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Levothyroxine Sodium 10 mcg/Liothyronine 5 mcg/mL Oral Liquid

Our Levothyroxine Sodium 10 mcg/Liothyronine 5 mcg/mL Oral Liquid is a specially compounded medication designed for oral use, offering a precise and manageable alternative for patients who require thyroid hormone replacement therapy. This liquid formulation is particularly beneficial for individuals who have difficulty swallowing pills, such as children and the elderly, ensuring accurate dosing and ease of administration.

The combination of Levothyroxine and Liothyronine in this oral liquid is used to treat hypothyroidism, a condition where the thyroid gland does not produce enough thyroid hormones. It is also utilized in the management of certain types of thyroid cancer and in the suppression of thyroid-stimulating hormone (TSH) for patients with goiters or after thyroidectomy. By providing both T4 and T3 hormones, this formulation aids in restoring the proper balance of thyroid hormones in the body.

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Oral Liquid
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Formula Information

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Levothyroxine Sodium and Liothyronine are synthetic forms of the thyroid hormones thyroxine (T4) and triiodothyronine (T3), respectively. These hormones are essential for the regulation of metabolism and energy production in the body. The combination of Levothyroxine Sodium 10 mcg/mL and Liothyronine 5 mcg/mL Oral Liquid is a specially compounded medication designed to provide patients with a precise dosage of thyroid hormones in a liquid form. This oral liquid is particularly beneficial for patients who have difficulty swallowing pills, such as those with dysphagia, as well as for pediatric and geriatric patients who may require tailored dosing or have issues with tablet or capsule forms.

The formulation is used to treat hypothyroidism, a condition where the thyroid gland does not produce enough thyroid hormones. By supplementing the body's natural hormone levels, this medication helps to restore normal metabolic function and alleviate symptoms associated with thyroid hormone deficiency, such as fatigue, weight gain, and cold intolerance. Additionally, it may be used in the management of thyroid cancer to suppress the production of thyroid-stimulating hormone (TSH), which can contribute to the growth of certain types of thyroid tumors.

It is crucial for prescribers to carefully titrate the dosage of this medication based on the patient's individual needs and response to therapy, as well as to monitor thyroid function tests regularly. Patients should be advised to take the medication consistently, preferably at the same time each day and on an empty stomach to ensure optimal absorption. They should also be aware of potential side effects, which may include symptoms of hyperthyroidism such as palpitations, nervousness, and insomnia, particularly if the dose is too high.

Our team at Bayview Pharmacy is committed to providing high-quality, customized medications to meet the unique needs of each patient. We are available to answer any questions and provide guidance to both patients and healthcare providers regarding the use of this specialized thyroid hormone replacement therapy. If you have any questions or require further information about this formulation, please do not hesitate to reach out to us.

Drug Interactions

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Levothyroxine sodium and liothyronine are synthetic forms of thyroid hormones used to treat hypothyroidism, a condition where the thyroid gland does not produce enough thyroid hormones. Levothyroxine is a synthetic form of thyroxine (T4), while liothyronine is a synthetic form of triiodothyronine (T3). These hormones are critical for maintaining the body's metabolism, and their supplementation helps to normalize the metabolic processes in patients with thyroid hormone deficiencies.

When considering the use of levothyroxine sodium and liothyronine oral liquid, it is important to be aware of potential drug interactions that can affect the efficacy of the medication or the health of the patient. Drugs that can reduce the absorption of thyroid hormones include calcium carbonate, iron supplements, aluminum-containing antacids, and some cholesterol-lowering drugs such as cholestyramine and colestipol. To minimize interaction, these medications should be taken several hours apart from the thyroid hormone therapy.

Additionally, certain medications can increase the metabolism of thyroid hormones, necessitating an adjustment in the dose of levothyroxine and liothyronine. These include anticonvulsants such as phenytoin and carbamazepine, and antidepressants such as sertraline. Conversely, anti-thyroid medications, such as methimazole and propylthiouracil, should be used cautiously as they can counteract the effects of levothyroxine and liothyronine.

Other drugs that can interact with thyroid hormones include oral anticoagulants like warfarin, which may require dose adjustments due to increased sensitivity to anticoagulants when on thyroid hormone therapy. Diabetes medications may also require adjustments, as thyroid hormones can increase blood sugar levels. Additionally, sympathomimetic agents such as pseudoephedrine and albuterol can lead to increased cardiac effects when used with thyroid hormones.

It is also important to monitor the use of selective serotonin reuptake inhibitors (SSRIs), as they can lead to increased levels of thyroid hormones, potentially causing symptoms of hyperthyroidism. Beta-blockers may mask certain symptoms of hyperthyroidism, which can complicate the management of thyroid hormone dosing.

Patients should be advised to inform their healthcare provider of all medications, supplements, and over-the-counter drugs they are taking to avoid potential interactions. Regular monitoring of thyroid function tests is recommended to ensure the appropriate therapeutic levels of thyroid hormones are maintained. If you have any questions or concerns regarding this formulation or its interactions with other drugs, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

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Levothyroxine Sodium and Liothyronine are synthetic forms of thyroid hormones used to treat hypothyroidism, a condition where the thyroid gland does not produce enough hormones. These hormones are crucial for regulating the body's metabolic processes. Levothyroxine Sodium is a synthetic version of thyroxine (T4), while Liothyronine is a synthetic form of triiodothyronine (T3), both of which are naturally produced by the thyroid gland.

The combination of Levothyroxine Sodium and Liothyronine in an oral liquid formulation provides a dual approach to therapy by replacing both T4 and T3 hormones. Levothyroxine Sodium (T4) is a prohormone with a long half-life, which is converted into the more active T3 in the body. Liothyronine (T3), on the other hand, is the active hormone that regulates metabolic processes such as energy production and heat generation. By administering both hormones, the formulation can help in normalizing the levels of thyroid hormones more efficiently, which may be particularly beneficial in patients who have difficulties converting T4 to T3.

The oral liquid formulation is designed to allow for precise dosing, which is critical in thyroid hormone replacement therapy, as the therapeutic window is narrow. The liquid form is also advantageous for patients who have difficulty swallowing pills, such as the elderly, children, or those with dysphagia. Additionally, the liquid can be easily administered to patients with enteral feeding tubes. The medication should be taken on an empty stomach to enhance absorption and efficacy.

By restoring the balance of thyroid hormones in the body, this formulation helps to alleviate symptoms of hypothyroidism, which may include fatigue, weight gain, cold intolerance, and depression. It is important for patients and prescribers to monitor thyroid function tests regularly to ensure the dosage of Levothyroxine Sodium and Liothyronine remains appropriate for the patient's needs.

It is essential to shake the bottle well before each use to ensure the medication is evenly distributed throughout the liquid. Patients should be instructed on how to measure and administer the correct dose. As with any medication, there may be potential side effects, and patients should be made aware of these and instructed to contact their healthcare provider if they experience any adverse reactions.

If you have any questions or require further information about this formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide support and guidance to ensure the safe and effective use of this medication.

Other Uses

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Aside from its primary use in treating thyroid disorders such as hypothyroidism or in cases requiring thyroid hormone replacement, the Levothyroxine Sodium 10 mcg/Liothyronine 5 mcg/mL Oral Liquid formulation may serve additional therapeutic purposes under specific medical conditions as determined by a healthcare provider. Due to the precise control over the dosage that the liquid form allows, it can be particularly useful in titrating the exact amount of thyroid hormone needed for those with fluctuating thyroid levels or in patients undergoing a trial of combination T4/T3 therapy, which may be considered in individuals who do not respond adequately to levothyroxine alone.

The liquid dosage form also offers an alternative route of administration for patients with gastrointestinal malabsorption issues, such as those with celiac disease or atrophic gastritis, where absorption of solid dosage forms may be compromised. Additionally, this liquid medication could be utilized in the management of thyroid cancer patients who require exogenous thyroid hormone suppression of TSH (thyrotropin) post-thyroidectomy, with the benefit of making minor adjustments to achieve the desired TSH level without switching between tablet strengths.

Furthermore, the oral liquid formulation may be of interest in research settings for pharmacokinetic studies due to the ease of dosing adjustments. Lastly, this formulation can be beneficial in the experimental treatment protocols for certain psychiatric conditions, as some evidence suggests a potential role for thyroid hormones in the augmentation of antidepressant therapy, although this is not a conventional indication and should only be considered under close clinical supervision.

It must be highlighted that thyroid hormone therapy should always be initiated and adjusted by a qualified healthcare professional, taking into consideration each patient's clinical situation, and the risks and benefits of off-label uses should be carefully weighed. Additionally, the pharmacists at Bayview Pharmacy are always ready to collaborate with prescribers to tailor therapy to individual patient needs, provide detailed information regarding administration, dosing, and potential drug interactions, and answer any questions about the formulation and its uses. If you have any questions, please reach out to us at Bayview Pharmacy.

Frequently Asked Questions

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What is the purpose of the Levothyroxine Sodium/Liothyronine Oral Liquid?

This medication is used to treat an underactive thyroid (hypothyroidism) by replacing or providing more thyroid hormone. The combination of Levothyroxine Sodium and Liothyronine provides both T4 and T3 thyroid hormones, which can help manage symptoms of thyroid deficiency.

How should I take the Levothyroxine Sodium/Liothyronine Oral Liquid?

The liquid should be taken exactly as prescribed by your healthcare provider. It is usually taken once daily, preferably on an empty stomach, at least 30 minutes to one hour before breakfast. Swallow the medication directly without mixing it with any other liquids unless your healthcare provider instructs you otherwise.

Can this oral liquid be taken by children or elderly patients?

Yes, this compounded oral liquid is particularly suited for pediatric and geriatric patients, especially those who find swallowing pills difficult or have other issues with solid dosage forms.

How do I measure the correct dose of medication?

Your healthcare provider will prescribe the exact dose you need, and you should use the measuring device provided by the pharmacy to ensure you are taking the correct amount. Do not use household spoons as they may not provide accurate measurements.

Can I eat or drink immediately after taking the medication?

It is recommended to wait at least 30 minutes to one hour after taking the medication before consuming any food or beverages to ensure proper absorption of the thyroid hormones.

What happens if I miss a dose of my medication?

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and resume your regular dosing schedule. Do not double the dose to catch up.

Are there any side effects associated with Levothyroxine Sodium/Liothyronine Oral Liquid?

Like all medications, this formula can have side effects, although not everyone experiences them. Side effects may include heart palpitations, weight loss, increased appetite, anxiety, insomnia, or allergic reactions. Contact your healthcare provider if you experience any unusual symptoms or side effects.

Should I avoid any food or medication while taking this oral liquid?

Certain foods and medications can interact with thyroid hormones, affecting their absorption and effectiveness. It's important to discuss your diet and any medications or supplements you are taking with your healthcare provider to avoid potential interactions.

How should I store the compounded Levothyroxine Sodium/Liothyronine Oral Liquid?

Store the medication at room temperature away from light, moisture, and children. Do not freeze or heat the medication. Discard any unused medication after the expiration date or as directed by the pharmacy.

What should I do in the case of an overdose?

If you suspect an overdose, contact your healthcare provider, local poison control center, or emergency room immediately. Symptoms of overdose may include rapid heartbeat, chest pain, shortness of breath, confusion, or seizures.

Can I travel with my Levothyroxine Sodium/Liothyronine Oral Liquid?

Yes, you can travel with your medication. However, ensure you carry it in its original labeled container and bring a copy of your prescription. Be aware of the storage guidelines, and if traveling by air, keep the medication in your carry-on luggage to prevent temperature variations in the checked baggage compartment.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.