OpenClaim

Levothyroxine Side Effects

The most commonly reported side effects of levothyroxine include fatigue, nausea, and diarrhoea, based on 513,199 FDA adverse event reports from 2004 to 2025. 5.3% of reports found the drug to be ineffective.

Levothyroxine side effects

Percentages show how often each reaction appears relative to total reports for levothyroxine.

1
Fatigue6.9%35,549
2
Nausea5.5%28,086
3
Drug Ineffective5.3%27,033
4
Diarrhoea5.2%26,522
5
Headache4.7%23,930
6
Off Label Use4.3%22,220
7
Dyspnoea4.0%20,676
8
Pain3.9%20,240
9
Dizziness3.8%19,251
10
Arthralgia3.3%16,873
11
Asthenia3.3%16,689
12
Malaise3.2%16,290
13
Fall3.1%15,657
14
Vomiting3.0%15,207
15
Rash2.5%12,791

These are voluntary reports and do not establish that levothyroxine caused these reactions.

Report severity

62.4%Serious320,384 reports
30.5%Hospitalizations156,537 reports
7.0%Fatal35,905 reports

Seriousness is determined by the reporter, not by OpenClaim.

Levothyroxine drug interactions

Other drugs that appear in adverse event reports alongside levothyroxine. Drugs flagged as a suspected cause appear in the first column. Drugs taken at the same time but not suspected appear in the second.

Also suspected

1
Adalimumab4.3%21,987
2
Lenalidomide3.5%17,722
3
Omeprazole1.8%9,034
4
Etanercept1.7%8,934
5
Sodium-oxybate1.5%7,894
6
Pregabalin1.4%7,248
7
Rituximab1.4%7,169
8
Apixaban1.4%7,106
9
Metformin1.4%7,038
10
Acetaminophen1.3%6,692
11
Pantoprazole-sodium1.3%6,508
12
Prednisone1.3%6,483
13
Methotrexate1.3%6,458
14
Dupilumab1.3%6,425
15
Esomeprazole1.2%6,074

Taken alongside

1
Aspirin14.9%76,697
2
Ergocalciferol14.9%76,347
3
Acetaminophen13.5%69,426
4
Atorvastatin-calcium11.3%57,865
5
Omeprazole11.2%57,342
6
Furosemide10.4%53,170
7
Metoprolol9.4%48,097
8
Amlodipine9.4%47,987
9
Metformin8.4%43,106
10
Gabapentin8.2%41,954
11
Albuterol8.1%41,672
12
Pantoprazole-sodium7.9%40,614
13
Lisinopril7.6%38,757
14
Prednisone7.1%36,534
15
Calcium7.0%35,967

Co-occurrence in adverse event reports does not establish a drug interaction. Patients often take multiple medications, and these lists reflect prescribing patterns rather than causal relationships. Consult a healthcare provider about potential drug interactions.

Who reports levothyroxine side effects

73.4% of levothyroxine adverse event reports involve female patients and 20.0% involve male patients. The largest age group is elderly at 51%. These figures reflect who reports side effects, not underlying risk.

Sex

Female73.4%
Male20.0%
Unknown6.6%

Age group

< 20.5%
2–110.6%
12–170.6%
18–6446.8%
65+51.4%

What is levothyroxine used for

Conditions and purposes for which patients were taking levothyroxine when the adverse event was reported.

Abdominal DiscomfortAbortion SpontaneousAccidental Drug Intake By ChildAccidental ExposureAccidental Exposure To ProductAccidental Exposure To Product By ChildAccidental OverdoseAcneAcromegalyActh-producing Pituitary TumourAcute Coronary SyndromeAcute Lymphocytic LeukaemiaAddison's DiseaseAddison^s DiseaseAdenoma Benign

Showing 15 of 1,278 indications

Levothyroxine brand names and reporting trend

Levothyroxine is sold under the brand name Tirosint.

Brand names

Tirosint330,455

Quarterly reports (20042025)

20052010201520202025

An upward trend reflects increased FAERS reporting overall, not necessarily increased risk.

Taking levothyroxine with another medication?

Ask OpenClaim about your specific drug combination. Get a sourced report using FDA data, drug labels, and medical literature.