General health · €25 GP review
Levothyroxine repeat prescription online in Ireland
Repeat levothyroxine for stable, previously diagnosed hypothyroidism. Reviewed by an Irish-registered GP — no appointment needed. A prescription is issued only if clinically appropriate.
A question about hypothyroidism (levothyroxine continuation)? Ask our team
If you are stable on levothyroxine and have had a thyroid blood test in the last year, an Irish-registered GP can review your repeat online.
What it costs
€25 per request, refunded in full if the GP decides it is not safe to prescribe online.
How quickly
Reviewed the same working day for requests submitted before 5pm, Monday to Friday. Weekend requests are reviewed the next working day.
Who this is suitable for
- You are aged 18 or over and living in Ireland
- You already take levothyroxine at a stable dose
- You have had a thyroid blood test within the last 12 months
- A brand new levothyroxine start
- More than 12 months since your last thyroid test
- Heart rhythm problems, atrial fibrillation or angina
- You are pregnant, breastfeeding or trying to conceive — the GP will route you to a consultation
What your €25 covers
- Short clinical questionnaire you can finish on your phone
- Review by an Irish-registered, IMC-listed GP
- Prescription sent securely to the pharmacy you choose
- A written note in your patient record you can download any time
What we'll ask you
12 short questions, most of them yes or no. Your answers go straight to the reviewing GP.
- When were you diagnosed with an underactive thyroid, and by whom?
- Your current levothyroxine dose and how you take it
- Is this a brand new levothyroxine start rather than a continuation?
- Date and result of your most recent thyroid blood test (TSH / T4), if known
- Is it more than 12 months since your last thyroid blood test?
- Any symptoms of being over- or under-treated (palpitations, tremor, weight change, fatigue, cold intolerance)?
- Any heart rhythm problems, atrial fibrillation or angina?
- How many months of supply are you asking for?
- Are you pregnant, breastfeeding or trying to conceive?
- Do you have any of: high fever, severe pain, breathlessness, confusion, or symptoms getting rapidly worse?
- List any drug allergies (or type 'none')
- Medicines you currently take (or type 'none')
When we'll say no
These answers stop the request and route you to a consultation instead.
- A new start needs bloods and a consultation, not a repeat request.
- Levothyroxine repeats need thyroid function checked at least yearly.
- Dose changes with cardiac disease need a consultation.
- Prescribing in pregnancy or while breastfeeding needs a consultation.
- These symptoms need to be assessed by a doctor directly.
When to get seen in person or urgently
- Get seen in person if you develop palpitations, chest pain, shaking or weight loss — your dose may be too high.
- Get seen in person for a new neck lump, difficulty swallowing or hoarse voice.
- If you become pregnant, contact your GP promptly — your levothyroxine dose usually needs to increase.
Common questions
- Why do I need a recent blood test?
- Your dose depends on your thyroid levels, which should be checked at least once a year.
- Can I change my dose online?
- Dose changes need a consultation and a recent blood result.
- How much does an online levothyroxine prescription cost in Ireland?
- €25 for the GP review and prescription. Your pharmacy charges separately for the medicine. If the GP decides it is not safe to prescribe, the €25 is refunded in full.
- What happens if the GP cannot prescribe from my answers?
- You get a full refund of the €25, and the GP explains why. If a conversation would help, you can book a €39 video or phone consultation with an Irish-registered GP, usually the same day.
- How should I take levothyroxine?
- Take it on an empty stomach with water, ideally 30 to 60 minutes before breakfast, and separately from iron, calcium and antacids.
Related guides and treatments
Sources
- Underactive thyroidHSE (Health Service Executive) — HSE health A–Z
- Hypothyroidism — Clinical Knowledge SummaryNICE (National Institute for Health and Care Excellence) — NICE CKS
Start your hypothyroidism (levothyroxine continuation) request
€25, reviewed by an Irish-registered GP. If it isn't clinically appropriate, the GP declines and you are refunded in full.