A very recent update from the Central Drugs Standard Control Organization of India. Which rather suggests a growing acceptance that liothyronine really does have a role. (Though use of the word "severe" is contradictory to my understanding of its use. Severity isn't actually the issue, the failure of levothyroxine monotherapy to relieve symptoms very much is.)
Liothyronine sodium bulk and Liothyronine sodium tablets 5mcg & 20 mcg
To treat some of the more severe conditions in which the thyroid does not produce enough thyroxine and balance the effect of medicines used to treat an overactive thyroid.
The Indian company Zydus (Cadila) supplies the USA with their product. And I'd not be surprised if Lupin will soon also offer their product to the USA. (I'm currently collecting information about liothyronine in India.)
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I agree with your statement and I do hope that T3 will also be offered to those who've hypothyroidism - particularly so if they are not improving or having more clinical symptoms on levothyroxine.
Afraid my specialty is finding out what products exist - and where! I have never taken T3 so feel extremely ignorant - and where to obtain it and how to manage dosing.
If GP won’t increase dose due to low TSH suggest you make an appointment with recommended thyroid specialist endocrinologist
BEFORE booking any consultation we ALWAYS recommend getting FULL Thyroid and vitamin testing done
Did you get full iron panel test done
Improving low vitamin levels is always first step
Come back with new post of your own once you get results
Do you always get same brand levothyroxine
How much levothyroxine are you currently taking
Bloods should be retested 6-8 weeks after each dose change or brand change in levothyroxine
For full Thyroid evaluation you need TSH, FT4 and FT3 plus both TPO and TG thyroid antibodies tested.
Very important to test vitamin D, folate, ferritin and B12 at least once year minimum
Low vitamin levels are extremely common, especially with autoimmune thyroid disease (Hashimoto’s or Ord’s thyroiditis) usually diagnosed by high thyroid antibodies
About 90% of primary hypothyroidism is autoimmune thyroid disease
Low vitamin levels are more common as we get older too
Autoimmune thyroid disease with goitre is Hashimoto’s
Autoimmune thyroid disease without goitre is Ord’s thyroiditis. Both are autoimmune and generally called Hashimoto’s.
In U.K. medics hardly ever refer to autoimmune thyroid disease as Hashimoto’s (or Ord’s thyroiditis)
Recommended on here that all thyroid blood tests early morning, ideally before 9am last dose levothyroxine 24 hours before test
This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)
Private tests are available as NHS currently rarely tests Ft3 or all relevant vitamins
List of private testing options and money off codes
Thanks for posting. That’s very interesting- has UK signed a trade agreement with India yet, I’ve lost count of the possible trade agreements, especially with all the shenanigans going on 😱
No agreement yet - suggestions they will aim for October/Diwali. But the issues arising from Ukraine might well impact everything to do with the negotiations.
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