My regular physical blood work came back and my doc said my thyroid was slightly underactive so he prescribed Levothyroxin 25 mcg Tab Mylan (Generic for Synthroid 25 mcg tab) for 3 months and will then test me again.

The bottle has labels on it that say, "Take in the morning. Take this medication at least 4 hours before taking antacids, iron, or Vitamin-Mineral supplements" AND "Take this medicine on and empty stomach--Take this medication with a full glass of water."

Since I am new to this (2 days), I am unsure how to take this properly. Obviously, I take it in the morning on an empty stomach with a glass of water, but how long to I have to wait until I can eat breakfast? Also, can I drink a cup of black coffee after I drink the water since it is a liquid--to stave my hunger? Will that inhibit the absorption?

Gees, I thought post-menopausal hot flashes and depression was all I had to worry about...didn't count on this new twist!

Any advise would be appreciated. Also, should I insist on Synthroid and not generic?

Thanks,
Nancie