Roma – Liothyronine Sodium Hard Capsules

[helvella]

As of yesterday, a new liothyronine product has become available in the UK.

I do not know which companies are distributing the product.

I do not know the cost - they are not in the current NHS Tariff - we expect the February 2022 Tariff in the last few days of January.

Ingredients are Maize starch, Magnesium Stearate and gelatine capsule. The 10 and 20 also contain titanium dioxide, and the 20 also contains yellow iron oxide. (These additional ingredients appear to be used to change the look of the capsules.)

Roma – Liothyronine Sodium Hard Capsules

Marketing authorisation holder ROMA Pharmaceuticals Limited Gibraltar House,

Manufactured by Galenica Pharmaceutical Industry S.A., Greece

Being marketed as from 13/01/2022

romapharma.co.uk/

No lactose ingredient

5 microgram hard capsule

PL 49578-0018

Capsule Size: 4 Diameter Ø: 5.1/5.3 mm Length: 14.3 mm Weight ⚖: ?? milligrams

(MHRA PIL) products.mhra.gov.uk/search...

(MHRA SPC) products.mhra.gov.uk/search...

(MHRA PAR) products.mhra.gov.uk/search...

10 microgram hard capsule

PL 49578-0019

Capsule Size: 4 Diameter Ø: 5.1/5.3 mm Length: 14.3 mm Weight ⚖: ?? milligrams

(MHRA PIL) products.mhra.gov.uk/search...

(MHRA SPC) products.mhra.gov.uk/search...

(MHRA PAR) products.mhra.gov.uk/search...

20 microgram hard capsule

PL 49578-0020

Capsule Size: 4 Diameter Ø: 5.1/5.3 mm Length: 14.3 mm Weight ⚖: ?? milligrams

(MHRA PIL) products.mhra.gov.uk/search...

(MHRA SPC) products.mhra.gov.uk/search...

(MHRA PAR) products.mhra.gov.uk/search...

Any references to Colonis are out of date. The product licence was transferred to Roma and never sold under Colonis.

Recommend getting details from:

helvella's medicines documents (UK and Rest of the World) can be found here:

helvella - Thyroid Hormone Medicines

helvella has created, and tries to maintain, documents containing details of all thyroid hormone medicines in the UK and, in less detail, many others around the world.

This link takes you to a page which has direct links to the documents from Dropbox and Google Drive, and QR codes to make it easy to access from phones.

helvella.blogspot.com/p/hel...

[ Updated 2023/04/13 as some is out of date. ]

[SlowDragon Administrator]

Good news

This should particularly help drive down prices of 5mcg and 10mcg tablets

[shaws]

If it is as good as Unipharma that's definitely a positive. If also reasonably priced the NHS might import?

I hope you are feeling better this a.m.

[Gingernut44]

Thanks helvella. I’ve been chasing these capsules since spotting them on your list. Only 2 of the pharmacies on ThyroidUK list have shown any interest. I’m going to contact them again now that I know they are available. I’ve been meaning to message you about them as only a couple of days ago they weren’t even listed on Galenica’s website.I’ll share any further information.

[helvella in reply to Gingernut44]

Obviously, I hope you let us know how it goes.

[Goldengirl01]

The only downfall is being able increase or decrease doses by 2.5mcg at a time so then it’s better to stick to tablets.

[helvella in reply to Goldengirl01]

Looking at the bright side, at least they go down to 5 micrograms without having to quarter a tablet!

(I know Morningside 5 and 10 microgram tablets are available. But there is strong cost pressure to be prescribed 20 microgram tablets.)

[Gingernut44 in reply to Goldengirl01]

The upside is, they don’t appear to have a load of nasties in them which is why I need to try them.

[BB001 in reply to Goldengirl01]

It is possible to pull the 5mcg capsules apart. To get 2.5mcg (as near as possible)...

If you then tip the contents onto a piece of paper and put it to one side, you have an empty capsule.

Take another 5mcg capsule. Split the contents between the empty capsule and the full capsule. Tap down. When they are level, you have 2.5mcg. Not accurately, but pretty close.

If you tip the contents of the '2.5mcg' capsule into your mouth, you will still have an empty capsule for next time.

You then put the original contents back into the empty capsule.

[bookish in reply to BB001]

G Baldwin sell empty capsules, if it helps baldwins.co.uk/crafts/capsules. Been using them for years.

[BB001 in reply to bookish]

Baldwins have stopped doing empty bovine capsules. I've had to go elsewhere. amazon.co.uk/Your-Supplemen...

I emailed the manufacturer, these are bovine.

[helvella in reply to BB001]

There are lots of vegetarian capsules available. If you tolerate what they are made from!

[BB001 in reply to helvella]

That's the problem, I'm intolerant to corn. I'm OK with bovine capsules. I deliberately don't eat beef as I don't currently react to bovine capsules or bovine desiccated thyroid (Thyro-Gold) and I want to keep it that way.

[helvella in reply to BB001]

Some are expressly not from corn!

I thought some were made from agar - but none I found quickly.

PURE INGREDIENTS: Made with HPMC (Hydroxypropyl methylcellulose) derived from wood trees. Non-GMO Certified. No additives or contaminants. Allergen and Gluten Free. Kosher and Halal certified.

smile.amazon.co.uk/Clear-Si...

[bookish in reply to helvella]

Thanks for that. They are horrendously expensive though. I avoid HPMC because of the likely carrageenan, so may have to ask them, in case of need.

[BB001 in reply to bookish]

I'm wondering why you avoid carrageenan, are you intolerant to it?

[bookish in reply to BB001]

Carrageenan is a gut irritant, according to Micki Rose's (Pure Health, purehealthclinic.co.uk/) list of supplements, and regular use best avoided. Some can have quite extreme reactions. At the time when I started trying to sort my 'corn free, truly grain free' supplements my gut was not at all happy so it seemed worth paying attention to that bit of information. I am not aware of having reacted, but am not aware of ingesting any. Micki found out by reacting to an Alpro soya dessert and then an iron supplement. Cheers

[BB001 in reply to helvella]

True. Some have tapioca starch, or rice starch. I'm intolerant to all grains

[BB001 in reply to BB001]

I message the seller to ask what these capsules were made of. Bovine. I've edited my comment with the link on to say so.

[bookish in reply to BB001]

If their gelatine are bovine then have they only just stopped, because my recent order arrived ok earlier today. That will be a problem. I have used Alchemists Apothecary but it looks as if they don't have any. Thanks for the link.

[BB001 in reply to bookish]

I'm getting a bit confused, which manufacturer are you referring to?

[bookish in reply to BB001]

Sorry, Baldwins. You said above that they had stopped but I only just got some. Different size perhaps? They stopped the 00 some time ago so I have to cope with 0. (Micki Rose suggests Now Foods capsules on her TGF Masterlist, which are bovine and you can get via Spectrum Supplements in 0, 00 and 000, but also expensive). Cheers