Tirosint in USA: In case it is of any relevance... - Thyroid UK

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Tirosint in USA

helvella profile image
helvellaAdministratorThyroid UK
19 Replies

In case it is of any relevance, there is now a Lannett product - manufactured by IBSA (who make Tirosint) - which appears to be the exact same product.

Details of the product available here:

dailymed.nlm.nih.gov/dailym...

I have attached an image of the "splat" of the card outer packaging for one dosage in Lannett livery.

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helvella profile image
helvella
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19 Replies
JanieL profile image
JanieL

Ooh!! At the moment I pay a fortune for Tirosint through Roseway labs. Do you think it will eventually become easier to purchase the gel capsule Levo?

Maybe it will be free on NHS one day, it b****y should be!! 😊

helvella profile image
helvellaAdministratorThyroid UK in reply to JanieL

I have my doubts!

There has been a persistent rumour that IBSA (which is a Swiss company despite almost every mention of Tirosint referring to the USA) has (or had) plans to launch Tirosint in the UK.

If they believed the market would be large enough, I don't think there would be much of an issue. However, it would have to be specifically licensed (not as part of some EU licence). And we can wonder whether the market would ever be large enough.

JanieL profile image
JanieL in reply to helvella

Makes you wonder hey?! 😉

helvella profile image
helvellaAdministratorThyroid UK in reply to JanieL

There is a significant cost in applying for a licence (marketing authorisation).

If IBSA cannot see the NHS buying reasonable quantities of Tirosint, I suspect they simply cannot justify that cost. Hence discussions between IBSA and the NHS might have been held. The NHS is likely to have been unwilling to commit to quantities even as they see some reason for the product to be added to possible supplies.

IBSA appear to have no sites at all in the UK (production, research, offices, or anything else).

JanieL profile image
JanieL in reply to helvella

Such a shame for us sufferers... 😔The fillers of lactose, gluten and other fillers makes us stay sick I believe!

When I was consuming mannitol in one of my previous brands I felt awful!

Thank you for explaining dear Helvella 🙏

helvella profile image
helvellaAdministratorThyroid UK in reply to JanieL

There are very few UK medicines which contain any gluten!

The UK's Coeliac Society says:

• The vast majority of medicines prescribed by your GP are gluten-free

• A very small number of medicines contain wheat starch which contains low levels of gluten. Wheat starch is one of many ingredients so even when wheat starch is used, the overall gluten content of the medicine is very low.

• For medicines which contain wheat starch in almost all cases, an alternative medicinal product can be prescribed, containing the same active ingredient, and which does not contain wheat starch.

• Sometimes medications can cause side effects that are similar to symptoms that occur after eating gluten. Speak to your GP if you have any unexpected side effects.

• Where wheat starch has not been used in a medicinal product, the product can be regarded as gluten-free

coeliac.org.uk/coeliac-dise...

• The vast majority of medicines prescribed by your GP are gluten-free

• A very small number of medicines contain wheat starch which contains low levels of gluten. Wheat starch is one of many ingredients so even when wheat starch is used, the overall gluten content of the medicine is very low.

• For medicines which contain wheat starch in almost all cases, an alternative medicinal product can be prescribed, containing the same active ingredient, and which does not contain wheat starch.

• Sometimes medications can cause side effects that are similar to symptoms that occur after eating gluten. Speak to your GP if you have any unexpected side effects.

• Where wheat starch has not been used in a medicinal product, the product can be regarded as gluten-free

coeliac.org.uk/coeliac-dise...

JanieL profile image
JanieL in reply to helvella

Aha!! So it’s wheat starch ...

When I become bankrupt paying for Tirosint over the years, I may need this info! 😂🙏

helvella profile image
helvellaAdministratorThyroid UK in reply to JanieL

Very few medicines contain wheat at all.

Last time I looked, the only ones I could find which contained wheat (not highly processed wheat starch) were products specifically made for allergy testing to see if people have a wheat allergy!

I checked the EMC website and found 11 products mentioning wheat starch - but that site is not complete:

medicines.org.uk/emc/search...

I checked the MHRA's website and found 83 products which mention "wheat starch". (The total includes different dosages of the same medicine. The number of different medicines is, of course, lower.):

products.mhra.gov.uk/search...

The Patient Information Leaflet should always say something like:

Also contains Wheat starch – suitable for people with coeliac disease. Patients with wheat allergy (different from coeliac disease) should not take this medicine.

jrbarnes profile image
jrbarnes

I'm in the USA so I called my pharmacy just now to inquire about a generic distributed by Lannett. The employee stated they couldn't order it. Lannett may only distribute to certain pharmacies. I may have to contact them directly to inquire however most of the time they don't have that information. I went through this last year when Lannett took over distribution rights of a generic Levo I was on for years. I had to contact them to find out who they were distributing it to but to no avail.

helvella profile image
helvellaAdministratorThyroid UK in reply to jrbarnes

It is dire - isn't it?

Do let us know how it goes. Won't help me, but might be useful for some other USA-dwellers. :-)

jrbarnes profile image
jrbarnes in reply to helvella

I've sent Lannett an email, inquiring as to this announcement last year and how does one obtain such a product. Will update if I get a reply.

helvella profile image
helvellaAdministratorThyroid UK in reply to jrbarnes

Just been thinking, you might do better contacting the various pharmacies that are accessible to you. Though some might not yet have woken up to the possibilities.

jrbarnes profile image
jrbarnes in reply to helvella

Good advice. Wouldn't be the first time I've had to call around!

jrbarnes profile image
jrbarnes in reply to helvella

The reply from Lannett.

Lannett sells to wholesalers and distributors; we do not have a database that provides the information on which pharmacies will have this product available to you. Please contact the wholesaler directly, they may be able to help you with the information you are looking for. The below have purchased this product.

• AmerisourceBergen

• Cardinal Health

• McKesson

helvella profile image
helvellaAdministratorThyroid UK in reply to jrbarnes

Despite its shortness, that just might be quite helpful.

McKesson own Health Mart - about 4000 pharmacies and growing! Seems to have acquired FoxMeyer a number of years ago.

Who have a deal with Amazon Hub Counter (whatever that is).

en.wikipedia.org/wiki/Healt...

McKesson also own a lot of pharmacies in the UK - the Lloyds chain and Echo and AAH distributors.

jrbarnes profile image
jrbarnes in reply to helvella

At least they listed the distributors. McKesson is the biggest one I'm familiar with.

guysgrams profile image
guysgrams

Wonder when this form will be available in U.S. and where. I can't seem to find any info on this anywhere, just that it has been approved by FDA

helvella profile image
helvellaAdministratorThyroid UK in reply to guysgrams

It is only a cost issue! It is exactly the same product as IBSA Tirosint Gel Caps.

(I say "only" but that could, of course, be a deal-breaker.)

guysgrams profile image
guysgrams in reply to helvella

Yes, I know it's the same but sure would like to see when, where and what it will cost when available.

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