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Liothyronine

Indication

Prescribing by secondary or tertiary care specialists for the treatment of acute conditions where thyroid replacement is needed rapidly, for a limited period and/or where a drug with shorter half-life is required
Red

Brand:

Tertroxin®

Nice TA:

Commissioning responsibility:

CCG

PbR excluded:

No

BNF chapter:
Endocrine system

Background

Prescribing by secondary or tertiary care specialists for the treatment of acute conditions where thyroid replacement is needed rapidly, for a limited period and/or where a drug with shorter half-life is required — Red
Liothyronine is recommended for prescribing by secondary or tertiary care specialists in the following settings:
preceding ablation therapy with radioactive iodine
for the treatment of coma of myxedema, the management of severe chronic thyroid deficiency and hypothyroid states occurring in the treatment of thyrotoxicosis.*
treatment of thyrotoxicosis as an adjunct to carbimazole to prevent sub-clinical hypothyroidism developing during treatment.*
treating severe and acute hypothyroid states because of its rapid and more potent effect, thyroxine sodium is normally the drug of choice for routine replacement therapy.*
* = licensed indication
Specialist knowledge, intensive monitoring and specific dose adjustments are necessary. Liothyronine must be supplied by the hospital for the duration of the treatment course. Primary care initiation or continuation of treatment is not recommended unless in exceptional circumstances.
This colour classification is in agreement with the recommendations contained within the NHS England and NHS Clinical Commissioners guidance document ‘Items which should not routinely be prescribed in primary care: Guidance for CCGs‘ published in November 2017

Recommendation

LSCMMG Recommendation:

Red

Reason for decision:

Specialist medicine

Decisions of Lancashire local decision making groups

Red
Red
Red
Red
Red
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Red
What do the colours mean?

Last Updated: 01 - May - 2016