Can medication be discontinued during hypothyroidism treatment?

　　Hypothyroidism refers to reduced thyroid function. During treatment for hypothyroidism, medication may be gradually discontinued under a doctor's guidance if the condition is stable. However, if the condition is unstable or is permanent or primary in nature, stopping medication is generally not possible. It is recommended to seek timely medical attention and clarify the underlying cause with the guidance of a qualified physician before initiating treatment.

　　If patients undergo long-term, regular thyroid hormone replacement therapy and their blood levels of thyroid-stimulating hormone (TSH) remain within the normal range, and thyroid function indicators remain consistently stable without signs of fluctuation or deterioration, it may be possible to consider gradually reducing the medication dosage, or even attempting to discontinue medication under close medical supervision. However, this process must be conducted with extreme caution and strictly under the guidance of a qualified physician, with regular follow-up tests of thyroid function to ensure the condition remains under control.

　　Patients with permanent hypothyroidism require long-term or lifelong medication. Their thyroid function cannot return to normal levels, and they must rely on exogenous thyroid hormones to maintain normal physiological functions. Discontinuation of medication may lead to a rapid decline in thyroid hormone levels, triggering a series of uncomfortable symptoms and, in severe cases, even thyroid crisis. Most patients with primary hypothyroidism also require long-term drug therapy.

　　During treatment, patients should strictly follow medical instructions regarding medication and should not adjust the dosage or discontinue medication on their own. Regular follow-up tests of thyroid function, complete blood count, lipid profile, and other relevant indicators are necessary so that the physician can adjust the treatment plan promptly based on test results.