Can Ayurvedic medicine interfere with Levothyroxine?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have hypothyroidism and PCOS/PMOS (polycystic ovarian syndrome/Polyendocrine metabolic ovarian syndrome). I am taking Levothyroxine 100 mcg. I have been prescribed Medroxyprogesterone acetate tablets several times to help regulate my periods. I am looking for a permanent cure for PCOS/PMOS. I read in your posts that Kalarchi choornam is effective. Can I take it along with Levothyroxine tablets, or might there be any interaction? What treatment do you suggest for my PCOS/PMOS?

Please advise.

Hello,

Welcome to icliniq.com.

I understand your concern.

You have hypothyroidism and PCOS/PMOS (polycystic ovarian syndrome/Polyendocrine metabolic ovarian syndrome). Since you are not trying to get pregnant at the moment, it is important to follow a strict Siddha treatment to achieve a complete cure for PCOS/PMOS.

I recommend that you continue taking Levothyroxine tablets. Your physician will adjust the dosage based on your hormonal values during your regular visits, so there is no need to worry about that. In many cases, Siddha treatment can reduce the need for Levothyroxine. For PCOS/PMOS, please follow the following medical advice:

  1. Kumari legium: Take one spoon in the morning and evening before food, or aloes compounds two tablets in the morning and two in the evening after food.
  2. Tablet Chithira moola kuligai: One tablet in the morning and one tablet at night after food.
  3. Kalarchi choornam: Take 0.05 ounces in the morning and evening after food with hot water or milk. If you cannot find this drug in the market, you can prepare it by using kalarchi (bonduc nut) seed (remove the outer shell and use only the inner kernel) 3.52 ounces, black pepper 0.35 ounces, and asafoetida (fried) 0.35 ounces. Grind these ingredients into a powder using a mixer. Store the powder in a container.
  4. Malai vembathi thailam or Kalingaathi thailam (both are the same): Take 5 ml daily at night before bed. After a few days, you can gradually increase the dose by a few drops.

Continue using all these medicines. Within three months, you should start menstruating. During your menstrual bleeding days, stop all the medicines. Restart from the fifth day of bleeding and continue for six months. This should normalize your uterus and ovaries. If you experience only light spotting instead of full bleeding, consider it as menstruation. If you do not have any spotting at all, continue the treatment for six months without concern.

Additionally, you can use tender arasam leaves (peepal tree). Collect tender leaves, grind three leaves, and mix them with milk (like a milkshake). Consume this mixture each morning. Continue daily until you see improvement. If you collect more tender leaves at a time, dry them and powder them. Take 0.035 ounces of the powder and mix it with milk. If you prefer, you can use buttermilk or water instead of milk. This is another important home remedy for PCOS/PMOS.

I hope this helps you.

Thank you.

Patient's Query

Hello doctor,

Thank you for your reply.

Should I take all of these Siddha medicines, or is just one sufficient? Can I continue taking Levothyroxine tablets along with these treatments?

Hello,

Welcome back to icliniq.com.

All these medications should be taken together, as each serves a specific function: maintaining your endometrium, supporting uterine muscles, regulating ovarian function, balancing hormones, and preparing the uterus for future conception. Therefore, it is important to take all of them together. At a minimum, medications a, b, and c should be taken simultaneously. Medications d and e can be taken if possible. Levothyroxine tablets should not be discontinued and can be taken alongside the Siddha medicines. The Siddha drugs do not interfere with the action of Levothyroxine.

I hope this helps you.

Thank you.

Medically reviewed byDr. Vinodhini J.

Published At January 5, 2020
Reviewed AtMay 29, 2026

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