Liothyronine (T3) in India: A very recent update... - Thyroid UK

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Liothyronine (T3) in India

helvella profile image
helvellaAdministratorThyroid UK
12 Replies

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.

04.04.2022

cdsco.gov.in/opencms/resour...

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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helvella
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shaws profile image
shawsAdministrator

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.

Poppyfaery profile image
Poppyfaery

Hi im trying to medicate myself with t3 to no avail, i dont know where or how to start aymore tesly glad your on it

Poppyfaery profile image
Poppyfaery in reply to Poppyfaery

Realy glad

helvella profile image
helvellaAdministratorThyroid UK in reply to Poppyfaery

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.

SlowDragon profile image
SlowDragonAdministrator in reply to Poppyfaery

Previous post shows you were under medicated and in need of dose increase in levothyroxine

healthunlocked.com/thyroidu...

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

thyroiduk.org/getting-a-dia...

Medichecks Thyroid plus antibodies and vitamins

medichecks.com/products/adv...

Blue Horizon Thyroid Premium Gold includes antibodies, cortisol and vitamins by DIY fingerprick test

bluehorizonbloodtests.co.uk...

shaws profile image
shawsAdministrator in reply to Poppyfaery

Have you been diagnosed with pernicious anaemia? - the usual cause of low B12?

If so - you have to have regular B12 injections due to our stomach not being able to absorb B12. It is very important that we have B12 injections.

If you haven't been diagnosed request GP to test your intrinsic factor.

hopkinsmedicine.org/health/...

LindaC profile image
LindaC

Iran also makes its own Liothyronine 25 mcg - Manufactured by Iran Hormone Tehran Iran - they come in boxes of 100. Other places do make T3, :-)

helvella profile image
helvellaAdministratorThyroid UK in reply to LindaC

Got that in my document already!

But did not have number of tablets in package. :-)

Now added.

LindaC profile image
LindaC

Right! As some will know, we get a feast or famine... of T3 [has been NDT years back] - I've many, slightly out of date... !

Gingernut44 profile image
Gingernut44

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 😱

helvella profile image
helvellaAdministratorThyroid UK in reply to Gingernut44

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.

Gingernut44 profile image
Gingernut44 in reply to helvella

Thanks for your info - will have to keep an “eye out” come Diwali 😊

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