Check out our most popular compounded medications! Get Started
Dashboard
Formulas

Liothyronine 1 mcg Slow Release (MEM4) Oral Capsules

FDA-approved generic
Dose form
Slow Release Capsules
Active ingredients
Liothyronine Sodium

Liothyronine 1 mcg Slow Release (MEM4) Oral Capsules are meticulously crafted to provide a consistent and prolonged release of liothyronine, the active ingredient. These capsules are embedded with Methocel E4M, a sophisticated controlled-release polymer, which ensures that the medication is gradually dispensed into the bloodstream over an extended duration. This advanced formulation is specifically designed to maintain steady hormone levels, thereby enhancing therapeutic outcomes and minimizing the need for frequent dosing.

The primary application of these capsules is in the management of hypothyroidism, a condition characterized by an underactive thyroid gland which results in insufficient production of thyroid hormones. By delivering liothyronine in a slow and steady manner, these capsules aid in normalizing thyroid hormone levels, thus alleviating the symptoms associated with this disease state. Additionally, they may be utilized in the treatment of specific thyroid disorders such as myxedema coma, where controlled and sustained hormone replacement is crucial.

With the goal of optimizing patient adherence to medication regimens, these slow-release capsules simplify the dosing schedule and contribute to a more stable hormonal balance, ultimately improving the quality of life for patients with thyroid-related conditions.

View more
For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
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.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
Starting at
Get started as a patient
Get Started
This medication requires a prescription from your doctor
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
Check if we ship to your state
No prescription yet?

Get a one-page sheet with everything your doctor needs to prescribe this and send it to Bayview.

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.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Liothyronine Sodium
Slow Release Capsules
65b00ed3c17e00314fdb52a5
Service area

Can we ship this formula to your state?

Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

Check your state

Available in

Tap a state to check it.

Our current service area

Currently licensed Limited basis, registration pending Not available for this formula Not currently licensed

Select a state on the map or use the checker.

Formula Information

A small arrow pointing down

Liothyronine is a synthetic form of triiodothyronine (T3), a thyroid hormone that is used to treat various conditions such as hypothyroidism, myxedema coma, and certain types of depression. It is particularly beneficial for patients who do not respond well to levothyroxine (T4) alone. Liothyronine works by replenishing the levels of thyroid hormone in the body, thereby normalizing the body's metabolism, energy production, and growth and development processes.

The Liothyronine 1 mcg Slow Release (MEM4) Oral Capsules are meticulously formulated with Methocel E4M, a hydrophilic methylcellulose polymer that swells and forms a gel when it comes into contact with gastric fluids. This gel matrix creates a barrier that controls the rate at which the liothyronine is released from the capsule and absorbed into the bloodstream. The slow-release mechanism ensures a more consistent serum concentration of the hormone over time, which can help to minimize fluctuations in hormone levels that might otherwise lead to symptoms of over- or under-replacement.

For patients, this means that the Liothyronine Slow Release Capsules may provide a more stable therapeutic effect with a once-daily dosing regimen, which can improve adherence to treatment and overall quality of life. For prescribers, the slow-release formulation offers an alternative to conventional immediate-release liothyronine, which may require multiple doses per day and can lead to peaks and troughs in hormone levels. This can be particularly advantageous for patients who have difficulty maintaining stable thyroid hormone levels or who experience side effects with immediate-release formulations.

It is important to note that the dosing of liothyronine must be individualized based on the patient's clinical response and laboratory parameters. Regular monitoring of thyroid function tests is essential to ensure the dose of liothyronine is appropriate. The slow-release formulation may also require a period of adjustment to achieve the desired therapeutic levels, as the release kinetics differ from those of immediate-release products.

Bayview Pharmacy is committed to providing high-quality compounded medications tailored to the specific needs of patients. Our team of compounding pharmacists is available to answer any questions and provide guidance on the use of Liothyronine 1 mcg Slow Release (MEM4) Oral Capsules. We encourage both patients and prescribers to reach out to us for further information and support in managing thyroid-related conditions with this specialized formulation.

Drug Interactions

A small arrow pointing down

Liothyronine is a synthetic form of the thyroid hormone triiodothyronine (T3) and is used to treat hypothyroidism, a condition where the thyroid gland does not produce enough thyroid hormone. It is also used in the management of myxedema coma and sometimes in the treatment of thyroid cancer. The slow-release formulation of liothyronine in Methocel E4M is designed to maintain a steady level of the hormone in the body, which is crucial for patients requiring a consistent thyroid hormone level for proper metabolic function.

When considering drug interactions with liothyronine, it is important to understand that thyroid hormones may affect the metabolism of various drugs, and conversely, certain medications may affect thyroid hormone levels. For instance, medications such as antidiabetic drugs may require dose adjustments because thyroid hormones may increase blood glucose levels. Patients should be closely monitored for signs of hyperglycemia when initiating or changing the dose of liothyronine.

Drugs that may reduce the absorption or efficacy of liothyronine include cholestyramine, colestipol, aluminum-containing antacids, and iron supplements. These should be taken several hours apart from liothyronine to prevent interaction. Additionally, certain foods such as soybean flour, cottonseed meal, walnuts, dietary fiber, and grapefruit juice may decrease the absorption of thyroid hormones and should not be consumed within several hours of taking the medication.

Cardiac stimulants or sympathomimetic drugs, when taken with liothyronine, may increase the risk of coronary insufficiency, especially in patients with cardiovascular disease. Caution is advised, and cardiac function should be monitored. On the other hand, beta-blockers may have reduced efficacy in the presence of thyroid hormones, and dosing adjustments may be necessary.

Concomitant use of other medications that affect thyroid hormone synthesis, secretion, or function, such as amiodarone, lithium, and iodine-containing compounds, may necessitate adjustments in liothyronine dosing. Additionally, enzyme inducers like phenytoin, carbamazepine, and rifampin can increase the metabolism of thyroid hormones, potentially leading to a requirement for higher doses of liothyronine.

It is also important to note that liothyronine may affect the action of oral anticoagulants, and coagulation tests should be closely monitored to avoid bleeding complications. Estrogen-containing products, including oral contraceptives, may increase serum thyroxine-binding globulin (TBG) levels, which may necessitate an increase in the dose of liothyronine.

Patients should be advised to inform their healthcare provider of all medications, supplements, and over-the-counter drugs they are taking to avoid potential interactions. Regular monitoring of thyroid function tests is recommended to ensure the appropriate therapeutic levels of liothyronine are maintained. If you have any questions or require further information regarding drug interactions with liothyronine slow-release capsules, please reach out to us at Bayview Pharmacy for assistance.

How Does it Work

A small arrow pointing down

Liothyronine is a synthetic form of triiodothyronine (T3), a thyroid hormone that is naturally produced by the thyroid gland. This hormone plays a crucial role in regulating the body's metabolic rate, heart and digestive functions, muscle control, brain development, and maintenance of bones. When the thyroid gland does not produce enough T3, it can lead to a condition known as hypothyroidism, which can cause symptoms such as fatigue, weight gain, cold intolerance, and depression. Liothyronine is used to treat hypothyroidism and to provide the necessary hormone when the thyroid gland is underactive or has been removed.

The Liothyronine 1 mcg Slow Release (MEM4) Oral Capsules are designed to deliver the active ingredient, liothyronine, in a controlled and sustained manner. This is achieved through the use of Methocel E4M, a type of hydrophilic polymer that forms a gel matrix when it comes into contact with gastrointestinal fluids. As the capsule travels through the digestive system, the Methocel E4M slowly hydrates and swells, creating a gel-like barrier that controls the rate at which the liothyronine is released from the capsule.

The slow release of liothyronine from the MEM4 formulation allows for a more consistent level of the hormone in the bloodstream over an extended period, which can help to stabilize thyroid hormone levels and reduce fluctuations that might occur with immediate-release formulations. This can lead to improved symptom control and a reduction in the potential side effects associated with peak levels of the hormone. Additionally, the reduced dosing frequency can enhance patient compliance, as patients are required to take the medication less often than they would with a traditional immediate-release formulation.

For patients and prescribers considering the use of Liothyronine 1 mcg Slow Release (MEM4) Oral Capsules, it is important to understand that the dosing and initiation of therapy should be individualized based on the patient's specific condition, lab results, and response to treatment. Regular monitoring of thyroid function tests is necessary to ensure the appropriate dose is being administered and to adjust the dose as needed. The slow-release nature of this formulation may also affect how quickly patients experience symptom relief, so patience and ongoing communication with the healthcare provider are essential.

If you have any questions about the Liothyronine 1 mcg Slow Release (MEM4) Oral Capsules or would like more information on how this formulation works and its suitability for treating hypothyroidism or other related conditions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide the support and guidance you need to make informed decisions about your thyroid health.

Other Uses

A small arrow pointing down

Liothyronine is a synthetic form of triiodothyronine (T3), which is a thyroid hormone involved in the regulation of metabolism. Typically, liothyronine is prescribed for conditions such as hypothyroidism, a state in which the thyroid gland does not produce enough thyroid hormone, as well as in the treatment of myxedema coma, a severe form of hypothyroidism. However, in addition to these indications, there are other uses for liothyronine in various clinical scenarios where manipulating the metabolic rate may have therapeutic benefits. For example, liothyronine has been used in combination therapy with levothyroxine (T4) for hypothyroid patients who do not achieve optimal symptom control with T4 alone.

Furthermore, liothyronine is occasionally used in psychiatric practice for individuals with certain mood disorders, such as depression, who have not responded adequately to standard treatments. In these instances, it is postulated that the enhancement of thyroid hormone levels—achieved through prescribed liothyronine—may accelerate the antidepressant response or improve overall mood stabilization. Off-label, liothyronine, due to its metabolic effects, has also been explored for the treatment of obesity or weight loss in patients with normal thyroid function, although this is generally discouraged due to potential risks and a lack of substantial evidence supporting its efficacy for this purpose.

In designing the Liothyronine 1 mcg Slow Release (MEM4) Oral Capsules, the use of Methocel E4M allows for a controlled release of the hormone, which can be particularly beneficial for maintaining steady hormone levels and may potentially minimize the fluctuations often seen with immediate-release preparations. This can be advantageous in the management of thyroid cancer patients who require a steady suppression of thyroid-stimulating hormone (TSH), as well as in patients who have difficulty in stabilizing their thyroid levels.

It is critical to note that any uses outside of standard thyroid disorder management should be approached with caution and under strict medical supervision due to the potential for adverse effects and interactions with other medications. Patients and healthcare providers must be attentive to the specific pharmacokinetic profile provided by the MEM4 formulation, as it could affect the timing, peak action, and duration of the liothyronine's metabolic effects. Close monitoring, individualized dose adjustment, and adherence to prescribed regimens are essential for safety and efficacy when using this slow-release formula.

As always, if patients or prescribers have any questions or require further information about the Liothyronine 1 mcg Slow Release (MEM4) Oral Capsules or their potential applications, they are encouraged to reach out to us at Bayview Pharmacy. Our compounding pharmacists are equipped to provide the necessary guidance and support to ensure the appropriate and safe use of this compounded medication.

Frequently Asked Questions

A small arrow pointing down

What is Liothyronine 1 mcg Slow Release (MEM4) Oral Capsules?

Liothyronine 1 mcg Slow Release (MEM4) Oral Capsules are a medication formulated to deliver a small, controlled dose of 1 microgram of liothyronine, using Methocel E4M as a controlled-release polymer. The capsule is designed to release the hormone gradually over an extended period, enhancing the consistency of the hormone's levels in the bloodstream and improving convenience for the patient.

How does the Methocel E4M in the capsules work?

Methocel E4M is a type of hydrophilic polymer that swells in the presence of water, forming a gel that controls the rate at which the liothyronine is released from the capsule. This results in a slow and sustained release of the medication into the digestive system, ensuring more consistent therapeutic levels over a longer period compared to immediate-release formulations.

What are the benefits of the slow release mechanism in these capsules?

The slow release mechanism offers several benefits, including more stable blood levels of the medication, reduction in the frequency of doses required, and improved patient adherence to the medication regimen because it is more convenient to take a single capsule that works throughout the day or night.

Are these capsules suitable for all patients prescribed Liothyronine?

While these slow release capsules are suitable for most patients requiring Liothyronine therapy, suitability can vary based on individual health conditions, medication interactions, and specific treatment objectives. It is essential to consult a healthcare provider to determine if this formulation is appropriate for your needs.

Can the Liothyronine Slow Release capsule be opened or split?

No, the capsule should not be opened, split, or crushed, as this would interfere with the slow release mechanism and could result in the entire dose being delivered at once, potentially causing adverse effects and not providing the intended prolonged release of medication.

How should I take the Liothyronine Slow Release capsules?

Take the capsules as prescribed by your healthcare provider, typically with a glass of water. It is important to swallow the capsule whole to maintain the integrity of the slow release system. Do not chew or crush the capsule.

What should I do if I miss a dose?

If you miss a dose, take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double up on doses to make up for a missed one. Always follow your healthcare provider's instructions regarding missed doses.

Are there any side effects associated with this formulation of Liothyronine?

As with any medication, there may be side effects. Some common side effects might include headache, sweating, increased heart rate, anxiety, or others. If you experience any severe side effects or signs of an allergic reaction, seek medical attention immediately. Discuss potential side effects with your healthcare provider.

How should I store the capsules?

Store the capsules in a cool, dry place, away from heat and direct sunlight. Keep them in their original packaging to protect from moisture, and keep them out of reach of children and pets.

Can these capsules be taken with other medications?

Liothyronine Slow Release capsules may interact with certain other medications and supplements, which can affect how either medication works or increase the risk of side effects. Always inform your healthcare provider about all medications and supplements you are taking before starting on a new medication.

About this compounded preparation

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.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

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.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

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.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

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.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

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.

Liothyronine 1 mcg Slow Release (MEM4) Oral Capsules
Slow Release Capsules
controlled

Take 1 capsule by mouth

Twice daily