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Drug: Liothyronine Sodium (T3) | Class: T3 Thyroid Hormone | Brand: Cytomel (Pfizer); Linorma T3 (Abbott Pharma India) | Indication: Hypothyroidism (T4 non-responders), myxoedema coma, thyroid cancer suppression, augmentation of T4 | Dose: Hypothyroidism: 25mcg once daily, titrate
Liothyronine is used for hypothyroidism (t4 non-responders), myxoedema coma, thyroid cancer suppression, augmentation of t4. Evidence-based for DIO2 gene polymorphism patients; BTA guideline: T3 add-on when T4 monotherapy insufficient. Liothyronine (T3) works faster than T4 — symptoms may improve within days, but TSH monitoring every 2–3 months is essential.
Liothyronine contains Liothyronine Sodium (T3), a t3 thyroid hormone for hypothyroidism (t4 non-responders), myxoedema coma, thyroid cancer suppression, augmentation of t4. Evidence-based for DIO2 gene polymorphism patients; BTA guideline: T3 add-on when T4 monotherapy insufficient.
| Attribute | Details |
|---|---|
| Generic Name | Liothyronine Sodium (T3) |
| Drug Class | T3 Thyroid Hormone |
| Brand Reference | Cytomel (Pfizer); Thyrofit (Sun Pharma India) |
| Indication | Hypothyroidism (T4 non-responders), myxoedema coma, thyroid cancer suppression, augmentation of T4 |
| Standard Dose | Hypothyroidism: 25mcg once daily, titrate. Myxoedema coma: 20–40mcg IV/tube. T4 augmentation: 12.5–25mcg added to levothyroxine |
| Form | Tablet |
| Route | Oral |
| Prescription | Yes |
| Evidence | Evidence-based for DIO2 gene polymorphism patients; BTA guideline: T3 add-on when T4 monotherapy insufficient |
Active T3 thyroid hormone binding nuclear receptors normalising metabolism.
Levothyroxine is T4 — a prohormone converted to active T3 in tissues, with a 7-day half-life providing stable levels. Liothyronine is the active T3 hormone with a 1-day half-life — faster onset but requiring more frequent dosing and causing greater T3 fluctuations. Most patients are managed on T4 alone; T3 is added in specific cases.
TSH blood tests every 6–8 weeks until stable, then annually. For carbimazole: CBC monitoring for agranulocytosis. For T3: more frequent TSH monitoring due to faster T3 fluctuations.
Hypothyroidism in pregnancy requires careful management — TSH targets are tighter (0.1–2.5 mU/L). Levothyroxine dose usually increases 25–30% in pregnancy. Carbimazole: use PTU in first trimester (methimazole/carbimazole avoided due to foetal abnormality risk). Liothyronine: minimal data, generally avoided in pregnancy.
Calcium supplements, iron, antacids, and high-fibre foods reduce levothyroxine absorption — separate by 4 hours. Soy products modestly reduce T4 absorption. Carbimazole and liothyronine have fewer food interactions but maintain consistent dosing times.
Treating hypothyroidism (levothyroxine, liothyronine): 2–5kg modest weight loss as metabolic rate normalises. Treating hyperthyroidism (carbimazole): weight gain of 2–4kg as normalised thyroid function reduces hypermetabolism.
Store at 15–30°C away from sunlight and moisture. Keep out of reach of children.
Orders ship from our India Head Office within 1–2 business days of confirmation. We include full customs documentation — HS codes, certificates of origin, and pharmaceutical export permits.
Estimated delivery: 3–7 business days to UK. 7–10 business days to UAE, Saudi Arabia and Gulf countries. 10–15 days for USA and Asian countries.
All packages arrive in plain, unmarked brown boxes. No pharmacy name or medication details on the outside.
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