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Active pharmaceutical ingredient

Levothyroxine Sodium

Levothyroxine Sodium is a synthetic form of the thyroid hormone thyroxine, primarily used to treat hypothyroidism by supplementing low levels of thyroid hormone in the body.

Compounded to order
Prescription required

About this ingredient

Levothyroxine sodium is a synthetic version of the body's natural thyroid hormone thyroxine (T4).[1] Thyroid hormones control the way the body uses energy.[2] Levothyroxine is FDA approved to treat hypothyroidism,[1] a condition in which the thyroid gland does not make enough thyroid hormones to meet the body's needs, with symptoms that can include fatigue, weight gain, and depression.[2]

Levothyroxine sodium is typically administered orally, and its absorption can be influenced by food and by other medicines. It is given on an empty stomach, 30 to 60 minutes before breakfast or 3 to 4 hours after dinner, and it should be separated from iron, calcium, antacids, and proton pump inhibitors; dietary fiber reduces its bioavailability.[1] Prescribers should consider these factors when determining the dosage and administration schedule.

In addition to hypothyroidism, levothyroxine is FDA approved for thyrotropin (TSH) suppression in well-differentiated thyroid cancer, as an adjunct to surgery and radioiodine therapy.[1]

Bayview Pharmacy compounds levothyroxine sodium preparations on a prescriber's order.

Available formulations

Formulations and medications containing this ingredient

Each of these is compounded to order at our pharmacy and requires a prescription.

Compounding formulary

Formulas we compound with this ingredient

A sample of preparations from our formulary. Strengths and dose forms are customised to the prescription.

Common questions

Frequently asked questions

How is it different from regular levothyroxine?

Standard first-line therapy for hypothyroidism is a commercial levothyroxine product. Compounding is used when a provider wants a custom dose or T3:T4 ratio, or a capsule without certain dyes, fillers, or allergens. Compounded thyroid is not FDA-approved.

Related

Related active ingredients

Other salt forms of this molecule, and ingredients commonly compounded alongside it.

Important information

This page describes an active pharmaceutical ingredient, not a finished drug product. Bayview Pharmacy compounds preparations containing it only on a prescriber's order for an individual patient.

Compounded preparations are not FDA-approved, and the FDA has not evaluated them for safety, effectiveness, or manufacturing quality. Nothing on this page is a claim that any preparation is effective for any condition.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

Talk to a compounding pharmacist

Our pharmacists work with prescribers to build preparations around a patient's dose, form and tolerances. Ask us what is possible with this ingredient.