Product image of Levothyroxine Zentiva Pharma (Levothyroxine Sodium) supplied by GNH India

Levothyroxine Zentiva Pharma

Active Ingredient:
Levothyroxine Sodium
Origin:
EU

Levothyroxine Zentiva Pharma (Levothyroxine Sodium)

Levothyroxine Sodium, the active ingredient in Levothyroxine Zentiva Pharma, is a thyroid hormone presented as an oral tablet for oral use. It treats hypothyroidism, goiter and provides hormone replacement after thyroidectomy.

GNH India supplies Levothyroxine Zentiva Pharma as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Zentiva Pharma Uk Limited

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Indications & Clinical Uses

Levothyroxine is a synthetic thyroid hormone used to manage disorders of thyroid hormone deficiency.

  • Hypothyroidism: restores normal thyroid hormone levels and alleviates symptoms such as fatigue, weight gain and cold intolerance.
  • Goiter: reduces thyroid‑stimulating hormone stimulation, helping to shrink an enlarged thyroid gland.
  • Post‑thyroidectomy (thyroid cancer): provides necessary hormone replacement after surgical removal of the thyroid gland.

How It Works

  • Levothyroxine is a synthetic form of the endogenous hormone thyroxine (T4). After oral absorption, it binds to nuclear thyroid hormone receptors in target cells, modulating gene transcription. This increases basal metabolic rate, enhances protein synthesis, and regulates growth and development, thereby normalizing the metabolic disturbances caused by thyroid hormone deficiency.

Side Effects

Levothyroxine may cause a range of adverse reactions, varying from mild to serious.

Common Side Effects

  • Headache: mild, transient headache.
  • Insomnia: difficulty falling or staying asleep.
  • Palpitations: awareness of a rapid or irregular heartbeat.
  • Nausea: mild gastrointestinal upset.

Serious or Rare Side Effects

  • Cardiac arrhythmia: potentially life‑threatening irregular heart rhythm.
  • Hyperthyroidism: excessive hormone effect causing heat intolerance, tremor and weight loss.
  • Allergic reaction: rash, swelling, or anaphylaxis requiring immediate medical attention.

Precautions & Warnings

When prescribing levothyroxine, clinicians should consider several safety measures.

  • Dose titration: adjust dose based on thyroid function tests and clinical response.
  • Cardiovascular disease: monitor closely in patients with heart disease or arrhythmias.
  • Pregnancy: use only if benefits outweigh risks; consult a healthcare provider.
  • Elderly patients: start with a lower dose and monitor for overtreatment.
  • Drug interactions: review concomitant medications that may affect levothyroxine absorption.
  • Store at room temperature: keep in the original container, protect from moisture and light.

Avoid Interactions

Levothyroxine absorption and activity can be altered by several medicines; some combinations should be avoided while others require monitoring.

Major Interactions (Avoid)

  • Calcium supplements: bind levothyroxine and reduce its absorption.
  • Iron salts: significantly decrease oral bioavailability.
  • Proton pump inhibitors: may delay absorption, requiring dose adjustment.

Moderate Interactions (Monitor Closely)

  • Antiepileptic drugs (e.g., phenytoin, carbamazepine): increase metabolism, lowering effectiveness.
  • Cholestyramine: reduces absorption when taken concurrently.
  • Warfarin: levothyroxine may enhance anticoagulant effect, requiring INR monitoring.

Frequently Asked Questions

Levothyroxine Zentiva Pharma is prescribed to replace or supplement thyroid hormone in patients with hypothyroidism, to treat goiter, and to provide hormone replacement after thyroidectomy for thyroid cancer. By normalizing thyroid hormone levels, it helps control metabolism, energy production, and overall physiological balance.

Levothyroxine is a synthetic form of thyroxine (T4). After oral absorption, it enters cells and binds to nuclear thyroid hormone receptors, influencing gene transcription. This action raises the basal metabolic rate, enhances protein synthesis, and supports normal growth and development, thereby correcting the metabolic deficits of thyroid hormone deficiency.

The appropriate dose is individualized and determined by the prescribing healthcare professional based on the patient’s age, weight, severity of thyroid deficiency, laboratory thyroid‑stimulating hormone (TSH) levels, and clinical response. Patients should follow the prescriber’s instructions and have regular monitoring to adjust the dose as needed.

Levothyroxine is generally considered compatible with pregnancy when required to maintain normal maternal thyroid function, as untreated hypothyroidism can harm both mother and fetus. However, therapy should be guided by a healthcare provider. Limited data exist for breastfeeding, but the drug is excreted in small amounts in milk; clinicians weigh benefits against potential risks.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide. After the request, the sales team will verify trade or institutional credentials, then provide pricing, availability, shipping details (including any cold‑chain requirements), and assist with import documentation.

Levothyroxine is the standard synthetic T4 replacement and is comparable to other levothyroxine brands in efficacy and safety when bioequivalence is demonstrated. Alternatives such as liothyronine (synthetic T3) provide a more rapid onset but are less commonly used for long‑term replacement. Choice of product often depends on regulatory approval, cost, and patient tolerance.

Store the tablets at room temperature, below 25 °C, in the original blister pack or container. Protect them from moisture, excessive heat and direct sunlight. Do not refrigerate or freeze. Keep out of reach of children and ensure the packaging remains intact until use.

Levothyroxine Zentiva Pharma is taken orally, usually once daily on an empty stomach, at least 30‑60 minutes before breakfast or other medications. Swallow the tablet whole with a full glass of water; do not crush or chew. Consistency in timing and food intake helps maintain stable absorption.

Serious risks include cardiac arrhythmias, especially in patients with pre‑existing heart disease, and overtreatment leading to hyperthyroidism, which can cause heat intolerance, tremor, and bone loss. Rarely, severe allergic reactions such as anaphylaxis may occur. Prompt medical attention is required if any of these symptoms develop.

Levothyroxine should be avoided in individuals with known hypersensitivity to levothyroxine or any excipients in the tablet. Caution is advised for patients with untreated adrenal insufficiency, acute myocardial infarction, or uncorrected thyrotoxicosis. Pregnant or breastfeeding women should only use it under medical supervision.

Published by

GNH India Pharmaceuticals Limited

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Last updated:

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