from dry skin, and perhaps some others that I can't remember at this time...that's another symptom--forgetfullness.

    Here are the "GENERAL" signs for most people: fatigue and lack of energy. Women suffering from underactive thyroid experience heavier menstrual periods. Sluggishness and forgetfulness are symptoms of underactive thyroid problem. Other symptoms of this thyroid disorder are dry skin and hair and constipation.

    If you have high thyroid, or an overactive one, the signs are: increased body metabolism. This is followed by weight loss and excessive warmth and sweating. Persons suffering from overactive thyroid experience trembling hands, irritability and rapid heartbeat or palpitations. Women with overactive thyroid or hyperthyroidism may experience shorter or lighter menstrual periods.

    I take medication, and sadly will have to take 1 pill everyday for the rest of my life. There's a blood check that they will do to see if you have low or high. I hope i've helped you!!
    blondie
    What are the symptoms of a thyroid diorder in a child age 9?
    My daughter's tyroid seem enlarged and I was curious if she may have an underactive thyroid. She had gained weight in the last year.
    TIMOTHY D L
    o poor memory and concentration

    o tiredness & fatigue

    o depression

    o irritability

    o weight gain

    o muscle weakness and cramps

    o intolerance to cold weather

    o deteriorating or slowing growth rate

    o constipation

    o dry, coarse, itchy skin

    o brittle hair

    o a croaky, hoarse voice

    o slow reflexes

    o slow heart rate

    o delayed as well as precocious sexual development

    o high cholesterol levels

    o girls may suffer from increased menstrual flow

    NB: children and adolescents with under activity of the thyroid may have almost no symptoms or signs other than weight gain or slowing growth.
    chappowe...
    What percentage of the time does thyroid removal injury vocal cord nerves?
    I have developed several large & many small nodules on both thyroid glands. The Dr. wants to remove them. What could cause this? What % of the time are they cancerous cells?
    starlight l
    I have had my thyroids removed it is about a 50/50 chance. they are so close to the voice box and the cancerous cells could also be higher or lower I had non cancerous ones. It is not a bad surgery and you will feel so much better afterward.
    ipguy
    What type of doctor should I see for thyroid evaluation?
    My regular doctor has me on thyroid supplement for normal but low thyroid. My symptoms (normal body temperature but freezing all the time) are not helped. There are supposedly thyroid problems that are not detected by regular blood tests. What type of doctor does the more involved thyroid testing?
    Connie
    endocrinologist
    Vicky
    How long does it take for canine thyroid tablets to take effect?
    My 6-year-old Cocker Spaniel has a T4 thyroid level of 0.6 so he's been put on 0.5 thyroxine daily. How long until I see a noticeable improvement in his skin, ears and behaviour (slight aggressive tendency)? Is this an 'overnight fix' like human hormones can be, or will it take a while to build up in his system?
    Cindy
    My cocker mix is on .06 a day. She gets half a pill in the morning and half at night.

    You'll notice a change in the energy level in a day or so. The coat takes time.

    You'll also have to revisit your vet for more blood work in about a month to see if the level is correct.

    My experience with Levothyroxine and/or Soloxane has all been very positive.
    country girl 006
    What does an abnormal thyroid test mean? What does the thyroid do?
    I had a blood test done last week and it came back abnormal for the thyroid. The doctor put me on a medicine called Synthroid for it. If someone can tell me in simple terms, I would appreciate it!
    kikintin...
    Your thyroid is underactive. The Synthroid will balance out the hormone level to make up for the lack of activity from your thyroid. You may end up having an ultrasound (totally painless) to check out the size of the thyroid and whether there are any nodules/growths on it. Often, Synthroid will lessen any growths. Make sure to take it as directed. Try to avoid calcium (milk, yoghurt, etc.) for a couple of hours after taking it. Calcium lessens Synthroid's effectiveness. At least, that's what my endocrinologist said! Also, if it was your general practitioner and not an endocrinologist, I'd suggest seeing a specialist. My GP took me off Synthroid when my levels regulated, then they rose again. There is no cure for hypothyroid, so never stop taking the Synthroid.