Cytomel

Generic Name: Liothyronine

  • What is this medication and its most common uses?

    Cytomel is a medicine used to treat hypothyroidism (an underactive thyroid gland). It is also used to treat or prevent certain other thyroid conditions such as goiter (an enlarged thyroid gland); inflammation of the thyroid gland; or thyroid hormone deficiency due to surgery, radiation, or certain medications.

  • What should I know when beginning and continuing on this medication?

    How does this medication work?

    When you have hypothyroidism, your thyroid gland does not make enough thyroid hormone. Cytomel works by replacing your thyroid hormone, helping to restore the balance in your body.

    What are the beneficial effects of this medication and when should I begin to have results?

    What: By restoring your thyroid hormone balance, Cytomel helps to relieve your symptoms associated with low thyroid levels.

    When: It may take several weeks before you notice an improvement in your symptoms, so try to be patient and follow your healthcare provider's directions. Though you may not feel an improvement or change in the way you feel, it is very important to keep taking your medicine as prescribed to keep your condition under control.

    How do I know it is working?

    Your healthcare provider may order tests regularly to check how well this medication is working.

  • What are the possible side effects of this medication?

    The following is not a full list of side effects. Side effects cannot be anticipated. If any develop or change in intensity, tell your healthcare provider as soon as possible. Only your healthcare provider can determine if it is safe for you to continue taking this medication.

    Do not take Cytomel, either alone or in combination with other medicines, to treat obesity or for weight loss. In people with normal thyroid levels, doses of Cytomel within the typical range used for hormone replacement are not effective for weight loss. Larger doses may result in serious or even life-threatening effects, especially when used in combination with certain other medicines used to reduce appetite.

    More common side effects may include: fatigue, changes in your mood, increased heart rate and blood pressure.

    Less common side effects may include:

    Rapid or irregular heartbeat, chest pain, shortness of breath, leg cramps, headache, nervousness, irritability, trouble sleeping, tremors, changes in your appetite, weight gain or loss, vomiting, diarrhea, excessive sweating, fever, changes in your menstrual periods, hives, or a rash.

    Partial hair loss in children during the first few months of treatment, but this is usually temporary.

  • Who should not take this medication?

    Do not take Cytomel if you are allergic to it or any of its ingredients.

    Do not take Cytomel if you have an overactive thyroid gland.

    Do not take Cytomel to treat obesity or weight loss.

  • What should I tell my healthcare provider before I take the first dose of this medication?

    Tell your healthcare provider about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Cytomel. Also, talk to your healthcare provider about your complete medical history, especially if you have diabetes, heart disease, or if you are pregnant, plan to become pregnant, or are breastfeeding.

  • What is the usual dosage?

    The information below is based on the dosage guidelines your healthcare provider uses. Depending on your condition and medical history, your healthcare provider may prescribe a different regimen. Do not change the dosage or stop taking your medication without your healthcare provider's approval.

    Adults and children: Your healthcare provider will prescribe the appropriate dose for you or your child based on the age, weight, and condition.

  • How should I take this medication?

    Take Cytomel exactly as prescribed by your healthcare provider. Do not change your dose or stop taking Cytomel without first talking to your healthcare provider.

    Certain medicines, supplements, and even foods can interfere with the way your body absorbs Cytomel. An example is the cholesterol-lowering medicine called cholestyramine. It is best to take Cytomel 4 to 5 hours before or after taking this.

  • What should I avoid while taking this medication?

    Do not miss any follow-up appointments with your healthcare provider.

  • What are the possible food and drug interactions associated with this medication?

    If Cytomel is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your healthcare provider before combining Cytomel with the following: birth control pills, blood thinners (such as warfarin), certain antidepressants (such as imipramine), cholestyramine, diabetes medicines (such as insulin), digitalis, epinephrine, estrogen, ketamine, or norepinephrine.

  • May I receive this medication if I am pregnant or breastfeeding?

    You can continue taking Cytomel during pregnancy. However, a dose adjustment may be necessary. Small amounts of Cytomel are excreted in your breast milk. Tell your healthcare provider immediately if you are pregnant, plan to become pregnant, or are breastfeeding.

  • What should I do if I miss a dose of this medication?

    If you miss a dose of Cytomel, take it as soon as you remember. However, if it is almost time for your next dose, skip the one you missed and return to your regular dosing schedule. Do not take two doses at once.

  • How should I store this medication?

    Store at room temperature.

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I'm Kristen Dore, PharmD. Welcome to PDR Health!

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