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Thyroid supplementation results in an increased demand for oxygen from the myocardium, an increased heart rate, and potentially a reduction in the ventricular filling time. Due to this, when a dog is known to have a cardiomyopathy the starting dose should 25%-50% lower. [2]
Repeat thyroid function tests should be done five weeks after the dosage is increased. [14] While a minimal amount of thyroid hormones is found in breast milk, the amount does not influence infant plasma thyroid levels. [18] Furthermore, levothyroxine was not found to cause any adverse events to the infant or mother during breastfeeding. [18]
Blood free thyroxine and TSH levels are monitored to help determine whether the dose is adequate. This is done 4–8 weeks after the start of treatment or a change in levothyroxine dose. Once the adequate replacement dose has been established, the tests can be repeated after 6 and then 12 months, unless there is a change in symptoms. [8]
In dogs treated for hypothyroidism (lack of thyroid hormone), iatrogenic hyperthyroidism may occur as a result of an overdose of the thyroid hormone replacement medication, levothyroxine; in this case, treatment involves reducing the dose of levothyroxine. [68] [69] Dogs which display coprophagy, the consumption of feces, and also live in a ...
One study of a dog suffering from a toxic dose found that it was probably 111 milligrams per kilogram, or about 100 times the normal dose (3). Other reports list the lethal dose (LD50) at 24 to 30 ...
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