NUR 635  Discussion Question Paper

 NUR 635  Discussion Question Paper

Discussion Question

Levothyroxine is a drug used to treat hypothyroidism. The drug is administered when the thyroid gland cannot produce enough hormones. Besides, it is used to either treat or prevent goiter, a condition that results from an overworked thyroid gland. Levothyroxine is a synthetic thyroxine hormone that induces physiological effects similar to the endogenous T4 and maintains its level within the normal range (Sathyapalan et al., 2018). As a result, it increases the metabolism and reduces the stimulation of the thyroid function hormone production.

Using Levothyroxine for a long period could induce various side effects, including negative impacts on the growth and development, bone metabolism and reproductive system functioning. Besides, the patients are likely to have impaired bone metabolism and hypercalcemia. Patients on levothyroxine should be monitored closely and the possibility of the side effects analyzed (Sathyapalan et al., 2018). Patients with already cardiovascular diseases could be prone to more risks if they are initiated on levothyroxine. The Clinical Practice Guidelines for Hypothyroidism in Adults recommends levothyroxine as the standard treatment for hypothyroidism.


Genetic factors play a significant role in developing autoimmune thyroid disease. Such autoimmune disorders predispose one to hypothyroidism and could influence the high dependence on levothyroxine therapy. Culturally, people’s beliefs and values differ in terms of medicinal intake. For example, some cultural groups believe in consuming soya beans as the only drink. Such people are likely to have a poor response to levothyroxine because of the poor absorption (Sathyapalan et al., 2018). Besides the food, consumption of herbal medicine could also affect the efficacy and bioavailability of levothyroxine.


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Sathyapalan, T., Dawson, A. J., Rigby, A. S., Thatcher, N. J., Kilpatrick, E. S., & Atkin, S. L. (2018). The effect of Phytoestrogen on thyroid in subclinical hypothyroidism: Randomized, double-blind, crossover study. Frontiers in Endocrinology9

please respond to discussion question below, minimum 250 words thank you

Select a medication using the treatment guidelines for osteoporosis, thyroid disorder, or diabetes mellitus. Share the mechanism of action of this medication and hints for monitoring, side effects, and drug interactions, including interactions with CAM. Discuss evidence and treatment guidelines to determine appropriate therapeutic options for a patient with osteoporosis, thyroid disorder, or diabetes mellitus.

Discuss ethnic, cultural, and genetic considerations that must be considered for treatment. In addition, share a clinical trial that supports the use of this agent. Include the name of the medication in the subject line so that the medications can be followed. Make sure you choose a different medication from your peers. Include references using APA format.

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