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Thyroid issue
I have hyperthyroidism and take 50 mcg tablets.
Now I did my tsh test its gone up at 10 what should I do??
Do I need to change medicine??
Answers (20)
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If you have hypothyroidism and your TSH level is 10, thyronorm 50 mcg is not adequate, you may need a higher dose to lower the TSH level
Answered
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I totally understand your concern. Before suggesting treatment, I would like to ask a few questions to ensure the correct management can be provided.
Contact me on Practo or WhatsApp chat.
92469306sevenfour
Dr. Harichandana,
MBBS, MD (General medicine)
Answered
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I think u have hypothyroidism and not hyperthyroidism, u take Tab Thyronorm 50mcg right?….. u need to increase the dose of tab thyronorm tablet …. U can make it 75mcg and recheck thyroid profile after 1 month
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Your TSH has risen to 10 (normal is usually 0.4–4.0 mIU/L), which means your antithyroid medicine (likely carbimazole or methimazole, often in 5 mg or 20 mg tablets — note: 50 mcg would be very low and unusual for hyperthyroidism treatment; it might be a typo for 50 mg or similar) has over-controlled your thyroid. This is common during treatment and suggests you’re moving toward hypothyroidism (underactive thyroid) from overtreatment.
This is not a failure of the medicine but a sign the current dose is too high now. It’s good you checked — catching this early prevents symptoms like tiredness, weight gain, cold feeling, or constipation.
Next Steps
• Do NOT stop or change the dose yourself — contact your doctor (endocrinologist or treating physician) as soon as possible (ideally within a few days).
• Repeat thyroid tests (TSH, free T4, free T3) soon — usually in 4-6 weeks after any change, but your doctor will decide timing.
• Bring your full recent blood report (including T4/T3 levels) to the visit — TSH alone doesn’t tell the whole story.
Health Tips
• Watch for signs of low thyroid: feeling very tired, cold hands/feet, dry skin, hair loss, constipation, or slow heartbeat — tell your doctor if these appear.
• Continue your current dose exactly until the doctor advises otherwise.
• Eat healthy, avoid big changes in iodine-rich foods (like seaweed), and don’t take extra supplements without advice.
• Keep a note of any new symptoms to share with your doctor.
For the best personalized plan based on your full thyroid results, age, symptoms, and medicine details, please consult with me online — I can help explain more or guide what to ask your doctor. Take care and get this adjusted soon — you’ll feel better!
Answered
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Hi. If TSH then it is hypothyroidism not hyperthyroidism.
For proper dose please do consult with Dr R S SAINI faridabad.
Answered
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There seems to be some confusion here. If you truly have hyperthyroidism, you are not supposed to take 50 mcg thyroid tablets (levothyroxine) — that medicine is for hypothyroidism. A TSH of 10 actually suggests hypothyroid levels, not hyperthyroid.
So either:
•you were originally hypothyroid, or
•the diagnosis/medicine needs correction.
Next Steps
Do not change or stop the medicine on your own. You need a proper review with TSH, T3, T4 reports and your prescription history. Based on that, the dose may need adjustment.
Health Tips
Wrong thyroid medicine or dose can push levels up or down and cause symptoms.
Answered
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