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Liothyronine 2 mcg Slow Release (MEM4) Oral Capsules

The Liothyronine 2 mcg Slow Release (MEM4) Oral Capsules are a specialized formulation designed to manage thyroid-related conditions, such as hypothyroidism and specific cases of euthyroid goiters. Each capsule contains a precise 2 mcg dose of Liothyronine, a synthetic form of the thyroid hormone triiodothyronine (T3), encapsulated within Methocel E4M. This controlled-release polymer ensures a gradual and sustained release of Liothyronine, maintaining consistent therapeutic levels in the bloodstream over an extended period.

This slow-release mechanism enhances patient adherence to the medication regimen by reducing the frequency of dosing. Additionally, it may help mitigate potential fluctuations in hormone levels, thereby providing a stable effect and minimizing the risk of side effects associated with peak concentrations. The formulation is particularly beneficial for patients requiring long-term thyroid hormone replacement or suppression therapy.

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Liothyronine Sodium
Slow Release Capsules
65b06a5853937b3360ce9a3c
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Formula Information

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Liothyronine is a synthetic form of triiodothyronine (T3), a thyroid hormone that is used to treat various conditions such as hypothyroidism, myxedema coma, and certain types of depression. It is particularly beneficial for patients who do not respond adequately to levothyroxine (T4) alone. Liothyronine works by replenishing the levels of thyroid hormone in the body, thereby normalizing the body's metabolism, energy production, and regulating numerous physiological processes.

The Liothyronine 2 mcg Slow Release (MEM4) Oral Capsules are meticulously formulated with Methocel E4M, a hydrophilic methylcellulose polymer that swells and forms a gel when it comes into contact with gastric fluids. This gel matrix creates a barrier that controls the rate at which the liothyronine is released from the capsule and absorbed into the bloodstream. The slow-release mechanism ensures a more consistent serum concentration of the hormone over time, which can help in minimizing fluctuations in patient's symptoms and reducing the potential for side effects that can occur with immediate-release formulations.

This controlled-release design is particularly advantageous for patients requiring a steady delivery of liothyronine throughout the day, which can lead to improved efficacy and tolerability of the hormone therapy. By reducing the dosing frequency, the slow-release capsules also enhance patient compliance, a critical factor in the long-term management of chronic conditions like hypothyroidism. Additionally, for patients with certain psychiatric conditions, such as treatment-resistant depression, where T3 supplementation has been shown to be beneficial, the sustained release of liothyronine can provide a more stable mood improvement.

It is important for prescribers to consider the individual needs of their patients when choosing a thyroid hormone replacement therapy. Factors such as the patient's age, weight, cardiovascular status, and concomitant medical conditions should be taken into account. Furthermore, when transitioning patients from immediate-release to slow-release formulations, careful monitoring of thyroid function tests is essential to ensure appropriate dosing and to avoid over- or under-treatment.

For patients interested in this formulation, or prescribers considering it for their patients, Bayview Pharmacy is equipped to provide detailed information and guidance on the use of Liothyronine 2 mcg Slow Release (MEM4) Oral Capsules. Our team of compounding pharmacists is committed to ensuring the highest quality and safety standards in the preparation of this personalized medication. Should you have any questions or require further assistance, please do not hesitate to reach out to us.

Drug Interactions

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Liothyronine is a synthetic form of the thyroid hormone triiodothyronine (T3) and is used to treat hypothyroidism, a condition where the thyroid gland does not produce enough thyroid hormone. It is also used in the management of myxedema coma and sometimes in the treatment of thyroid cancer. The slow-release formulation of liothyronine 2 mcg capsules with Methocel E4M is designed to maintain a steady level of the hormone in the body, which is crucial for patients requiring a consistent thyroid hormone level to manage their condition effectively.

When considering drug interactions, it is important to note that thyroid hormones, including liothyronine, can have significant interactions with other medications. For instance, cholestyramine, colestipol, and aluminum-containing antacids can reduce the absorption of thyroid hormones from the gastrointestinal tract, potentially leading to a decrease in their effectiveness. Patients should be advised to take these medications at least 4 hours before or after liothyronine to minimize this interaction.

Medications such as phenytoin, carbamazepine, rifampin, and sertraline may increase the metabolism of thyroid hormones, necessitating an adjustment in the liothyronine dose. Conversely, medications like beta-blockers, amiodarone, and systemic corticosteroids may decrease the metabolism of thyroid hormones and increase their effects. Careful monitoring of thyroid function tests is recommended when initiating or discontinuing these medications.

Additionally, liothyronine can enhance the effects of anticoagulants such as warfarin, which may require a reduction in the anticoagulant dose to prevent bleeding complications. Blood clotting parameters should be monitored closely in patients taking both liothyronine and anticoagulants. Diabetes medications may also require adjustment, as thyroid hormones can increase blood glucose levels, potentially leading to a need for higher doses of insulin or oral hypoglycemic agents.

It is also important to be aware that liothyronine can affect the action of digitalis glycosides, and patients on these medications may require dose adjustments. Furthermore, sympathomimetic agents, when used concurrently with liothyronine, may increase the risk of coronary insufficiency in patients with coronary artery disease.

Patients should be counseled to inform their healthcare providers of all medications, supplements, and over-the-counter drugs they are taking to ensure proper management of potential drug interactions. Regular monitoring of thyroid function tests is essential to adjust the liothyronine dose as needed and to ensure therapeutic effectiveness while minimizing the risk of adverse effects.

If you have any questions or require further information regarding drug interactions with liothyronine slow-release capsules, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is committed to providing comprehensive support to both patients and prescribers to ensure safe and effective use of this medication.

How Does it Work

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Liothyronine is a synthetic form of triiodothyronine (T3), a thyroid hormone that is naturally produced by the thyroid gland. This hormone plays a crucial role in regulating the body's metabolic rate, heart and digestive functions, muscle control, brain development, and maintenance of bones. When the thyroid gland does not produce enough T3, it can lead to a condition known as hypothyroidism, which is characterized by symptoms such as fatigue, weight gain, cold intolerance, and depression. Liothyronine is used to treat hypothyroidism and can also be used in the treatment of certain types of thyroid cancer and in the management of myxedema coma, a severe form of hypothyroidism.

The Liothyronine 2 mcg Slow Release (MEM4) Oral Capsules are specially formulated with Methocel E4M, which is a type of hydrophilic methylcellulose ether polymer. Methocel E4M swells and forms a gel when it comes into contact with gastric fluids after the capsule is ingested. This gel matrix creates a barrier through which the liothyronine must diffuse to be released. The controlled-release mechanism of Methocel E4M allows for a slow and steady release of liothyronine into the bloodstream, maintaining a more consistent serum concentration of the hormone over time. This slow release reduces the fluctuations in hormone levels that can be seen with immediate-release formulations, which often require multiple doses throughout the day to maintain therapeutic levels.

By using a slow-release formulation, patients may experience fewer side effects and a more stable control of their symptoms. This is particularly beneficial for patients who are sensitive to fluctuations in thyroid hormone levels or who have difficulty adhering to a strict multiple-dose regimen. The reduced dosing frequency can also improve patient compliance, as it is easier to remember and manage a once-daily medication compared to one that must be taken several times a day.

For prescribers, it is important to note that the dosing of Liothyronine 2 mcg Slow Release (MEM4) Oral Capsules may differ from that of immediate-release liothyronine due to the differences in absorption and bioavailability. It is essential to monitor patients closely, especially when initiating therapy or converting from immediate-release to slow-release formulations, to ensure that the patient achieves and maintains an appropriate therapeutic response. Regular monitoring of thyroid function tests is recommended to guide dose adjustments and to ensure that the patient remains euthyroid.

If you have any questions about the Liothyronine 2 mcg Slow Release (MEM4) Oral Capsules or would like more information on how this formulation can benefit your patients, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide support and guidance to ensure the best possible outcomes for your patients.

Other Uses

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Liothyronine is a synthetic form of the thyroid hormone triiodothyronine (T3) and is commonly prescribed for the treatment of hypothyroidism, a condition in which the thyroid gland does not produce enough thyroid hormones. The formulation of Liothyronine 2 mcg Slow Release (MEM4) Oral Capsules, with Methocel E4M, is primarily designed to provide a consistent release of liothyronine, ensuring stable blood levels of the hormone over time. This can be particularly beneficial for patients who experience fluctuations in their thyroid levels or have difficulty maintaining a steady thyroid state with immediate-release preparations.

In addition to its use in hypothyroidism, liothyronine may also be utilized in the management of myxedema coma, a severe form of hypothyroidism, though in such cases, it is typically administered in an acute care setting via an intravenous route. The slow-release formulation is generally not suitable for such urgent applications. Furthermore, liothyronine has been examined in the context of thyroid hormone resistance syndrome and as a diagnostic tool in the suppression test for mild hyperthyroidism or thyroid gland autonomy, but these are not customary uses for a slow-release formulation.

Off-label uses of liothyronine, including the slow-release form, could involve the adjunctive treatment of depression whereby patients on standard antidepressant therapies may receive supplemental T3 to enhance the response to antidepressants. However, the suitability of the slow-release formulation for this purpose should be assessed on a case-by-case basis, as the timing and peak levels of hormone may play a role in the therapeutic outcome. It is also important to note that therapy with liothyronine, whether for labeled or off-label use, should be closely monitored by a healthcare professional to avoid overtreatment or adverse effects such as symptoms of hyperthyroidism.

Our team at Bayview Pharmacy is committed to providing comprehensive support for both patients and practitioners considering the use of our slow-release liothyronine capsules. We encourage individuals interested in this formulation, whether for its primary indication in hypothyroidism or potential off-label applications, to reach out to us with any questions or concerns. Our knowledgeable staff is available to discuss dosing strategies, potential benefits, and risks associated with this specialized medication delivery method to ensure optimal care and therapeutic outcomes.

Frequently Asked Questions

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What is Liothyronine 2 mcg Slow Release (MEM4) Oral Capsule?

Liothyronine 2 mcg Slow Release (MEM4) Oral Capsule is a medication containing a synthetic form of the thyroid hormone T3, formulated with Methocel E4M, a controlled-release polymer. It is designed to release the active ingredient slowly over time for a sustained therapeutic effect.

How does Methocel E4M work in this formulation?

Methocel E4M is a type of controlled-release polymer that interacts with gastrointestinal fluids to form a gel matrix, allowing the active ingredient, Liothyronine, to be released gradually into the system. This ensures a steady delivery of the medication over an extended period.

What are the benefits of taking a slow-release formulation?

The benefits of a slow-release formulation like MEM4 include more consistent blood levels of the medication, a reduced need for frequent dosing, and often better patient compliance due to the convenience of taking the medication less often.

Is the slow-release capsule suitable for all patients requiring Liothyronine?

While the slow-release capsule can be beneficial for many patients, the suitability depends on individual health conditions, existing medications, and specific treatment goals. A healthcare provider should be consulted to determine if it is appropriate for any particular patient.

Can I crush or chew the Liothyronine slow-release capsule?

No, crushing or chewing the capsule can disrupt the slow-release mechanism, leading to a rapid release of the drug which could result in side effects or suboptimal efficacy. The capsule should be swallowed whole.

How do I know if Liothyronine slow-release is working for me?

Monitoring of thyroid function tests by your healthcare provider is typically used to assess the effectiveness of the medication, along with an evaluation of any symptoms associated with thyroid hormone imbalance.

What should I do if I miss a dose of my Liothyronine slow-release capsule?

If a dose is missed, take it as soon as you remember. If it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take two doses at once to make up for a missed dose. Consult your healthcare provider for specific guidance.

Are there any side effects associated with Liothyronine slow-release capsules?

Liothyronine, like any medication, may cause side effects. Common side effects can include, but are not limited to, heart palpitations, nervousness, and weight loss. However, the controlled release of the medication tends to reduce the risk of side effects compared to immediate-release formulations.

How should I store the Liothyronine Slow Release (MEM4) Oral Capsules?

Store the capsules at room temperature, away from direct sunlight and moisture. Keep them in their original prescription bottle or an approved container that protects them from light and contamination.

Will the slow-release formula of Liothyronine affect my other medications?

The slow-release formulation should not generally interfere with the absorption or effectiveness of other medications. However, certain medications can interact with Liothyronine, so it is essential to inform your healthcare provider of all medications you are currently taking.

How long will I have to take the Liothyronine slow-release capsules?

The duration of treatment with Liothyronine varies from patient to patient and depends on the underlying condition being treated. Treatment may be for a certain period or might be a long-term therapy. Your healthcare provider will guide you on the duration based on your specific clinical needs.

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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.