I wrote to the Department of Health about the withdrawal of Liothyronine (T3).
Here is their reply. It seems my time and effort was totally wasted.
"Thank you for your correspondence of 27 April about liothyronine. I have been asked to reply.
Best practice on the identification and management of hypothyroidism has been provided in the Royal College of Physicians’ guidance The diagnosis and management of primary hypothyroidism. This document was developed on behalf of organisations such as the British Thyroid Association, British Thyroid Foundation and Society for Endocrinology, and is endorsed by the Royal College of General Practitioners.
The guidance states that overwhelming evidence supports the use of thyroxine T4 hormone replacement alone in the treatment of hypothyroidism. This is usually prescribed as levothyroxine tablets. The guidance does not recommend prescribing additional T3 hormone (liothyronine) in any presently available form. However, this does not prevent clinicians considering other forms of thyroid hormone replacement if appropriate.
More generally, decisions about what medicines to prescribe are made by the doctor or healthcare professional responsible for that part of the patient’s care. Prescribers are accountable for their prescribing decisions both professionally and to their service commissioners.
With regard to medicines prices, the Department is aware that there have been a number of increases in the prices of certain medicines, including thyroid medication. These include instances where a product previously marketed as a brand has been subsequently marketed as generic and an increase in price has been applied in view of the lack of a competitive market for that product.
Any concerns about possible anti-competitive behaviour by pharmaceutical companies should always be reported to the Competition and Markets Authority. The Authority was asked to look urgently at the evidence uncovered by The Times as part of its investigations into excessive drugs pricing.
There are systems in place to ensure that the NHS obtains the best value possible from the purchasing of medicines. There are voluntary and statutory schemes in place to consider the prices of branded and generic medicines rather than consider each product individually.
The Department also has legislative provisions to allow it to intervene with regard to the prices of medicines. However, any investigation would require a high-level and detailed knowledge of the company’s business to be able to make a judgement as to whether a particular price increase was justified.
However, due to the forthcoming election, the Department cannot comment further on this matter. The costs of medicines in the future will be a matter for the incoming Government.
You may therefore wish to share your concerns with the relevant political parties or write again to the Department after the election.
I am sorry I cannot be more helpful.
Ministerial Correspondence and Public Enquiries
Department of Health