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Cytomel (Generic Liothyronine)

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WARNING

In patients with healthy thyroid function, thyroid hormone should not be utilised to treat obesity. In people with normal thyroid function, liothyronine is useless for weight loss and can be hazardous or even fatal, especially when used with amphetamines. Ask your doctor about the possible side effects of this drug.

Why is this medication prescribed?

Hypothyroidism is treated with liothyronine (a condition where the thyroid gland does not produce enough thyroid hormone). Additionally, goitre treatment and hyperthyroidism testing both involve the use of liothyronine (a condition where the thyroid gland produces too much thyroid hormone). Liothyronine belongs to the group of drugs known as thyroid agents. It functions by delivering the thyroid hormones that the body typically produces.

Liothyronine is not recommended as the first-line therapy for the treatment of hypothyroidism at this time due to a lack of sufficient data from clinical research.

How should this medicine be used?

Liothyronine is available as a tablet for oral use. Typically, it is taken once per day. Ask your doctor or pharmacist to explain any instructions on your prescription label that you are unsure about following. Liothyronine should be taken exactly as prescribed. Never take it in larger or less amounts or more frequently than directed by your doctor.

Liothyronine will likely be prescribed to you at a low dosage by your doctor, who will then likely progressively raise it not more than once every one to two weeks.

You will probably need to take this medication for the rest of your life to manage the hypothyroidism symptoms. Liothyronine should still be used even if you feel OK. Without consulting your doctor, do not discontinue taking liothyronine.

Other uses for this medicine

Ask your doctor or pharmacist for more details if you think this drug might be recommended for another condition.

What special precautions should I follow?

Before taking liothyronine,

  • If you have an allergy to liothyronine, thyroid hormone, levothyroxine, any other drugs, or any of the substances in liothyronine tablets, inform your doctor and pharmacist right away. Request a list of the components from your pharmacist.
  • Inform your doctor and pharmacist about all prescription and over-the-counter drugs, vitamins, dietary supplements, and herbal products that you are now taking or intend to use. Mention any of the following: digoxin (Lanoxin), oestrogens, oral contraceptives containing oestrogen, oral contraceptives containing insulin, anticoagulants (‘blood thinners’) such as warfarin (Coumadin, Jantoven), diabetes medications taken orally, digoxin, and tricyclic antidepressants such as amitriptyline (Elavil). Liothyronine may also interact with a variety of other drugs, so be sure to let your doctor know about all the drugs you are taking, even those not on this list.
  • When using cholestyramine (Questran), wait at least 4 to 5 hours between taking it and liothyronine.
  • Inform your physician if you have thyrotoxicosis or adrenal insufficiency, a condition in which the body fails to produce enough of certain natural compounds required for vital processes like blood pressure (condition that occurs from too much thyroid hormone or hyperthyroidism). Liothyronine shouldn’t be taken, your doctor will likely advise.
  • If you have diabetes, cardiovascular illness such as high blood pressure, atherosclerosis (hardening of the arteries), angina (chest discomfort), an irregular heartbeat, or a history of a heart attack, let your doctor know.
  • If you are breastfeeding a child or intend to become pregnant, let your doctor know. Call your doctor if you become pregnant while taking liothyronine.
  • Inform the surgeon or dentist that you are taking liothyronine before having any surgery, including dental surgery.

What special dietary instructions should I follow?

Keep eating normally unless your doctor instructs you otherwise.

What should I do if I forget a dose?

If you miss a dosage, take it as soon as you recall. If the next dose is soon due, skip the missed one and carry on with your regular dosing plan. To make up for a missing dose, do not take a second one.

What side effects can this medication cause?

Side effects from liothyronine are possible. If any of these symptoms are severe or do not go away, let your doctor know right once:

  • Loss of weight
  • Nervousness
  • Excessive perspiration
  • Heat sensitivity
  • Temporary balding (particularly in children during the first months of therapy)

Some adverse effects can be very harmful. Give your doctor a call right away if you develop any of the following signs or symptoms:

  • Chest pain
  • Rapid or irregular heartbeat or pulse

You or your doctor can submit a report to the Food and Drug Administration’s (FDA) MedWatch Adverse Event Reporting programme online or by phone if you have a serious side event (1-800-332-1088).

What should I know about storage and disposal of this medication?

Keep this medication tightly closed in the original container and out of the reach of children. Store it away from excessive heat and moisture at room temperature (not in the bathroom).

As many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and are simple for young children to open, it is crucial to keep all medications out of sight and out of reach of children. Always lock safety caps and promptly stash medication up and away from young children where it is out of their sight and reach to prevent poisoning. http://www.upandaway.org

Unused prescriptions must be disposed of carefully to prevent pets, kids, and other people from ingesting them. You should not, however, dispose of this medication in the toilet. Instead, utilising a medicine take-back programme is the easiest approach to get rid of your medication. To find out about take-back programmes in your area, speak with your pharmacist or the garbage/recycling department in your city. If you do not have access to a take-back programme, see the FDA’s Safe Disposal of Medicines website at http://goo.gl/c4Rm4p for additional information.

In case of emergency/overdose

Call the poison control hotline at 1-800-222-1222 in the event of an overdose. Additionally, information can be found online at https://www.poisonhelp.org/help. Call 911 right once if the person has collapsed, experienced a seizure, is having difficulty breathing, or cannot be roused.

Overdose signs could include the following:

  • Headache
  • Irritability
  • Nervousness
  • Sweating
  • Enhanced bowel movement
  • Irregular menstrual periods

What other information should I know?

Keep all of your appointments with your physician and the lab. To determine how you react to liothyronine, your doctor will request specific laboratory tests.

Inform the lab staff and your doctor that you are taking liothyronine prior to any laboratory test.

No one else should take your medication. Any queries you may have regarding medication refills should be directed to your pharmacist.

You should keep a written record of every medication you take, including any over-the-counter (OTC) items, prescription drugs, and dietary supplements like vitamins and minerals. This list should be brought with you whenever you see a doctor or are admitted to the hospital. Having the knowledge on hand is crucial in case of emergencies.

Brand names

  • Cytomel®
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