Anxiety disorder with hyperthyroid status

25 yrs old unmarried female pt. having h/o anxiety disorder and hypothyroidism.She is on Sertraline 50 mg. and 150 mg of eltroxin daily.Her current Thyroid profile is as follow T3-208.30 ng/dl T4-12.6 mcg/dl TSH-0.14(low),what to do for thyroid,pl.suggest.

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Pt is going in hyperthyroidism u can stop the thyroid drugs for the time being repeat tsh after 4week and start the therapy according to tsh level or u can make the dose half of present and repeat tsh after 4 weeks and titrate acc

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Reduce the dose of Eltroxin to 100mcg. Repeat TSH after 4 weeks. If still the problem persists, reduce the dose to 75mcg. Patient should not enter into Hyperthyroidism, as she is already suffering with Anxiety Disorder, & Hyperthyroidism will further aggravate it.

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