Open AccessLevothyroxine Overdose in a Toddler – A Case Report
Author(s) -
Radha Thiyagarajan,
Thasma Santhanakrishnan Arunprasath
Publication year - 2021
Publication title -
journal of nepal paediatric society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.13
H-Index - 8
eISSN - 1990-7982
pISSN - 1990-7974
DOI - 10.3126/jnps.v41i3.40478
Subject(s) - medicine , levothyroxine , toddler , thyroid function , pediatrics , propranolol , anesthesia , thyroid , psychology , developmental psychology
Levothyroxine tablet overdose, can happen in children, because of unique physical nature of the tablet. Although it has a benign course, systemic symptoms of overdose may manifest in few children. This cannot be predicted based on dose consumed or by thyroid function tests. Propranolol and steroid can be used for systemic autonomic symptoms. Delayed manifestation of overdose may occur, which needs follow up. In this report, we present a toddler who had levothyroxine overdose and was managed with monitoring and follow up. Her hyperactivity was managed with oral triclofos. We would also like to emphasize that serial thyroid function tests are not needed in these children.