Very rarely, Thyrosim interferes with the bone marrow and causes a drastic drop in white blood cells. These white blood cells are a part of the bodys defense against bacterial infections, such as sore throats. So, a sore throat can sometimes be the first clue that Thyrosim is affecting the bone marrow. Your sister should contact her doctor and get a blood test. If blood test shows her white blood cell count to be normal, then she can continue Thyrosim. If not, she should stop the treatment after consulting the doctor.

You should not take Thyrosim if you have serious liver disorder or serious blood disorder. You should also avoid taking this medicine if you are pregnant or are allergic to Thyrosim or any of the ingredients present in it Thyrosim.

No, it is advisable not to take Thyrosim during pregnancy as it may cause abnormalities in your baby. You should consult your doctor because if your thyroid hormone levels are not controlled, chances of birth defects in your baby are much more. In case Thyrosim is the only option for you, your doctor will prescribe the lowest possible dose, which will be regulated according to your condition. You can stop it 3-4 weeks before delivery to reduce chances of complications in your baby.

No, you should not stop taking Thyrosim even if you start feeling better. You may have to take it for several months depending on your investigations. The duration of the treatment will continue till the thyroid hormone levels return to normal. This duration may vary from six months to 18 months. Your doctor will decide when the treatment should be stopped.

Yes, Thyrosim may cause liver problems, though not in everyone. A very common side effect of Thyrosim can be yellowing of skin and eyes (jaundice). It may also cause abnormal liver function tests, hepatitis, etc. If you notice jaundice, you should discontinue Thyrosim and seek immediate medical advice.

Thyrosim may cause hair loss but not in everyone. It has been seen that on discontinuing Thyrosim or replacing Thyrosim with another medicine, there is improvement and hair loss reverses.

The effectiveness and side effects of Thyrosim in children are more or less the same as in adults. Thyrosim should not be used in children less than 2 years of age.

You may start feeling better within 1-3 weeks of starting Thyrosim. However, it usually takes 4-8 weeks to see the full benefits of the treatment.

If you have started taking Thyrosim, the dose of warfarin may need adjustment. You should consult your doctor and get your bleeding time checked so that the dose can be adjusted according to the results of the investigations.