Case scenario

Mrs Rosemary Dawson, 67 years, presents to your pharmacy and asks for something to help with fatigue. Her father passed away from a heart attack a few years ago; she is now a regular at your pharmacy. On further discussion, you discover that, over the past couple of months, she has been experiencing unexplained weight gain, hair loss, fatigue and ‘can’t stand the cold’. There have been no recent lifestyle changes and she is currently taking felodipine 2.5 mg daily for primary hypertension (longstanding) and has no adverse drug reactions/allergies.

You discuss the thyroid gland briefly with her and explain that her symptoms are possibly related to this but you can’t be sure and help her book an appointment with Sam, the GP next door. She returns a week later with an electronic prescription for levothyroxine 100 microgram daily (after a diagnosis of overt primary hypothyroidism).

Learning objectives

After successful completion of this CPD activity, pharmacists should be able to:

  • Discuss hypothyroidism including the signs and symptoms
  • Discuss recommendations for the management of hypothyroidism
  • Summarise the role of the pharmacist in supporting patients manage the symptoms of hypothyroidism and associated treatment.

Competency standards (2016) addressed: 1.1, 1.3, 1.4, 1.5, 2.1, 3.2

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