After a long haul I actually have a private prescription for T3!!!!The endo has written down to cut levo from 100 to 50 mg and add 10 MCG of triiodothyronine. Can cut T3 into 2 if needed.
Shall I get my thyroid tests done again before I start this regime? I've upped my vitamin regime over the last month so they should be ok. Or should I start decreasing Levo first for a while before introducing T3.
Obviously I'm nervous about starting T3 so I just need a little help along the way.
Thankyou all.
so does prescription state 10mcg tablets
These are very expensive
You ideally want prescription changed to 20mcg tablets as vastly cheaper
Private prescription enables access to Thybon Henning 20mcg tablets via specialist pharmacies in 50-60p per tablet.
So approx £14-16 per 28 days
10mcg tablets are currently £152 per 28 tablets
Might be even more expensive on private prescription
Perhaps ask these specialist pharmacies for quote on price
Then go back to endocrinologist to ask then to change prescription if necessary
thyroiduk.org/if-you-are-hy...
Previous post 11 days ago shows Ft4 is over range
So yes you do probably need to reduce dose levothyroxine a little, but reducing by 50mcg is likely too much
We usually suggest reducing by 25mcg per day for 5-7 days BEFORE adding T3
Yes only initially start with just 5mcg dose
(1/4 of a 20mcg tablet or 1/2 of a 10mcg tablet )
After 3-5 days add 2nd 5mcg dose approx 10-12 hours after first dose
Retest in 6-8 weeks
Cutting tablets
You will need to cut levothyroxine and T3
Some people cope with pill cutter fine
Personally I prefer a sharp craft scalpel
scalemodelshop.co.uk/10pk-n...
Mop up any crumbs with damp finger
Thankyou slow dragon. I darent ask him to change prescription after the hassle of getting this one. It's for 10 MCG X 100 tablets. It's going to cost a fortune!!! I shall check out prices on the pharmacies listed here. My god if they work I will have to starve as couldn't afford to eat and take T3 😂
It they were changed to capsules it would be £65 for 28. (Private might be a bit more.)
Obviously, splitting is a problem with capsules.
I would actually go back to him on email with the price difference
Get quotes on prices first from pharmacies
Most T3 is in boxes of 28 tablets anyway so 100 tablets isn’t going to work
Only Thybon Henning 20mcg is in box of 100 tablets
Explain that you took advice from Thyroid U.K. (NHS recommended Thyroid support group) and were advised that because of significant price difference majority of patients on private prescription get Thybon Henning 20mcg tablets
He has put Triiodothyronine on the prescription. I'm guessing that's T3. Does that mean I can get any brand using this script?
My private endo writes Thybon Henning Triiodothyronine on my prescription and specifies 20mcg tablets. You do need to get that changed. It's ridiculous to pay out all that extra money unnecessarily.
Reduce your Levo by 25mcg only and start on 5mcg T3 for a couple of weeks, then increase by another 5mcg. See how you feel. We have to work our doses out for ourselves. My biggest mistake was following the endo and his strange dosing strategy when I knew inside that it was wrong but just wanted him to take over.
Triiodothyronine is the chemical name for T3. Liothyronine is usual name for T3 as a medicine.
I think only injectable T3 is still referred to as Triiodothyronine. And that for historical reasons - no-one has bothered to change it!
Any brand - but there is only one brand of tablet (Morningside) and one of capsule (Roma).
You'll only be able to get whatever brand comes in a 10mcg tablet. May even be a capsule that you can't split. Looks like will have to be Morningside if you want a tablet to split. Wouldn't recommend a capsule at all.
Yay you! I just did a virtual happy dance for you. 💃
The only thing I'm wondering if it's too much Levo to drop. Time will tell though. Fingers crossed for you.
Ha ha thankyou.
Capsules can’t (easily) be split …..so would be ridiculous to consider unless forced to
Would have to open capsule and halve the powder
Would really be like “cutting the crack”
As helvella says only 2 options with 10mcg dose
Both are Per box of 28 - so nether can work for x 100
Morningside healthcare - £152 on NHS
10mcg Roma capsules - £65
Let's send out a little prayer to the post gods 🙏🙃
I would be concerned that your endo has reduced your Levo dose too much.
There are different opinions amongst patients and doctors.
Some consider that T3 is 3 times as potent as T4.
Some consider that T3 is 4 times as potent as T4.
Some consider that T3 is 5 times as potent as T4.
I think your doctor must be one of the "5 times as potent" believers.
If I was on Levo only and was going to take 10mcg T3 per day I would reduce my Levo by 30mcg per day, because my experience of Levo and T3 is that the truth is closer to T3 being 3 times as potent as T4.
Definitely get quotes for the T3. I just paid £70+ for a box of 28 20mcg tablets. One of the private chemists quoted me £14 for the same thing.
😩
No need to be anxious about taking T3.
I had severe palpitations when taking T4 and the cardiologist had been contemplating putting an implant in my heart 'to see what was going on'.
T3 resolved all of palpitations and that's what I take at present.
I feel well and am symptom-free.
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My T3 is here, can anyone suggest how to start? 
