Cytomel

— THERAPEUTIC CATEGORIES —
  • Thyroid disease

Cytomel Generic Name & Formulations

General Description

Liothyronine sodium 5mcg, 25mcg, 50mcg; tabs.

Pharmacological Class

T3 (synthetic).

How Supplied

Tabs—100

Manufacturer

Cytomel Indications

Indications

Hypothyroidism.

Cytomel Dosage and Administration

Adult

Hypothyroidism: initially 25mcg daily; may increase by up to 25mcg every 1–2 weeks; usual maintenance 25–75mcg daily. Myxedema, simple goiter: initially 5mcg daily; may increase by 5–10mcg daily every 1–2 weeks to 25mcg daily, then may increase by 5–25mcg every 1–2 weeks (myxedema) or by 12.5 or 25mcg daily every 1–2 weeks (simple goiter). Maintenance: myxedema: 50–100mcg/day; simple goiter: 75mcg/day.

Children

Initially 5mcg daily; may increase by 5mcg daily every 3–4 days. Cretinism: maintenance dose: <1yr: 20mcg/day. 1–3yrs: 50mcg/day. >3yrs: as adult.

Cytomel Contraindications

Contraindications

Uncorrected adrenocortical insufficiency. Untreated thyrotoxicosis.

Cytomel Boxed Warnings

Boxed Warning

Larger doses particularly when given concomitantly with sympathomimetic amines for anorectic effects may produce serious or life-threatening toxicity.

Cytomel Warnings/Precautions

Warnings/Precautions

Not for treatment of obesity or infertility (unless with hypothyroidism). Cardiovascular disease, angina, elderly: use lower initial dose. Adrenocortical insufficiency. Diabetes. Monitor for craniosynostosis in infants. Pregnancy (Cat.A). Nursing mothers.

Cytomel Pharmacokinetics

See Literature

Cytomel Interactions

Interactions

Monitor oral anticoagulants, hypoglycemics, digoxin. Estrogens affect thyroid function tests. Monitor for hypertension with ketamine. Toxicity with larger doses of sympathomimetics (eg, anorectics).

Cytomel Adverse Reactions

Adverse Reactions

Hyperthyroidism, transient hair loss in children.

Cytomel Clinical Trials

See Literature

Cytomel Note

Not Applicable

Cytomel Patient Counseling

See Literature