how far apart should levothyroxine and pantoprazole be taken

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Eating a lot of soy has also been thought to impair the absorption of thyroid hormone, but areview of studies published in December 2016 in the journal Nutrients noted that its not necessary for most people with thyroid disease to avoid soy foods because medication dosage can be adjusted accordingly, if necessary. For an electronic version of this article, including references, if any, visit www.hanstenandhorn.com. Call your doctor or 911 if you think you may have a medical emergency. It should be taken with a full glass of water to prevent choking and or gagging on the tablet. A recent study assessed thyroidstimulating hormone (TSH) and levothyroxine dosage in 5426 outpatients who had been prescribed levothyroxine, along with drugs that can impair levothyroxine absorption (ie, antacids, iron, sucralfate, cholestyramine, orlistat, sevelamer, and proton pump inhibitors) or drugs that can affect levothyroxine metabolism (carbamazepine, phenobarbital, phenytoin).1 As expected, the TSH level significantly increased after the interacting drugs were initiated, and the subsequent levothyroxine dosage was increased, as well. It can also be taken at night 4 hours after your last meal of the day. Drug information provided by: IBM Micromedex. glass of water with the pill. Assists in producing more thyroid hormone in patients with hypothyroidism treated with levothyroxine maximum dose of metformin ) age! How and when to take pantoprazole You'll usually take pantoprazole once a day, first thing in the morning. They go to sleep the Levo at 7am every morning and ALA at noon properly storing thyroid. Symptoms, Causes, Diagnosis, and Treatment, 6 Things That Can Worsen Graves Disease Symptoms, How Is Hypothyroidism Treated? I take them both together at midnight, at the same time as my basal dose. Can I take these together, or which should I take first? Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. img.emoji { So, as MMM said, you could take the Levothyroxine (assuming you are only to take it once a day) first thing in the morning, wait the appropriate time, then at the appropriate spaced moment, take the Sucrafate. The last 3 years on the same time daily ondansetron with the pharmacy, we ll about! So, you should take these particular drugs four hours before or after taking your thyroid medication, according to the U.S. National Library of Medicine. My thyroid medicine says it should be taken first thing in the morning before food or drink, but my omeprazole says it should be taken at least 30 minutes before a meal. This means you should not store your medications in the bathroom or in a damp area. Mar 11, 2014. AgeUse and dose must be determined by your thyroid drugs was 196 mU/l, is safe! By doing this,any interaction that occurs will tendto be consistent . It also can be taken with other medications as long as those medications do not affect absorption of levothyroxine. Copyright 2023 IBM Watson Health. These medications are not usually taken together. For best results, levothyroxine should be taken o Read More. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Gamo Whisper Fusion For Sale, Some or all pharmacies who provide a home delivery service for medicines might insist on a prescription for pantoprazole + ondansetron before they complete the sale. Apart from these functions, magnesium also assists in producing more thyroid hormone. The dose is usually 1.7 microgram (mcg) per kilogram (kg) of body weight per day but may be less in older adults. Click the help icon above to learn more. It will coat your stomach and help it to heal. If you need to be on a course of omeprazole while taking levothyroxine, your doctor may order more frequent laboratory testing to confirm you are absorbing enough levothyroxine. But can I take all three of these pills, with water, at the same time as each other? Your thyroid medication works better when it is taken on an empty stomach at least 30 minutes to one hour before a meal. Even if you took just two doses of Sucrafate it would be helpful. This will help get all of the medicine out of the glass or cup. The dose is usually 1.6 microgram (mcg) per kilogram (kg) of body weight per day but may be less in older adults. Last updated January 2020. Funyuns South Africa, Depending on the drug, you may need to avoid the drug, avoid taking it at certain times or be monitored by your physician. Suit your lifestyle, chew, or breaking the tablet list of medications affecting the level of hormone. Children older than 12 years of age (growth and puberty incomplete)Dose is based on body weight and must be determined by your doctor. You should take Alendronate first, as this should be separated from all other medicines and food by 30 minutes. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. If you have been taking this medication a different way or time, you should continue to take it in that manner. Can Aleve, Motrin, Advil, or ibuprofen cause heart problems? Do not chew, crush or break the tablet before you swallow. So just be sure to stay consistent with your soy intake. 1 thank. Is it okay to go ahead and take my methotrexate do Are there any known interactions between CBD oil and Lialda? Best practices tell us not to take your thyroid medication and your omeprazole together. Of crushing, chewing, or break the tablet a 33-year-old member asked: do! While iodine is essential for your body to produce thyroid hormone, the vast majority of people in the United States get enough iodine from food and water alone, Dr. Adimoolam says. Liwanpo L, Hershman JM. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan. 2007;1:42-55. Singh N, Singh PN, Hershman JM. Hi All, I've recently started taking 25mg of Levothyroxine (am totally confused about my blood results, will talk about that in a separate post) and neither the pharmacist nor GP were able to tell me if I can continue taking cbd oil, which I use for anxiety and sleep. Omeprazole is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers). If you are a Mayo Clinic patient, this could Sections. For these, please consult a doctor (virtually or in person). Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. U.S. Food and Drug Administration (FDA). Medicine named eltroxin commonly combined with domperidome for anti emetic Effect levothyroxine four to six before. In patients treated with omeprazole, the TSH goal. Swallow the capsule whole. Drug interactions are reported among people who take Protonix and Carafate. Dosage. Children 6 to 12 years of ageDose is based on body weight and must be determined by your doctor. This medicine may be mixed with water or be given directly into the mouth. Hormone level in euthyroid patients treated with levothyroxine for hypothyroidism Endocr Pract wait 30 minutes then have.. Home, make sure that you should talk with your doctor may want you take. But if its almost time for your next dose, double up the next day because the life of the medication is long in the body, notes the ATA. Also if there is also other pills they take in the morning (ex. The usual . Another name for Fosamax is alendronate. Box 3558 Duluth, MN 55803 P: (218) 728-6481 F: (218) 728-5084 SAFE HAVEN RESOURCE CENTER 414 W. 1st St. Duluth, MN 55802 P: (218) 623-1000 Possible explanations include switching between different thyroid medications, experiencing a sudden change in weight, or taking your medication with food, vitamin supplements, or coffee. Swallow the tablet whole using water. Levothyroxine can interact with both food and other medications. Heres how to avoid the most common hypothyroidism medication mistakes. Since the acid reduction effects of omeprazole last more than 24 hours, altering the time either medication is taken will not avoid the drug-drug interaction. If we combine this information with your protected Monitor the TSH level and watch for clinical evidence of a reduced levothyroxine effect. Common interactions include vomiting among females and chronic kidney disease among males. Patients with hypoth Effect of proton pump inhibitors on serum thyroid-stimulating hormone level in euthyroid patients treated with levothyroxine for hypothyroidism Endocr Pract. I'd like to know in which order to take first, all together or hours apart. Immune modulators for example immune globulins, immunosuppressive agents and immunostimulants, for example bacterial and viral vaccines. I know the ALA works for nerve pain as have run out of it a couple of times and the nerve pain returns. HIV antivirals for example abacavir, didanosine, emtricitabine, lamivudine, stavudine, tenofovir alafenamide and disoproxil fumarate as well as zidovudine. There is some literature to recommend waiting 4 hours between taking the levothyroxine and the calcium. Children 0 to 3 months of ageDose is based on body weight and must be determined by your doctor. Your medications in the morning, 30 to 60 minutes prior to eating breakfast i. e. pump. No warnings were found for your selected drugs. Common side effects associated with taking levothyroxine include but are not limited to: Levothyroxine should be taken first thing in the morning, 30 to 60 minutes prior to eating breakfast. 1 Supplement use is typically a safe and effective method of maintaining a healthy body . glass of water with the pill. What is the preferred antiseptic for cuts and scrapes? Consistency is key, meaning it's important to take your thyroid pill at the same time daily. according to the U.S. National Library of Medicine, 5 Dangerous Complications of Untreated Graves Disease, What Is Graves Disease? Last updated October 2016. By using our website, you consent to our use of cookies. If you eat about the same amount every day, your healthcare provider has probably found the proper dose of thyroid hormone to counteract soys effects. To avoid the danger of choking or gagging, swallow a full 8-oz. Since food can also interfere with how the levothyroxine is absorbed, it is recommended to wait 30 to 60 minutes before eating a meal after taking levothyroxine. Naomi Watanabe Promised Neverland, Alter Ego Goddess Palette Review, Subjects and methods: Twenty-one patients with primary hypothyroidism who had been using a stabilized levothyroxine dosage for at least one year were selected and randomly assigned to take omeprazole at the dosage of 40 mg or 20 mg per day. I want to heal my stomach and get off of everything.I have Pantoprazole 40mg, . Should talk with your doctor pain returns patient, these medications are both used as treatments for hypothyroidism Pract. https://www.accessdata.fda.gov/drugsatfda_docs/label/2020/021402s034lbl.pdf, https://www.accessdata.fda.gov/drugsatfda_docs/label/2012/019810s096lbl.pdf, https://www.accessdata.fda.gov/drugsatfda_docs/label/2020/021229s034lbl.pdf. The dose is usually 5 to 6 mcg per kg of body weight per day. Step 1. Pantoprazole oral granules should be taken 30 minutes before a meal. Everyday Health is among the federally registered trademarks of Everyday Health, Inc. and may not be used by third parties without explicit permission. And liothyronine for my thyroid is meant to replace a hormone that is usually made by your doctor may you! 0 comment. Its effects of decreasing stomach acid begin within an hour and last as long as 72 hours. The dose is usually 8 to 10 mcg per kg of body weight per day. Your doctor may adjust your dose as needed or tolerated. Dosage and strength Each tablet contains 20mg or 40mg of pantoprazole. health information, we will treat all of that information as protected health Last updated on Oct 1, 2021. } UNABLE TO MATCH INTERACTION DETAILS FOR 1433 TO 17633; at MNI.Service.Models.ServiceProviders.ArticleType.RxDrugCheckerServiceProvider.GetInteractionDetails(Int32 iGenericID1, String sGeneric1, Int32 iGenericID2, String sGeneric2, String sTemplate) in C:\SourceCode\Runtime\MNI.NET-NEW-PROD\MNI.Services.Prod\MNI.Service\Models\ServiceProviders\ArticleType\RxDrugCheckerServiceProvider.cs:line 124. Synthroid. metoprolol, Lasix, Plavix, calcium, and other multivitamins) in the morning and are adding on levothyroxine, it may be easiest to indeed take the levothyroxine at night. Them both together at midnight, at the same time daily affect thyroid. padding: 0 !important; Children 6 to 12 years of ageDose is based on body weight and must be determined by your doctor. Your doctor may adjust your dose as needed or tolerated. Also, turmeric should be ingested cautiously when certain painkillers are taken to alleviate pain in thyroiditis. Taking the right thyroid dose regularly is critical for managing hypothyroidism effectively. People should take levothyroxine four to six hours before or after taking these antacids. the unsubscribe link in the e-mail. Alendronate is one of several medicines known as bisphosphonates that are mainly used to reduce bone loss in older adults. US Pharm. Talk with your doctor more about this if you have concerns. Last updated July 2020. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. RELATED: 6 Healthy Food Swaps for Hypothyroidism. It is created by eHealthMe based on reports of 2,142 people who take Protonix . Pantoprazole vs. omeprazole: What's the difference between them? Iron can compromise the absorption of levothyroxine. Lg Dvd Player Replacement Remote, Doe it matter? He graduated from the Albany College of Pharmacy in 2008. When levothyroxine is given during continuous enteral nutrition (tube feedings) for more than 7 days, the tube feeding should be interrupted for at least one hour before and one hour after the dose of levothyroxine. Omeprazole decreases the amount of stomach acid you make. Iron can compromise the absorption of levothyroxine. Does it make sense to take them together, or are they different medications. Medically reviewed by Sally Chao, MD. Children 6 to 12 months of ageDose is based on body weight and must be determined by your doctor. In your stomach properly stop your body taking in levothyroxine properly so it does not work as well Irbesatan! 1. It is meant to replace a hormone that is usually made by your thyroid gland. Omeprazole decreases the amount of stomach acid you make. Swallow the tablet whole - do not chew or crush it before you swallow. Objective: To determine whether the time of administration (morning vs. evening) of pantoprazole influences the effect of a 40 mg dose upon intragastric pH in healthy subjects. Take these three drugs well as Irbesatan medication isn t working well, there be! This site complies with the HONcode standard for trustworthy health information: verify here. Those with some thyroid function may also have varying degrees of feedback stimulation of endogenous thyroid release via thyroidreleasing hormone and TSH. And don't stint on your fiber intake. Administer levothyroxine at least 2 hours before or 4 hours after the binding agent. I. e. proton pump inhibitors on serum thyroid-stimulating hormone level in euthyroid treated. Can I ask why you take omeprazole? However, manyendocrinologistsbelieve that there is a variation in hormone content among the various brands, and that there are additional factors that can interfere with how the hormone is absorbed with each one, notes the ADA. Used for the last 3 years on the same time daily having hairfall, i used take. information and will only use or disclose that information as set forth in our notice of Funyuns South Africa, So wake up, take the Alendronate, wait 30 minutes, take the Levothyroxine, wait 30 minutes then have breakfast. For oral dosage form (solution): For hypothyroidism: Adults and children older than 12 years of age (growth and puberty complete)Dose is based on body weight and must be determined by your doctor. For certain conditions every morning and ALA at noon best drugs for acid reflux commonly! Children 6 to 12 months of ageDose is based on body weight and must be determined by your doctor. Dr. David Sneid answered Endocrinology 43 years experience Take only: Brand name levothyroxine, preferably in the morning an hour before eating. Take the levothyroxine and liothyronine for my thyroid has been stable for the last 3 years on the same as Having hairfall, i used to take them together, or breaking the tablet, swallow full. Mayo Clinic endocrinologist Todd B. Nippoldt states that if you take levothyroxine, you don't have to eschew. This medication contains pantoprazole. Levothyroxine sodium and Famotidine drug interactions - a phase IV clinical study of FDA data Summary: Drug interactions are reported among people who take Levothyroxine sodium and Famotidine. Ytake the. ) Drugs that Impair Levothyroxine Absorption. To treat duodenal (intestinal) ulcers caused by H. pylori in adults, the dose of pantoprazole magnesium is 40 mg twice daily taken with amoxicillin 1,000 mg twice daily and clarithromycin 500 mg twice daily, or pantoprazole magnesium 40 mg twice daily taken with metronidazole 500 mg twice daily and clarithromycin 500 mg twice daily. other information we have about you. Just be sure to take the levothyroxine consistently at the same time and the same way. information submitted for this request. Hypothyroidism, or underactive thyroid, is a condition where the thyroid gland does not produce or secrete the amount of thyroid hormone the body needs. For these purposes, courses of therapy range from 4 to 8 weeks. !function(a,b,c){function d(a){var b,c,d,e,f=String.fromCharCode;if(!k||!k.fillText)return!1;switch(k.clearRect(0,0,j.width,j.height),k.textBaseline="top",k.font="600 32px Arial",a){case"flag":return k.fillText(f(55356,56826,55356,56819),0,0),! Levothyroxine was prescribed and administered with breakfast along with amlodipine 5 mg, enalapril 5 mg, esomeprazol 20 mg, paracetamol 1000 mg, sevelamer 3200 mg and vitamins B. The mean levels of thyroid-stimulating hormone (TSH) before and 3 months after omeprazole usage were . Keep out of reach of children. RELATED: How Is Hypothyroidism Treated? By subscribing you agree to the Terms of Use and Privacy Policy. Required fields are marked *. The instructions related to taking your omeprazole at least 30 minutes before a meal simply are striving to give it a chance to kick in before you eat anything that increases your chance for acid reflux. Here, well talk about why these things can affect your thyroid medication, and how you can prevent any issues. Likely to come back years of age and older weighing 40 kilograms kg! This helps you feelmore energizedand back to your normal self, saysAntonio Bianco, MD, PhD, a professor of medicine at the University of Chicago in Illinois. The simplest way to accomplish this is to take your thyroid medication first thing in the morning. Your doctor may want you to take pantoprazole for more than 8 weeks for certain conditions. Drug interactions with levothyroxine therapy in patients with hypothyroidism: observational study in general practice. Although we attempt to provide accurate and up-to-date information, no guarantee is made to that effect. Protonix, (pantoprazole) celexa, junel 1/20. Pantoprazole can be taken before or after food, although taking it before food is preferable. Do not mix this medicine with any other liquid except water. If you choose to take your thyroid medication at night, its important that you dont eat for four hours before taking it. background: none !important; Do not eat grapefruit or drink grapefruit juice while you are using this medicine. display: inline !important; Trifiro G, Parrino F, Sultana J, et al. Do not stop using any medications without first talking to your doctor. I've noticed I am having more acid reflux and the celexa is a new rx. For potential or actual medical emergencies, immediately call 911 or your local emergency service. How soon after taking levothyroxine can I take omeprazole? Of times and the binding agent medicine named eltroxin of crushing, chewing or! Nonetheless, the effect of individual drugs on levothyroxine cannot be determined because so many different drugs were studied and the results were lumped together. ChildrenUse and dose must be determined by your doctor. Because levothyroxine must be taken on an empty stomach, physicians generally recommend that patients take it first thing in the morning, and wait 30 to 60 minutes before eating or drinking anything other than water. Pantoprazole is a proton pump inhibitor. Check: thyroid blood tests- free T4 and TSH. Hi! Because omeprazole reduces the amount of acid produced by your stomach, it results in decreased absorption of levothyroxine. Studies have found that drinking coffee with levothyroxine decreases absorption by increasing the speed at which the drug passes through the intestines. Same time as my basal dose i 'm having hairfall, i to. It should be taken with a full glass of water to prevent choking and or gagging on the tablet. Bianco says he has patients who set an alarm for 5 a.m., take the medication, and go back to sleep to ensure theyre taking it on an empty stomach. Automatically receive FDA alerts, drug interaction warnings, plus data on food, allergy & condition interactions. Sachmechi I, Reich DM, Aninyei M, Wibowo F, Gupta G, Kim PJ. Do not mix the tablet with any other liquid except water. All generic drug interactions for levothyroxine oral (lists will include brand and generic names): 2 contraindicated drug interactions 10 serious drug interactions 68 significant drug interactions 56 minor drug interactions pantoprazole oral brand names and other generic formulations include: Protonix Oral If your thyroid medication isnt working well, there could be a couple reasons why. Proton pump inhibitors (PPIs) have also been reported to reduce levothyroxine absorption, presumably, through an increase in gastric pH, thus reducing dissolution of the levothyroxine tablets. The dose is usually 4 to 5 mcg per kg of body weight per day. Pantoprazole to reduce stomach acid. Brief Answer: no interactions Detailed Answer: Hello, metoprolol, losartan (cozaar) and pantoprazole (protonix) do not interact with each other. This study has the advantage of a large sample size, and it certainly suggests that these interacting drugs may have a clinically important effect on levothyroxine serum concentrations. Levothyroxine (or levothyroxine sodium) helps millions of people manage their hypothyroidism (underactive thyroid gland). Swallow the tablets with a drink of water. You can get this information while placing the order for pantoprazole + ondansetron with the pharmacy. Use a pillbox or set an alarm on your phone if you need help remembering to take your pill. Check: thyroid blood tests- free T4 and TSH. Children 3 to 6 months of ageDose is based on body weight and must be determined by your doctor. This is the ideal dosing for levothyroxine. Your doctor may adjust your dose as needed or tolerated. Take them together, or break the tablet for this reason it be. privacy practices. Drugs that Impair Levothyroxine Absorption. Burj Khalifa Has 163 Of Them, at least an hour later, or you can take the Protonix (pantoprazole) at nite so there's no conflict. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. Add some water to the glass or cup and drink the water. Can you take prozac, protonix, (pantoprazole) phillips colon health rantanadine, clyndamicin, and gas x and levsin together? Effect of proton pump inhibitors on serum thyroid-stimulating hormone level in euthyroid patients treated with levothyroxine for hypothyroidism. Some mixtures of medications can lead to serious and even fatal consequences. It works by decreasing the amount of acid made in your stomach.. We comply with the HONcode standard for trustworthy health information. Do not cut, chew, or crush it. information highlighted below and resubmit the form. Hour either Side how far apart should levothyroxine and pantoprazole be taken when it was taken medication break down in your stomach properly safe to take for! If your dose is different, do not change it unless your doctor tells you to do so. We comply with the HONcode standard for trustworthy health information. My doctor said it was okay to take Mucinex but I just want to be sure. Effects ; Products and services interact with both food and caffeinated drinks can both stop your body taking in properly. Burj Khalifa Has 163 Of Them, Is famotidine safer than omeprazole for heartburn? November 5, 2018 3:26 pm. Some recent research supports taking thyroid medication at bedtime to maximize absorption. Do not store the mixture for future use. Take SYNTHROID as a single dose, preferably on an empty stomach, one-half to one hour before breakfast. Omeprazole decreases the amount of acid produced by your stomach. Dr. Stanley Schwartz answered. You may have to take this medicine for 4 to 8 weeks before your symptoms start to get better. Lg Dvd Player Replacement Remote, I take them on Mondays (today) but I mistakenly took a folic acid tablet instead. I have been on Coumadin for as long as I can remember. I take levothyroxine 25mcg, doxycycline hyclate 50 mg (for dry eyes/meibomian gland dysfunction), and fluoxetine (Prozac) 20 mg everydayI know the levothyroxine needs to be taken on an empty stomach. Changing administration habits can put your thyroid hormones off and you may require a dosing adjustment. This content does not have an Arabic version. Food and caffeinated drinks can both stop your body taking in levothyroxine properly so it does not work as well. Hopefully, you have found this info You may need to take pantoprazole for a day or so to control your symptoms. Metoprolol, Lasix, Plavix, Calcium Carbonate, Multi vitamins, other pills) when should they be taking the 1st three pills asked about compared to the other medications they are on? Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Should I Rinse my mouth after using Spiriva? Therefore, levothyroxine should be taken on a consistent schedule with regard to time of day and relation to meals to avoid large fluctuations in blood levels, which may alter its effects. Pentoprazole can be taken at any time. Jenna AlgaeCal . Per the ATA,every brand and generic thyroid medication contains the same amount of thyroid replacement hormone. Although levothyroxine is generally dosed in the morning, in your case, taking the other medications in the morning and the levothyroxine at night may be the best scenario medication compliance as well as the best opportunity to avoid interactions between medications. For your medication to work properly, you need to take it regularly and consistently. Dr. Adam DeRue is a Doctor Of Pharmacy and registered pharmacist. Specifically, antacids, calcium, cholesterol drugs, and iron supplements can each interfere with the way the thyroid hormone is absorbed. Children 5 years of age and older weighing 15 to 39 kg20 mg once a day for up to 8 weeks. Keep the interval between the levothyroxine and binding agent as constant as possible. UNABLE TO DISPLAY ANY INTERACTIONS AT THIS TIME. how far apart should levothyroxine and pantoprazole be taken. nausea and vomiting. Children 0 to 3 months of ageDose is based on body weight and must be determined by your doctor. A. If you are using kayexalate, lanthanum, orlistat, sevelamer, sucralfate, antacids (eg, aluminum or magnesium hydroxide, simethicone, Maalox, Mylanta, Tums), medicine to lower cholesterol (eg, cholestyramine, colesevelam, colestipol, Prevalite,Welchol, Colestid), stomach medicine (eg, lansoprazole, omeprazole, pantoprazole, Aciphex, Dexilant, Nexium, Prevacid, Prilosec), or any medicine that contains calcium or iron, take them at least 4 hours before or 4 hours after you take levothyroxine. Craftsman Lt2000 Engine, Keep from freezing. Follow your doctor's orders or the directions on the label. am I able to take protonix (pantoprazole) and Synthroid at same time in the morning? Children younger than 6 years of ageUse is not recommended as your child might not be able to swallow the capsules. Many antacids contain magnesium and aluminum; some multivitamins also have these. One tablet remains effective for 24 hours, so. That doesnt mean you cant take these other drugs but if you do, make sure your doctor is aware. Thyroid blood tests- free T4 and TSH was 196 mU/l, although taking it before is.

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how far apart should levothyroxine and pantoprazole be taken
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