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Levothyroxine Sodium 150 mcg/mL Oral Liquid is a specially compounded medication designed for oral use, offering a precise and consistent dose of levothyroxine sodium in a liquid form. This formulation is particularly beneficial for patients who experience difficulty swallowing tablets or capsules, including pediatric and geriatric populations. The liquid dosage form ensures ease of administration and allows for dose flexibility and accuracy.
Levothyroxine Sodium Oral Liquid is used in the treatment of hypothyroidism, a condition where the thyroid gland does not produce enough thyroid hormone. It is also indicated for the management of certain types of euthyroid goiters and thyroid cancer, as well as in the suppression of thyroid-stimulating hormone (TSH) for patients with TSH-responsive conditions. By providing levothyroxine, the active ingredient, in a liquid form, this formulation supports the restoration of normal thyroid hormone levels, thereby alleviating the symptoms associated with these disease states.
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
Levothyroxine Sodium is a synthetic form of thyroxine, a hormone normally secreted by the thyroid gland. This hormone is crucial for maintaining the body's metabolism, energy production, and normal growth and development. The Levothyroxine Sodium 150 mcg/mL Oral Liquid formulation is designed to provide a precise dosage of this essential hormone in a liquid form, which is particularly beneficial for patients who have difficulty swallowing tablets or capsules, such as the elderly, children, or those with dysphagia. The liquid formulation allows for flexible dosing, which can be adjusted according to the individual needs of the patient.
The primary indication for this Levothyroxine Sodium oral liquid is the treatment of hypothyroidism, a condition where the thyroid gland does not produce enough thyroid hormone. This can lead to symptoms such as fatigue, weight gain, cold intolerance, and depression. By supplementing the body's thyroid hormone levels, this medication helps to restore normal metabolic function and alleviate these symptoms. Additionally, it may be used in the management of specific types of thyroid cancer, where suppressing the production of thyroid stimulating hormone (TSH) is necessary, and in the treatment of goiter (enlarged thyroid gland) to reduce its size.
It is important for prescribers to carefully calculate the dose of Levothyroxine Sodium oral liquid, as it must be individualized based on the patient's age, weight, cardiovascular status, concurrent medical conditions, and the specific nature of the thyroid disorder being treated. Regular monitoring of thyroid function tests is essential to ensure the dose remains therapeutic and to avoid over- or under-treatment. Patients should be advised to take this medication on an empty stomach, typically 30 minutes to an hour before breakfast, to maximize absorption. Consistency in the timing of the dose is also important to maintain stable thyroid hormone levels.
For patients and prescribers considering the use of Levothyroxine Sodium 150 mcg/mL Oral Liquid, it is crucial to understand that this medication requires ongoing management and collaboration between the healthcare provider and the patient. Adjustments in dosage may be necessary based on the patient's response and laboratory results. If you have any questions or require further information about this formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is committed to providing support and guidance to ensure the safe and appropriate use of this medication.
Levothyroxine sodium is a synthetic form of the thyroid hormone thyroxine (T4) and is used to treat hypothyroidism, a condition where the thyroid gland does not produce enough thyroid hormone. It is also used to treat or prevent certain types of goiters and, as part of a therapeutic regimen, in the management of thyroid cancer. The efficacy of levothyroxine can be significantly affected by various drug interactions, which can either increase or decrease its absorption and metabolism, thereby altering its effectiveness.
One of the most significant interactions occurs with antacids, calcium carbonate, and iron supplements, which can bind to levothyroxine and reduce its absorption. To minimize this interaction, levothyroxine should be taken on an empty stomach, at least 30 to 60 minutes before or 4 hours after these agents. Similarly, cholestyramine, colesevelam, and colestipol can decrease levothyroxine absorption, so they should be administered several hours apart from levothyroxine.
Proton pump inhibitors (PPIs) and histamine H2 receptor antagonists may decrease the stomach acid secretion, which could potentially affect the absorption of levothyroxine. Patients on these medications may require monitoring of thyroid function and levothyroxine dose adjustments.
Medications such as carbamazepine, phenytoin, rifampin, and sertraline have been shown to increase the metabolism of levothyroxine, potentially necessitating a higher dose of levothyroxine for therapeutic effectiveness. Conversely, drugs like amiodarone, lithium, and tyrosine kinase inhibitors can increase the risk of hypothyroidism when used concomitantly with levothyroxine and may require close monitoring of thyroid function tests.
Estrogen-containing products, including certain contraceptives and hormone replacement therapies, can increase the concentration of thyroxine-binding globulin, which may require an increase in the dose of levothyroxine. Conversely, androgens and anabolic steroids may decrease serum thyroxine-binding globulin levels, potentially necessitating a decrease in the levothyroxine dose.
It is also important to note that levothyroxine can affect blood sugar levels, and patients with diabetes may need to adjust their anti-diabetic medication dosage. Additionally, levothyroxine can enhance the effects of anticoagulant drugs, such as warfarin, increasing the risk of bleeding. Close monitoring and possible dose adjustments are recommended when these medications are used together.
Patients should be advised to inform their healthcare providers of all medications, supplements, and over-the-counter products they are taking to avoid potential interactions with levothyroxine. Regular monitoring of thyroid function tests is recommended to ensure the appropriate therapeutic levels of levothyroxine are maintained. If you have any questions or concerns regarding the use of levothyroxine sodium 150 mcg/mL oral liquid or its interactions with other medications, please reach out to us at Bayview Pharmacy for further assistance.
Levothyroxine Sodium is a synthetic form of thyroxine, a hormone naturally produced by the thyroid gland. This hormone is crucial for regulating the body's energy and metabolism. When the thyroid gland does not produce enough thyroxine, a condition known as hypothyroidism occurs. Levothyroxine Sodium works by replacing the deficient thyroxine in the body, thereby normalizing the body's metabolic processes. The oral liquid formulation of Levothyroxine Sodium at a concentration of 150 mcg/mL is designed to provide a precise dosage of the medication in a form that is easy to ingest, particularly beneficial for patients who have difficulty swallowing tablets or capsules, such as young children, the elderly, or those with dysphagia.
The liquid form ensures that the medication can be measured accurately with a dosing syringe or dropper, providing flexibility in dosing that can be especially important for titrating the dose to the individual needs of the patient. Once ingested, the Levothyroxine Sodium is absorbed into the bloodstream primarily through the small intestine. It then works by mimicking the actions of natural thyroxine, binding to thyroid hormone receptors in the nucleus of cells and affecting the transcription of genes involved in metabolic regulation. This helps to alleviate the symptoms of hypothyroidism, which include fatigue, weight gain, cold intolerance, and slow heart rate, among others.
It is important for patients and prescribers to understand that the initiation of Levothyroxine therapy and dose adjustments must be based on careful monitoring of thyroid function tests. The goal is to achieve and maintain a euthyroid state, avoiding both under-treatment and over-treatment. Consistency in the timing of dosing and in relation to meals is also important, as food can affect the absorption of the medication. Patients should be advised to take the medication at the same time each day, preferably on an empty stomach, to ensure consistent absorption.
For those interested in using this formulation of Levothyroxine Sodium, it is essential to work closely with a healthcare provider to determine the appropriate dose and to monitor thyroid function regularly. If you have any questions or require further information about this medication or its use in treating hypothyroidism, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to support both patients and prescribers with the information and guidance needed to effectively manage thyroid health.
Levothyroxine Sodium Oral Liquid is a liquid formulation containing the synthetic thyroid hormone levothyroxine, and it is used to treat hypothyroidism (underactive thyroid). It helps to restore the normal levels of thyroid hormone in your body, regulating energy and metabolism.
A liquid form of Levothyroxine may be prescribed if a patient has difficulty swallowing pills, for instance, pediatric, geriatric, or patients with dysphagia. It is also helpful for patients who require very precise dosing that might not be achievable with solid dosage forms.
Levothyroxine Sodium Oral Liquid should be stored at room temperature, away from light and moisture. It's important to keep the bottle tightly closed and to avoid freezing. Always check the product's label for specific storage instructions.
Yes, the dosage can be adjusted, but it should only be done under the guidance and supervision of a healthcare professional. It's crucial to have regular thyroid function tests to determine the appropriate dose for your condition.
The liquid should be measured with the provided syringe or a special dose-measuring spoon or device to ensure you get the correct dose. It is typically taken once daily on an empty stomach, 30 minutes to an hour before breakfast. Do not mix with food or liquids, but follow your doctor’s specific instructions.
Yes, certain foods and beverages may affect the absorption of levothyroxine. It's recommended to avoid consuming foods such as soybean flour, cotton seed meal, walnuts, dietary fiber, calcium, and calcium fortified juices within several hours of taking the medication. Coffee and other caffeinated drinks should also be avoided near the time of taking the liquid levothyroxine.
If you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and resume your regular dosing schedule. Do not double the dose to catch up without consulting your healthcare provider.
As with any medication, there can be side effects -- common ones include hair loss, increased appetite, weight loss, nervousness, or restlessness. More serious side effects need immediate medical attention and may include chest pain, increased heart rate, sweating, heat intolerance, or tremors. Always report any unusual symptoms to your healthcare provider.
Improvements in symptoms should become apparent within a few weeks of starting the medication, but it may take several weeks to fully adjust the dose and see the full effects. It's essential to have patience and to continue taking the medication as prescribed.
Levothyroxine Sodium Oral Liquid might interact with other drugs, so it's important to inform your healthcare provider about all the medications you are taking, including prescription, over-the-counter, vitamins, and herbal products. It may be necessary to adjust your dose or take precautions to avoid interactions.
This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.
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.
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Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.
Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.
Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.
Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.
Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.
Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.
Take orally
