The Levothyroxine Sodium 88 mcg/5mL Oral Liquid is a specially compounded medication designed for oral use. This liquid formulation ensures precise dosing and ease of administration for patients who may have difficulty swallowing tablets or capsules, such as children and the elderly. Levothyroxine Sodium is a synthetic thyroid hormone commonly prescribed to treat hypothyroidism, a condition where the thyroid gland does not produce enough thyroid hormone. It is also used in the management of certain types of thyroid cancer and in the suppression of pituitary TSH, which can be part of the treatment for thyroid nodules and goiter. The liquid form of Levothyroxine provides a critical alternative for patients requiring individualized dosages and those with specific needs for a liquid dosage form.

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 88 mcg/5mL Oral Liquid is a specially compounded medication designed for oral use, providing a precise dose of levothyroxine, which is a synthetic form of the thyroid hormone thyroxine (T4). This liquid formulation is particularly beneficial for patients who have difficulty swallowing tablets or capsules, such as children, the elderly, or those with dysphagia. The liquid form ensures that patients receive an accurate dose of the medication, which is crucial for the management of thyroid hormone deficiency.
Levothyroxine is the treatment of choice for hypothyroidism, a condition where the thyroid gland does not produce enough thyroid hormone. This hormone is essential for maintaining the body's metabolism, and a deficiency can lead to symptoms such as fatigue, weight gain, cold intolerance, and depression. By supplementing the body's thyroid hormone levels, levothyroxine helps to restore normal metabolic function and alleviate the symptoms of hypothyroidism. It is also used in the treatment of goiter and certain types of thyroid cancer, where suppression of thyroid-stimulating hormone (TSH) is necessary.
The dosing of levothyroxine must be individualized based on the patient's age, weight, cardiovascular status, and the nature and severity of the condition being treated. Regular monitoring of thyroid function tests is essential to ensure the dose remains therapeutic and safe. It is important for patients and prescribers to understand that levothyroxine has a narrow therapeutic index, meaning that small changes in dose can lead to significant changes in the body. Therefore, consistency in dosing and monitoring is key to successful treatment.
Patients should be advised to take levothyroxine on an empty stomach, typically 30 to 60 minutes before breakfast, to maximize absorption. It is also important to maintain consistency in the timing of the dose each day. Interactions with other medications, supplements, and certain foods may affect the absorption of levothyroxine, so it is crucial to discuss all concurrent medications and dietary habits with a healthcare provider.
At Bayview Pharmacy, we are committed to providing high-quality, individualized care to our patients. Our team of knowledgeable compounding pharmacists is available to answer any questions and provide guidance on the use of Levothyroxine Sodium 88 mcg/5mL Oral Liquid. If you have any questions or require further information, please do not hesitate to reach out to us.
Levothyroxine sodium is a synthetic form of the thyroid hormone thyroxine, used to treat hypothyroidism, a condition where the thyroid gland does not produce enough thyroid hormone. It is essential to maintain a consistent level of levothyroxine in the body for it to be effective. Therefore, understanding drug interactions is crucial for both patients and prescribers to ensure the efficacy and safety of levothyroxine therapy.
Levothyroxine has a narrow therapeutic index, and its absorption can be affected by various substances. Calcium carbonate, iron supplements, and antacids containing aluminum or magnesium can decrease the absorption of levothyroxine if taken simultaneously. It is generally recommended to administer levothyroxine at least 4 hours before or after these agents. Similarly, dietary fiber, soybean flour (found in infant formula), and cottonseed meal can also reduce the absorption of levothyroxine.
Other medications that can affect levothyroxine include proton pump inhibitors (PPIs) and histamine H2 receptor blockers, which may decrease its absorption by altering gastric pH. Medications such as bile acid sequestrants (e.g., cholestyramine, colestipol) and orlistat can interfere with levothyroxine absorption as well. If concurrent use is necessary, timing of administration should be adjusted accordingly.
Levothyroxine's metabolism can be influenced by drugs that induce or inhibit cytochrome P450 enzymes, such as phenytoin, carbamazepine, rifampin, and sertraline. These interactions may necessitate dosage adjustments of levothyroxine. Additionally, beta-blockers may decrease the peripheral conversion of levothyroxine (T4) to the more active triiodothyronine (T3), potentially reducing the effectiveness of levothyroxine therapy.
It is also important to monitor the use of levothyroxine with medications that affect thyroid function tests, such as amiodarone, lithium, and interferons, as these can alter thyroid function and complicate the management of hypothyroidism. Blood glucose levels should be monitored when starting or adjusting levothyroxine in diabetic patients, as it may affect insulin or oral hypoglycemic dosage requirements.
Lastly, levothyroxine can increase the effects of anticoagulants (e.g., warfarin), necessitating closer monitoring of coagulation parameters and possible adjustment of anticoagulant dosage. Patients should be advised to report any signs of increased bleeding.
Patients and prescribers should be aware of these potential interactions and manage them appropriately to maintain the therapeutic effectiveness of levothyroxine. It is important to have a complete list of all medications, supplements, and over-the-counter products a patient is taking to identify possible interactions. For any questions or concerns regarding drug interactions with levothyroxine sodium 88 mcg/5mL oral liquid, please reach out to us at Bayview Pharmacy for professional advice and guidance.
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 is used to replace or provide more of this hormone in the body, effectively treating the symptoms of hypothyroidism, which can include fatigue, weight gain, and cold intolerance.
The formulation of Levothyroxine Sodium 88 mcg/5mL Oral Liquid is designed to provide a precise dosage of the medication in a form that is easy to ingest. This is particularly beneficial for patients who have difficulty swallowing tablets or capsules, such as young children, the elderly, or those with dysphagia. The liquid form allows for flexible dosing, which can be adjusted according to the specific needs of the patient, ensuring that the correct amount of the hormone is administered to achieve a euthyroid state, where thyroid function is normal.
Upon oral administration, Levothyroxine Sodium is absorbed primarily in the small intestine. It is then converted into the more active form, triiodothyronine (T3), within the body's tissues. The medication works by replenishing the levels of thyroid hormone and restoring normal metabolic activity. It is important for patients and prescribers to understand that the effectiveness of the medication depends on consistent daily dosing and regular monitoring of thyroid function tests to adjust the dose as needed.
It is also essential to note that certain foods, supplements, and other medications can affect the absorption of Levothyroxine Sodium. Therefore, it is recommended to take this medication on an empty stomach, typically 30 to 60 minutes before breakfast, to ensure optimal absorption. Consistency in the timing of the dose is key to maintaining stable thyroid hormone levels in the blood.
For patients and prescribers considering the use of Levothyroxine Sodium 88 mcg/5mL Oral Liquid, it is crucial to have a comprehensive understanding of the patient's medical history, current medications, and any potential interactions. Regular follow-up and thyroid function testing are necessary to ensure the medication is working effectively and to adjust the dose as needed. If you have any questions or require further information about this formulation, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide support and guidance to ensure the best possible treatment outcomes.
Levothyroxine Sodium 88 mcg/5mL Oral Liquid is a specifically formulated medication designed for oral administration. This liquid form provides levothyroxine, a thyroid hormone, in a concentration of 88 micrograms per 5 milliliters of liquid, which is used primarily to treat hypothyroidism and other thyroid-related disorders.
This liquid formulation is particularly suited for patients who have difficulty swallowing solid dosage forms such as tablets or capsules, including pediatric and geriatric populations, or those with dysphagia or other conditions affecting swallowing.
The medication should be taken as directed by your healthcare provider. It is usually administered using an oral syringe or dropper for accurate measurement. The liquid should be taken on an empty stomach, typically 30 minutes to an hour before breakfast, to ensure the best possible absorption.
Yes, your healthcare provider may adjust the dosage based on your medical condition, blood test results, and response to treatment. It's essential to follow their instructions carefully and not to adjust the dose on your own.
The storage requirements for Levothyroxine Sodium Oral Liquid may vary depending on the specific product or formulation. Please refer to the label or ask your pharmacist for proper storage instructions. Typically, most oral liquids should be stored at room temperature away from light and moisture.
Yes, certain foods, supplements, and medications can interfere with the absorption of levothyroxine, such as calcium and iron supplements, and some cholesterol-lowering drugs. It's best to discuss with your healthcare provider or pharmacist regarding any potential interactions.
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 usual dosing schedule. Do not double the dose to catch up without consulting your healthcare provider.
Side effects can occur, particularly if the dosage is too high, and may include symptoms like rapid heartbeat, increased appetite, nervousness, tremors, or weight loss. Contact your healthcare provider if you experience any unexpected symptoms or side effects.
You may not feel the full effects of levothyroxine for several weeks. It's a medication that requires consistent, daily use, and blood work is typically done periodically to monitor its effectiveness and adjust the dosage if needed.
Yes, children and infants with hypothyroidism or congenital hypothyroidism may be prescribed levothyroxine in liquid form, as it allows for accurate dosing and is easier to administer than solid forms, especially to very young patients.
Levothyroxine Sodium Oral Liquid is generally considered safe for long-term use under medical supervision. As hypothyroidism is typically a lifelong condition, ongoing treatment and regular monitoring by a healthcare professional are important.
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