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Liothyronine is a manufactured form of the thyroid hormone triiodothyronine (T 3). [2] It is most commonly used to treat hypothyroidism and myxedema coma. [2] It can be taken by mouth or by injection into a vein. [2] Side effects may occur from excessive doses. [2]
Adding liothyronine to levothyroxine has been suggested as a measure to provide better symptom control, but this has not been confirmed by studies. [9] [16] [66] In 2007, the British Thyroid Association stated that combined T 4 and T 3 therapy carried a higher rate of side effects and no benefit over T 4 alone.
In these cases, synthetic liothyronine is preferred due to the potential differences between the natural thyroid products. Some studies show that the mixed therapy is beneficial to all patients, but the addition of lyothyronine contains additional side effects and the medication should be evaluated on an individual basis. [27]
T 3 is the more metabolically active hormone produced from T 4.T 4 is deiodinated by three deiodinase enzymes to produce the more-active triiodothyronine: . Type I present in liver, kidney, thyroid, and (to a lesser extent) pituitary; it accounts for 80% of the deiodination of T 4.
This statement from the article is completely wrong: "The dose of liothyronine for hypothyroidism is a lower amount than levothyroxine due it being a higher concentrated synthetic medication.[1]". Liothyronine has a lower dose than levothyroxine because liothyronine is T3 whereas levothyroxine is T4, and T3 is about 4 times potent as T4.
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[15] However, subgroup analysis found that patients who remain the most symptomatic while taking levothyroxine may benefit from therapy containing liothyronine. [15] There is a lack of evidence around the benefits, long-term effects and side effects of dessicated thyroid extract. It is no longer recommended for the treatment of hypothyroidism. [78]
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