Recommendations for managing patients with hypothyroidism

JAAPA. 2024 May 1;37(5):42-44. doi: 10.1097/01.JAA.0000000000000005. Epub 2024 Apr 25.

Abstract

The American Thyroid Association recommends levothyroxine monotherapy for treating hypothyroidism, a condition that affects 4.6% of the US population. However, up to 15% of these patients experience residual symptoms despite normalized thyroid-stimulating hormone levels, and may benefit from an endocrinology referral. Additional high-quality studies are needed to further evaluate patient preferences, as well as to investigate long-term outcomes of combination therapy and continue exploring therapeutic options for hypothyroidism management among specific patient subgroups.

MeSH terms

  • Hormone Replacement Therapy / methods
  • Humans
  • Hypothyroidism* / diagnosis
  • Hypothyroidism* / drug therapy
  • Hypothyroidism* / therapy
  • Practice Guidelines as Topic
  • Thyrotropin* / blood
  • Thyroxine* / administration & dosage
  • Thyroxine* / therapeutic use

Substances

  • Thyroxine
  • Thyrotropin