I take Levothyroxin....pretty much the same as Synthroid. When I was recently diagnosed with anemia and started taking three iron pills a day, I was told not to take them at the same time. I take my Levo first thing in the morning and then do noon, six PM and nine PM for the iron.
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My pharmacist said that Synthroid (and generic version) should always be taken by itself. So I don't take any chances and always wait the 4 hrs. before taking any other meds.
The biggest things to not mix with your thyroid supplement is calcium and Vitamin C (so it's easiest/most convenient to simply stay away from all vitamins). If you take your thyroid in the morning, try to avoid having milk/dairy for breakfast.
The regime I do is as follows: 2/3 of my prescribed dosage of Thyroid (Armour) and fish oil supplement when I wake up (6am). Multivitamin, calcium supplement, B complex, Vitamin D with lunch (11am). Remaining 1/3 of Thyroid on the way home from work (5pm).
Seems to work the best for me, and my doctor approves.
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I've had a system that works wonderful for me but since I'm having to add in another prescription, I'm having to rework my schedule. Now, I take my Metformin XR and vitamins at night before I go to bed then I take Synthroid when I wake up, wait 30 minutes then eat.
The new med, Aldomet, needs to be taken every 8 hours so I didn't know if I could just take it when I took Met around midnight and then again when I took Synthroid at 8am.
Thanks for your input!
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Taking other meds at the same time as Synthroid? 
