The levothyroxine tablet can dissolve very quickly and swell in the throat, possibly causing choking or gagging. Comments: Treatment includes annual blood test to monitor thyroid levels, adjust dosage if necessary, and annual check-up with endocrinologist or internist. Pregnancy, infectious hepatitis, estrogens, estrogen-containing oral contraceptives, and acute intermittent porphyria increase TBG concentrations. Very rarely, patients have tissue-level unresponsiveness to thyroid hormone. Levothyroxine is contraindicated in patients with uncorrected adrenal insufficiency since thyroid hormones may precipitate an acute adrenal crisis kopen goedkoop levothyroxine met unistream by increasing the metabolic clearance of glucocorticoids seePRECAUTIONS.
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