Increase replacement requirements
Drugs that reduce thyroid hormone production
Lithium
Iodine-containing medications
Amiodarone (Cordarone)
Drugs that reduce thyroid hormone absorption
Sucralfate (Carafate)
Ferrous sulfate (Slow Fe)
Cholestyramine (Questran)
Colestipol (Colestid)
Aluminum-containing antacids
Calcium products
Drugs that increase metabolism of thyroxine
Rifampin (Rifadin)
Phenobarbital
Carbamazepine (Tegretol)
Warfarin (Coumadin)
Oral hypoglycemic agents
Increase thyroxine availability and may decrease replacement requirements
Drugs that displace thyroid hormone from protein binding
Furosemide (Lasix)
Mefenamic acid (Ponstel)
Salicylates