I have identified two changes to liothyronine licences.
First, an Accord 20 microgram tablet is now listed. Does not contain lactose, mannitol or acacia.
Accord contains:
6.1 List of excipients
Pregelatinised maize starch,
Cellulose microcrystalline,
Light magnesium oxide,
Sodium starch glycolate,
Sodium stearyl fumarate
Second, the SigmaPharm 5 microgram tablet now has a UK licence. Does not contain lactose or acacia. It appears to be the same product that has previously been supplied as an import from the USA.
6.1 List of excipients
Calcium sulfate dihydrate
Corn starch
Gelatin
Magnesium stearate
Mannitol (E421)
Note: These products are very unlikely yet to be available. Could be months before they appear in pharmacies.
If anyone sees either of them, please let me know!
I am currently updating my medicines document to include these. I will add a response later when I have done so.
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helvella
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My medicines document has been updated to include these new products.
helvella - Thyroid Hormone Medicines
I have created, and try to maintain, a document containing details of all thyroid hormone medicines in the UK and, in less detail, many others around the world.
Utterly ridiculous that they identify the USA as a source for Tirosint - it is both manufactured in Switzerland and readily available (often at lower prices) in much of Europe.
helvella, thank you very much for this update. It is of interest to me on 2 counts. I always had Accord levo after discovering acacia powder was like poison to me. When I first went onto liothyronine (alongside Accord levo) I firstly had uni pharma, then Thybon (which I preferred) when GP gave me a private scrip. Now with NHS scrip I am currently on Sigma Pharma 3 x 5mcgm per day with 100 levo (Accord)
I have always been aware that SP was expensive, but other than Thybon seemed to be the only lio that I tolerated. I often worried if SP would be denied me because of the cost.
Lets hope that these 2 new Liothyronine brands for NHS will mean that I don't need to worry about cost being an issue anymore.
Thanks again for all your hard work in keeping the meds list current.
I’ve recently had a letter off my NHS endocrinologist saying the hospital pharmacy will no longer be able to give me my regular prescription of Mayne Pharma 5mcg Liothyronine. Due to licensing. Yesterday I got a phone call from a medications manager from the hospital asking me a number of questions relating to brands for myself going forward. I’m about to run out of Mayne Pharma 5mcg. I don’t know why I was prescribed Mayne Pharma 5mcg apparently they are lactose free. I’m not allergic to lactose!? I did have an issue with Sigma 5mcg and came out in a rash all over my torso. Not sure why??
It’s getting a bit messy with my pharmacy. I stressed I would like to be prescribed Sanofi ThyBon Henning 20mcg and I could cut into quarters. I tried this brand very successfully. Do you know if the NHS can prescribe ThyBon Henning 20mcg. I mentioned Roseway Labs in London to contact. Any idea if this is possible please.
somebody was on the other day saying their NHS Thybon had been stopped after an audit at the pharmacy ? said it was too expensive now that there are cheaper alternatives available from UK. healthunlocked.com/thyroidu...
I suspect that when an ordinary pharmacy orders and dispenses Thybon Henning, the cost to the NHS is much more than we can get from Roseway (and the other pharmacies) with a private prescription.
I am trying to find out why there is a licensing issue. I am not aware of any reason.
I take SigmaPharm T3 and it’s expensive because it’s not easily available, very few places stock it.
We can’t blame manufacturers for not entering the market when there is barely a market as Endos (even private ones) are so reluctant to prescribe T3 as they think it’s some kind of taboo!
It’s good more products are coming in but unless there’s enough volume of business available they will simply walk away later - I’ve worked in Pharma and it’s a simple numbers game.
We need to see an increase in prescribing of T3 for all those who desperately need it and can’t get better on T4 mono.
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