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What the FDA labels say about taking them together

Levothyroxine and theophylline

Levothyroxine's FDA label (Levothyroxine Sodium) of December 6, 2024 names theophylline in its drug interactions section; the theophylline label PlainMeds reads does not name levothyroxine. The levothyroxine label: “Methylxanthine Bronchodilators - (e.g., Theophylline) Decreased theophylline clearance may occur in hypothyroid patients; clearance returns to normal when the euthyroid state is achieved.”

Check it at the source: the levothyroxine FDA label on DailyMed (effective February 20, 2024, AbbVie Inc.); the theophylline FDA label on DailyMed (effective March 10, 2026, Strides Pharma Science Limited).

What does the levothyroxine label say about theophylline?

Levothyroxine Sodium label (Amneal Pharmaceuticals NY LLC, December 6, 2024), drug interactions

Methylxanthine Bronchodilators - (e.g., Theophylline) Decreased theophylline clearance may occur in hypothyroid patients; clearance returns to normal when the euthyroid state is achieved.

Source: FDA drug label (Levothyroxine Sodium, NDA021210), Amneal Pharmaceuticals NY LLC, effective December 6, 2024 (SPL set fca88c97-5cd4-4834-ba87-deb5bd637788), via openFDA

Source: FDA drug label (Synthroid), AbbVie Inc., effective February 20, 2024 (SPL set 1e11ad30-1041-4520-10b0-8f9d30d30fcc), via openFDA; the full label on DailyMed

What does the theophylline label say about levothyroxine?

Theophylline's label (effective March 10, 2026) does not name levothyroxine in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Theophylline), Strides Pharma Science Limited, effective March 10, 2026 (SPL set b7a90ccf-9c32-40cc-9008-7e55b3da4dfd), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

36Levothyroxine generic labelers
26Theophylline generic labelers
LevothyroxineTheophylline
Labeled forHypothyroidismAsthma
Boxed warningYesNo
Pharmacy cost (NADAC)$0.0588 per tablet 112 mcg tablet$0.330 per tablet 300 mg tablet
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?