Synthroid® Tablets 75MCG

Levothyroxine is used as a thyroid hormone replacement for individuals with an underactive thyroid. The dosing is specific to the individual's serum thyroid levels and must not be self-diagnosed or dosed.   Levothyroxine is generally well tolerated, and it is recommended to reassess thyroid levels at least once yearly. 

By clicking the “I Agree” button below, you certify under penalty of perjury that the following statements are true and correct and understand that a medical provider will rely on the truthfulness of your statements when determining whether a prescription is warranted and appropriate. 

I agree that I: 

• am 18 years or older 
• do not have uncorrected adrenal insufficiency 
• have not had a hypersensitivity reaction to levothyroxine or any component of the formulation 
• have a diagnosis of hypothyroidism and have been taking levothyroxine as prescribed by an authorized healthcare provider 
• have had my thyroid levels tested within the past 12 months and am taking this medication at the recommended dose 

• understand this medication may exacerbate existing adrenal insufficiency and may decrease bone mineral density if overtreated 
• understand this medication may interact with medications being metabolized similarly or that share similar side effects, including antacids, iron supplements, calcium supplements and bile acid sequestrants 
• understand the life-threatening effects of being overtreated with levothyroxine on cardiovascular health, including increased risk of arrhythmias, palpitations, and rapid heart rate 
• understand this is not a comprehensive list of precautions, risks, side effects, or details about taking this medication 
• understand that only major drug interactions are listed and have not been reviewed against the other medications, supplements, or herbal products I may be taking unless also filled by TelyRx 

• understand that TelyRx LLC does not provide medical care and the providers who use TelyRx to provide telehealth services (“Telehealth Providers”) should not replace your primary provider.
• understand that the Telehealth Providers are not able to: (1) monitor ongoing health or lab values for side effects or efficacy, (2) observe how you (or your pet) tolerate any prescribed treatment, or (3) determine if the prescribed treatment is working as intended and assume any risks associated with this modality of care and waive any claim I may have in the future against TelyRx and/or the Telehealth Providers.
• understand that by using this site, I have created a patient-client-doctor relationship and I am being directed by the Telehealth Providers to consult my primary provider soon after beginning any treatment prescribed by the Telehealth Providers.
• understand that this is a supplemental mode of care for your convenience and the Telehealth Providers are not to be used, or relied on, as a replacement for in-person follow-up visits or interactions with your primary provider.