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How long does levothyroxine stay in your system?

Medically reviewed by Sally Chao, MD. Last updated on Sep 27, 2023.

Official answer

by Drugs.com

Levothyroxine will stay in your system for around 4 to 6 weeks. It takes longer for people with hypothyroidism to eliminate levothyroxine (closer to 6 weeks) than those with normal thyroid function.

Levothyroxine contains a synthetic version of T4, one of two hormones produced by the thyroid. Once T4 is in the body, some of it is converted to T3 (the other thyroid hormone), which is why patients with hypothyroidism generally only need to take levothyroxine alone to maintain healthy levels of both thyroid hormones.

The half-life of T4 is around 6 to 7 days, which is used to estimate how long a drug stays in your system. The half-life is the time it takes for the drug in your blood to reduce to half its original value. In general, it takes 5.5 half-lives to eliminate a drug from your body.
6 Days X 5.5 = 33 days
7 Days X 5.5 = 38 days

Levothyroxine will stay in your system approximately 33 - 38 days with personal variation.

However, the time it takes for levothyroxine to be eliminated from your body can vary depending on several factors besides thyroid function, including:

  • Age
  • Weight
  • Overall health
  • Medical conditions
  • Other medications

For example, research suggests that levothyroxine can remain in the body of people over 80 years old for around 7 weeks.

References
  1. Colucci P, Yue CS, Ducharme M, Benvenga S. A Review of the Pharmacokinetics of Levothyroxine for the Treatment of Hypothyroidism. Eur Endocrinol. 2013;9(1):40-47. https://dx.doi.org/10.17925%2FEE.2013.09.01.40.
  2. Kansagra S, McCudden C, Willis M. The Challenges and Complexities of Thyroid Hormone Replacement. Laboratory Medicine. June 2010; 41(60): 338–348. https://doi.org/10.1309/LMB39TH2FZGNDGIM.
  3. Drugs.com. What do you mean by the half life of a drug? Available at: https://www.drugs.com/medical-answers/what-do-you-mean-by-the-half-life-of-a-drug-458946/. [Accessed September 3, 2021].

Read next

Does levothyroxine cause weight gain or loss?

In most cases, levothyroxine causes some weight loss. According to the American Thyroid Association, when this medication is started, you may lose up to 10% of your weight. This weight is mainly water weight, since being hypothyroid makes you retain water. Continue reading

What can I eat for breakfast after taking levothyroxine?

Most foods are considered fine to eat for breakfast as long as they are eaten 30 to 60 minutes after taking levothyroxine. Levothyroxine should be taken once a day on an empty stomach in the morning. Continue reading

Can I take other medications with levothyroxine?

Levothyroxine is known to interact with many other medications (called a drug-drug interaction), but there are different kinds of drug-drug interactions. Some interactions require that drugs not be taken at the same time, while other interactions require more frequent laboratory testing or monitoring of your disease symptoms. Continue reading

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