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Levothyroxine has a half-life of 7.5 days when taken daily, so about six weeks is required for it to reach a steady level in the blood. [5] Side effects from excessive doses include weight loss, trouble tolerating heat, sweating, anxiety, trouble sleeping, tremor, and fast heart rate. [5]
It is used to treat hypothyroidism, [1] but less preferred than levothyroxine. [1] It is taken by mouth. [1] Maximal effects may take up to three weeks to occur. [1] Side effects may occur from excessive doses. [1] This may include weight loss, fever, headache, anxiety, trouble sleeping, arrhythmias, and heart failure. [1]
Liotrix is a 4:1 mixture of thyroxine (T 4) and triiodothyronine (T 3) made synthetically.It is used to replenish thyroid hormones in thyroid deficiency and hypothyroidism.The only brand of liotrix available in the U.S. is Thyrolar, manufactured by Forest Laboratories.
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.
For patients taking levothyroxine, TSH may be boosted by discontinuing levothyroxine for 3–6 weeks. [6] This long period of hormone withdrawal is required because of levothyroxine's relatively long biological half-life, and may result in symptoms of hypothyroidism in the patient. The shorter half-life of liothyronine permits a withdrawal ...
[68] [69] Dogs which display coprophagy, the consumption of feces, and also live in a household with a dog receiving levothyroxine treatment, may develop hyperthyroidism if they frequently eat the feces from the dog receiving levothyroxine treatment. [70] Hyperthyroidism may occur if a dog eats an excessive amount of thyroid gland tissue.
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The standard of care is levothyroxine (LT 4) therapy, which is an oral medication identical in molecular structure to endogenous thyroxine (T 4). [21] Levothyroxine sodium has a sodium salt added to increase the gastrointestinal absorption of levothyroxine. [73]