Re:what Forest Pharm says about using Armour

[Guest guest]

We don't need to depend upon what someone said that someone said on

another list when we can go to the site itself:

..

<http://www.frx.com/products/armour.aspx>

..

By clicking on the link for the PDF for the " Prescribing Information " we

can find out what Forest Labs recommends. It is very different from

what you recommend. You have to scroll down to the dosing section; but

a lot if it is informative.

" ...Larger doses may produce serious or even life-threatening

manifestations of toxicity... " That's in the warning about using it for

weight control. The " Precautions " section is very interesting. I wish

we had the whole thing in a text or html format [rather than a pdf].

..

..

> Posted by: " Gracia " circe@...

>

<mailto:circe@...?Subject=%20Re%3Awhat%20Forest%20Pharm%20says%20about\

%20using%20Armour>

> graciabee <graciabee>

>

>

> Fri Dec 5, 2008 9:49 pm (PST)

>

> I have talked to a pharmacist at Forest Pharm (the place that MAKES

> armour). I was told that T3 suppresses TSH. The pharmacist also

> didn't know where the current lab values come from, nor if they are

> accurate for those on armour!! Also told to dose by symptoms!!! By a

> pharmaceutical company!

>

> I asked what armour ranges should be, he said no one knows. He said

> to use the current lab values as a guideline, but to dose by symptoms

> and not to worry about the labs.

>

> (from another list, not me)

[Guest guest]

,

Although we can't edit a pdf, unless we have Adobe Business, rather

than just the 'reader', we can copy and paste a section if desired.

....The " Precautions " section is very interesting. I wish

> we had the whole thing in a text or html format [rather than a pdf].

>

>

[Guest guest]

So I've got to be doing it wrong. I could not even highlight the text.

How do you copy/paste a pdf file?

..

..

> Posted by: " cindy.seeley " cindy.seeley@...

>

<mailto:cindy.seeley@...?Subject=%20Re%3Awhat%20Forest%20Pharm%20says%20ab\

out%20using%20Armour>

> cindy.seeley <cindy.seeley>

>

>

> Sat Dec 6, 2008 6:20 pm (PST)

>

> ,

> Although we can't edit a pdf, unless we have Adobe Business, rather

> than just the 'reader', we can copy and paste a section if desired.

>

>

>

> ...The " Precautions " section is very interesting. I wish

> > we had the whole thing in a text or html format [rather than a pdf].

> >

> >

[Guest guest]

just click (left mouse button) and hold from the beginning or the end

of what you want to select, while still holding the mouse button

(clicked) drag to the opposite end and release the mouse button; then

right click in the middle of the selected material (it should be

highlighted in blue) and select 'copy'. Go to where-ever you want to

place the selected material, and right click again, this time select

'paste'

> > ...The " Precautions " section is very interesting. I wish

> > > we had the whole thing in a text or html format [rather than a pdf].

> > >

> > >

>

[Guest guest]

OK...here you go...I think this is the part you wanted posted (from

your previous link to the pdf file (partial of the file)...I already

had it downloaded...

DOSAGE AND ADMINISTRATION

The dosage of thyroid hormones is determined by the indication

and must in every case be individualized according to

patient response and laboratory findings.

Thyroid hormones are given orally. In acute, emergency conditions,

injectable levothyroxine sodium (T4) may be given intravenously

when oral administration is not feasible or desirable,

as in the treatment of myxedema coma, or during total

parenteral nutrition. Intramuscular administration is not

advisable because of reported poor absorption.

Hypothyroidism—Therapy is usually instituted using low doses,

with increments which depend on the cardiovascular status of

the patient. The usual starting dose is 30 mg Armour Thyroid,

with increments of 15 mg every 2 to 3 weeks. A lower starting

dosage, 15 mg/day, is recommended in patients with longstanding

myxedema, particularly if cardiovascular impairment is

suspected, in which case extreme caution is recommended. The

appearance of angina is an indication for a reduction in dosage.

Most patients require 60 to 120 mg/day. Failure to respond to

doses of 180 mg suggests lack of compliance or malabsorption.

Maintenance dosages 60 to 120 mg/day usually result in normal

serum T4 and T3 levels. Adequate therapy usually results in normal

TSH and T4 levels after 2 to 3 weeks of therapy.

Readjustment of thyroid hormone dosage should be made

within the first four weeks of therapy, after proper clinical and

laboratory evaluations, including serum levels of T4, bound

and free, and TSH.

Liothyronine (T3) may be used in preference to levothyroxine

(T4) during radio-isotope scanning procedures, since induction

of hypothyroidism in those cases is more abrupt and can

be of shorter duration. It may also be preferred when impairment

of peripheral conversion of levothyroxine (T4) and liothyronine

(T3) is suspected.

Myxedema Coma—Myxedema coma is usually precipitated in

the hypothyroid patient of long-standing by intercurrent illness

or drugs such as sedatives and anesthetics and should be considered

a medical emergency. Therapy should be directed at the

correction of electrolyte disturbances and possible infection

besides the administration of thyroid hormones.

Corticosteroids should be administered routinely.

Levothyroxine (T4) and liothyronine (T3) may be administered

via a nasogastric tube but the preferred route of administration

of both hormones is intravenous. Levothyroxine sodium (T4) is

given at a starting dose of 400 mcg (100 mcg/mL) given rapidly,

and is usually well tolerated, even in the elderly. This initial

dose is followed by daily supplements of 100 to 200 mcg given

IV. Normal T4 levels are achieved in 24 hours followed in 3 days

by threefold elevation of T3. Oral therapy with thyroid hormone

would be resumed as soon as the clinical situation has been

stabilized and the patient is able to take oral medication.

Thyroid Cancer—Exogenous thyroid hormone may produce

regression of metastases from follicular and papillary carcinoma

of the thyroid and is used as ancillary therapy of these conditions

with radioactive iodine. TSH should be suppressed to

low or undetectable levels. Therefore, larger amounts of thyroid

hormone than those used for replacement therapy are

required. Medullary carcinoma of the thyroid is usually unresponsive

to this therapy.

Thyroid Suppression Therapy—Administration of thyroid hormone

in doses higher than those produced physiologically by

the gland results in suppression of the production of endogenous

hormone. This is the basis for the thyroid suppression test

and is used as an aid in the diagnosis of patients with signs of

mild hyperthyroidism in whom base line laboratory tests appear

normal, or to demonstrate thyroid gland autonomy in patients

with Grave's ophthalmopathy. 131I uptake is determined before

and after the administration of the exogenous hormone. A 50

percent or greater suppression of uptake indicates a normal thyroid-

pituitary axis and thus rules out thyroid gland autonomy.

For adults, the usual suppressive dose of levothyroxine (T4) is

1.56 mcg/kg of body weight per day given for 7 to 10 days.

These doses usually yield normal serum T4 and T3 levels and

lack of response to TSH.

Thyroid hormones should be administered cautiously to

patients in whom there is strong suspicion of thyroid gland

autonomy, in view of the fact that the exogenous hormone

effects will be additive to the endogenous source.

Pediatric Dosage—Pediatric dosage should follow the recommendations

summarized in Table 1. In infants with congenital

hypothyroidism, therapy with full doses should be instituted as

soon as the diagnosis has been made.

Recommended Pediatric Dosage for

Congenital Hypothyroidism

[Guest guest]

,

Try a google search for " convert PDF to html " and switch html for

whatever you want. Usually, most pdf files allow copying segments.

Steve

wrote:

> So I've got to be doing it wrong. I could not even highlight the text.

> How do you copy/paste a pdf file?

>

>

--

Steve - dudescholar4@...

Take World's Smallest Political Quiz at

http://www.theadvocates.org/quiz.html

" If a thousand old beliefs were ruined on our march

to truth we must still march on. " --Stopford

[Guest guest]

um, the someone who said it was a pharmacist at Forest PHARM. there is a

discrepancy between what docs are taught and what patients know. you think this

creates a crisis of confidence?

gracia

We don't need to depend upon what someone said that someone said on

another list when we can go to the site itself:

.

<http://www.frx.com/products/armour.aspx>

.

By clicking on the link for the PDF for the " Prescribing Information " we

can find out what Forest Labs recommends. It is very different from

what you recommend. You have to scroll down to the dosing section; but

a lot if it is informative.

" ...Larger doses may produce serious or even life-threatening

manifestations of toxicity... " That's in the warning about using it for

weight control. The " Precautions " section is very interesting. I wish

we had the whole thing in a text or html format [rather than a pdf].

.

.

>

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7:08 PM

[Guest guest]

That doesn't work for me. I have a little hand, not a cursor; and the

hand grabs the page to move it up or down when I left click. I cannot

highlight the text to copy/paste.

If you go to this page <http://www.frx.com/products/armour.aspx> and

click on the link to the PDF under " prescribing information " on the

right side of your screen can you highlight text in the document?

I do use Foxit; but Adobe works the same AFAIK. I copy/paste all the

time; but can't do in in PDF files.

Thanks,

..

..

>

> Posted by: " cindy.seeley " cindy.seeley@...

>

<mailto:cindy.seeley@...?Subject=%20Re%3Awhat%20Forest%20Pharm%20says%20ab\

out%20using%20Armour>

> cindy.seeley <cindy.seeley>

>

>

> Sat Dec 6, 2008 8:56 pm (PST)

>

> just click (left mouse button) and hold from the beginning or the end

> of what you want to select, while still holding the mouse button

> (clicked) drag to the opposite end and release the mouse button; then

> right click in the middle of the selected material (it should be

> highlighted in blue) and select 'copy'. Go to where-ever you want to

> place the selected material, and right click again, this time select

> 'paste'

>

>

>

> >

> > So I've got to be doing it wrong. I could not even highlight the

> text.

> > How do you copy/paste a pdf file?

> >

> >

[Guest guest]

or...go to www.mozilla.org and download & install the 'free' Firefox

browser,

After installing Firefox...go back to mozilla and search their

add-ins/plug-ins for Firefox

Get the 'No Script' plug-in (allows you to control who runs scripts on

your computer--i.e. 3rd party; helps protect against someone getting

your CC info when you order on-line!)

Then get the 'Who Is' plug-in (allows you to check the

status/trustworthiness--authenticity of websites, especially useful if

you want to order on-line, but are not familiar with the website)

Then get the 'PDF Download' (gives you a choice whether you want to

view as an HTML webpage without downloading...convert to an HTML page

& download, or just go ahead and d/l the pdf file)

and last, but not least of my favorites...

Get 'Adblock Plus' (automatically blocks most ads...and if one somehow

gets past Adblock--very rare from my experience--you can drag & drop

the ad onto the Adblock button in your tool and it won't get by

anymore--also configurable to be able to have a placeholder so you can

actually access an ad if you really want to, and configurable to allow

you to be able to edit the dropped ad to be more comprehensive for an

ad provider rather than 'ad specific'...

I absolutely LOVE having control of my browsing experience! ...and I

love it even better than I no longer have to go spend several hours

every few months cleaning up relatives computers after they get

screwed up from some script that ran without their knowledge and/or

wishes!

teehee... ;-)

> > So I've got to be doing it wrong. I could not even highlight the

text.

> > How do you copy/paste a pdf file?

> >

> >

>

> --

>

> Steve - dudescholar4@...

>

> Take World's Smallest Political Quiz at

> http://www.theadvocates.org/quiz.html

>

> " If a thousand old beliefs were ruined on our march

> to truth we must still march on. " --Stopford

>

[Guest guest]

I did it last night before I went to bed...you must have missed

it...it's up a few posts...

What is 'Foxit'?

I copy and paste all the time in pdf files...hmmm. What O/S are you

running? I have Adobe Business, but it's an older version and since

reformatting this computer, I haven't had a need for it, so I haven't

bothered to install it...I could just start up my old computer

(sitting right next to this one) and network them together to use it,

or just use it directly on the old one, if I ever need it again.

> > >

> > > So I've got to be doing it wrong. I could not even highlight the

> > text.

> > > How do you copy/paste a pdf file?

> > >

> > >

>

[Guest guest]

I used Netscape for many years, until AOL bought it and killed it. The

last version was IMHO all AOL and little Netscape so I didn't use it.

Instead I went with Seamonkey, which is what Netscape would be if AOL

hadn't bought it. It has the email client and the browser combined.

It's also made by Mozilla. Thanks for the suggestion.

..

..

>

> Posted by: " cindy.seeley " cindy.seeley@...

>

<mailto:cindy.seeley@...?Subject=%20Re%3Awhat%20Forest%20Pharm%20says%20ab\

out%20using%20Armour>

> cindy.seeley <cindy.seeley>

>

>

> Sun Dec 7, 2008 5:05 pm (PST)

>

> or...go to www.mozilla.

> org and download & install the 'free' Firefox

> browser,

>

> After installing Firefox...go back to mozilla and search their

> add-ins/plug-ins for Firefox

>

> Get the 'No Script' plug-in (allows you to control who runs scripts on

> your computer--i.e. 3rd party; helps protect against someone getting

> your CC info when you order on-line!)

>

> Then get the 'Who Is' plug-in (allows you to check the

> status/trustworthiness--authenticity of websites, especially useful if

> you want to order on-line, but are not familiar with the website)

>

> Then get the 'PDF Download' (gives you a choice whether you want to

> view as an HTML webpage without downloading...convert to an HTML page

> & download, or just go ahead and d/l the pdf file)

>

> and last, but not least of my favorites...

>

> Get 'Adblock Plus' (automatically blocks most ads...and if one somehow

> gets past Adblock--very rare from my experience--you can drag & drop

> the ad onto the Adblock button in your tool and it won't get by

> anymore--also configurable to be able to have a placeholder so you can

> actually access an ad if you really want to, and configurable to allow

> you to be able to edit the dropped ad to be more comprehensive for an

> ad provider rather than 'ad specific'...

>

> I absolutely LOVE having control of my browsing experience! ...and I

> love it even better than I no longer have to go spend several hours

> every few months cleaning up relatives computers after they get

> screwed up from some script that ran without their knowledge and/or

> wishes!

> teehee... ;-)

>

[Guest guest]

Foxit is a PDF reader that is better than the one by Adobe. But I can't

copy/paste with it. I'll have to look at my alternatives. My OS is XP

Home, SP3.

Thanks,

..

..

>

> Posted by: " cindy.seeley " cindy.seeley@...

>

<mailto:cindy.seeley@...?Subject=%20Re%3Awhat%20Forest%20Pharm%20says%20ab\

out%20using%20Armour>

> cindy.seeley <cindy.seeley>

>

>

> Sun Dec 7, 2008 5:12 pm (PST)

>

> I did it last night before I went to bed...you must have missed

> it...it's up a few posts...

>

> What is 'Foxit'?

>

> I copy and paste all the time in pdf files...hmmm. What O/S are you

> running? I have Adobe Business, but it's an older version and since

> reformatting this computer, I haven't had a need for it, so I haven't

> bothered to install it...I could just start up my old computer

> (sitting right next to this one) and network them together to use it,

> or just use it directly on the old one, if I ever need it again.

>

>

>

> >

> > That doesn't work for me. I have a little hand, not a cursor; and the

> > hand grabs the page to move it up or down when I left click. I cannot

> > highlight the text to copy/paste.

> >

> > If you go to this page <http://www.frx.com/products/armour.aspx

> <http://www.frx.com/products/armour.aspx>> and

> > click on the link to the PDF under " prescribing information " on the

> > right side of your screen can you highlight text in the document?

> >

> > I do use Foxit; but Adobe works the same AFAIK. I copy/paste all the

> > time; but can't do in in PDF files.

> >

> > Thanks,

> >

[Guest guest]

Same as I'm running...except the Adobe versus Foxit...my Adobe is

actually two-fold...a plug-in specifically for Firefox, provided by

Adobe, and a second Adobe Reader to use for files on my computer or if

I plugged in a disk, CD or whatever with a pdf. The only thing I

can't do is edit a file in Adobe...I'm sure if I really wanted to I

could get around that by copying and pasting into Word...or if I was

really really desperate...I could print and then scan a document into

Word, which would then allow me to edit.

>

> Foxit is a PDF reader that is better than the one by Adobe. But I

can't

> copy/paste with it. I'll have to look at my alternatives. My OS is XP

> Home, SP3.

>

> Thanks,

>