What is the typical starting dose for Levothyroxine in patients over 60 with cardiovascular disease?

The typical starting dose for Levothyroxine in patients over 60 with cardiovascular disease is often recommended to be within the range of 25-50 mcg once daily. This cautious approach takes into account the increased risk of cardiac complications, as older patients, especially those with pre-existing cardiovascular conditions, may be more sensitive to thyroid hormone replacement.

Starting at a lower dose helps to minimize the risk of adverse cardiac effects, which can include increased heart rate and the potential for arrhythmias. After assessing the patient's response and monitoring thyroid function tests, the dose may then be adjusted based on individual needs. This careful titration aligns with clinical guidelines that advocate for a conservative approach in this specific patient population to safeguard against potential complications.