Why is Cytomel prescribed?

Liothyronine (Cytomel) is prescribed alone or in combination with any other medications for the treatment of hormonal thyroid activity such as low levels of thyroid hormone and an enlarged thyroid gland.

What does it do?

Liothyronine, classified as a thyroid medication, primarily works by reducing the effects of the synthesis of proteins and transcription of DNA which results in the promotion of growth, maturation and the metabolism of body tissues; thus, helps in the regulation of energy and metabolism in the body.

How should I take it?

Cytomel is available as a 20mcg tablet that should be taken as a whole (do not split) by mouth with or without food.

The dosage strength depends on every patient’s condition and the doctor’s prescription. It is imperative that you do not self-medicate and only take this drug after consulting with your doctor or pharmacist to determine the best dosage and dosing schedule for the treatment of your condition.

What if I missed a dose?

The desired effects of prescribed medications will only be achieved if taken properly. As much as possible, strictly follow your doctor’s prescribed dosing schedule. However, if you miss a dose, take it immediately and adjust the time of your next dose depending on your doctor’s advice. Never take two doses at the same time just to make up for your missed dose.

What are the special precautions before taking Cytomel?

Tell your doctor or pharmacist if you have any allergies to food or to Liothyronine itself as it may contain several inactive ingredients, which can cause allergic reactions or problems.

Inform your doctor about your past and current medical history, especially if you have or have had high blood pressure, diabetes, chest pain, stroke, adrenal gland problems, osteoporosis and blood clotting disorder.

Consult your doctor regarding all the other medications you use before getting surgery.

For the drug label information of Cytomel, click here.

Does it have any side effects?

It is important to note that all drugs have corresponding side effects and adverse reactions. Additional information may be obtained when you ask your doctor or pharmacist.

Common side effects include:
• Diarrhea
• Dyspnea
• Headache
• Increased appetite
• Insomnia
• Irregular menstrual period
• Rash
• Tremors
• Weight loss

Serious side effects include:
• Cold intolerance
• Light-headedness
• Pressure in the chest spreading to your jaw or shoulder
• Shallow breathing
• Syncope
• Trouble moving of legs
• Twitching
• Vision problems

Is it safe to use it with another drug?

Some drug interactions may cause life-threatening reactions when taken with other medications. Immediately inform your doctor if you are taking Cytomel with any of the following medications:

• Abilify
• Amobarbital
• Argatroban
• Arixtra
• Bemiparin
• Bivalirudin
• Butalbital
• Carbatrol
• Cholestyramine
• Clexane
• Colestipol
• Coumadin
• Dalteparin
• Dexilant
• Dilantin
• Ferrofer
• Fondaparinux
• Glucophage
• Heparin Leo
• Lanoxin
• Lasix
• Luminal
• Mysoline
• Nexium 
• Nootropil
• Pantoloc
• Pentobarbital
• Prevacid
• Protamine
• Rose hips
• Sodium iodide
• Theophylline

If you are using any prescription, non-prescription and herbal medications, inform your doctor and pharmacist for proper information and ask for other possible interactions not listed within this section.

How should I store it?

Store Cytomel at room temperature (25 °C) in a clean environment away from light and moisture, as well as children and pets. Do not refrigerate. Do not remove the desiccant in the original container. Throw away if unused or expired. Do not flush in the toilet. Consult the pharmacist for proper disposal.

What action should I take in case of overdose?

Call an ambulance and seek immediate medical attention to prevent further complications or possible death.

Is it safe for pregnant or breastfeeding women?

There are only limited studies and data regarding the safety of Liothyronine to determine drug-associated risks of major maternal defects, miscarriages and fetal outcomes. In addition, based on clinical experiences to date, no known adverse effects on the unborn baby has been identified when Liothyronine crosses the blood brain barrier.

Limited data have been established indicating the presence of Liothyronine in human milk. Consult your doctor first before breastfeeding.

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