Glucocorticoid Replacement Before Levothyroxine in Coexisting Adrenal Insufficiency and Hypothyroidism
Glucocorticoid replacement should be corrected first before initiating levothyroxine in patients with adrenal insufficiency. [1]
Thyroid hormone accelerates endogenous cortisol clearance and can unmask insufficient cortisol production, which can precipitate acute adrenal crisis. [1]