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Liothyronine Sodium 5 mcg/Hydrocortisone 5 mg Slow Release (ME4M) Oral Capsules

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

Liothyronine Sodium 5 mcg/Hydrocortisone 5 mg Slow Release (ME4M) Oral Capsules are specially formulated to provide a controlled and prolonged release of active ingredients, utilizing Methocel E4M polymer. This formulation is designed to maintain consistent therapeutic levels, reduce dosing frequency, and enhance patient compliance.

These capsules are primarily used in the management of hypothyroidism and adrenal insufficiency, offering a sustained release of liothyronine sodium and hydrocortisone to effectively address these conditions.

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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.
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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.

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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
Hydrocortisone
Slow Release Capsules
Service area

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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.

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Formula Information

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Our compounded Liothyronine Sodium 5 mcg/Hydrocortisone 5 mg Slow Release (ME4M) Oral Capsules are specifically designed to provide a controlled and sustained release of these vital hormones. Liothyronine Sodium is a synthetic form of triiodothyronine (T3), an active thyroid hormone essential for regulating metabolism, energy production, and overall endocrine function. Hydrocortisone is a corticosteroid hormone that plays a crucial role in stress response, immune function, and metabolic processes.

The capsules are formulated with Methocel E4M, a type of controlled-release polymer known for its ability to gradually release active ingredients over an extended period. This slow-release mechanism helps maintain consistent hormone levels in the bloodstream, reducing the frequency of dosing and minimizing fluctuations that can occur with immediate-release formulations. By providing a steady release of medication, patients may experience improved therapeutic effects and enhanced treatment adherence.

For patients requiring thyroid hormone replacement, the sustained release of Liothyronine Sodium can lead to better regulation of metabolic activities, improved energy levels, and overall well-being. Similarly, the controlled release of Hydrocortisone assists in maintaining balanced cortisol levels, which is beneficial for those needing corticosteroid supplementation due to adrenal insufficiency or other related conditions.

This combined slow-release capsule offers the convenience of addressing multiple hormonal needs in a single dosage form, which can simplify treatment regimens for patients and prescribers alike. It provides an option for personalized therapy, especially in cases where standard dosing does not adequately meet individual patient requirements. The compounded nature of this medication allows for tailored dosing that aligns with specific clinical needs.

Both patients and healthcare providers should be aware that hormone replacement therapy requires careful monitoring. Regular consultations and laboratory assessments are important to ensure optimal dosing and to adjust therapy as needed. Potential side effects, interactions with other medications, and overall treatment goals should be thoroughly discussed with a healthcare professional.

If you have any questions about this formulation or how it may be integrated into a treatment plan, please reach out to us. Our team at Bayview Pharmacy is committed to providing support and information to ensure

Drug Interactions

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Liothyronine Sodium 5 mcg/Hydrocortisone 5 mg Slow Release (ME4M) Oral Capsules are designed to provide a controlled and sustained release of the active ingredients, liothyronine sodium and hydrocortisone, to manage conditions such as hypothyroidism and adrenal insufficiency. While this formulation offers the advantage of reduced dosing frequency and improved patient compliance, it is crucial to be aware of potential drug interactions that may affect the efficacy and safety of the treatment.

Liothyronine sodium, a synthetic form of the thyroid hormone triiodothyronine (T3), can interact with several medications. Anticoagulants, such as warfarin, may have their effects potentiated by liothyronine, increasing the risk of bleeding. Patients on anticoagulant therapy should have their prothrombin time or INR monitored closely. Additionally, liothyronine can enhance the effects of sympathomimetic agents, potentially leading to increased heart rate and blood pressure. Caution is advised when co-administering with medications such as epinephrine or pseudoephedrine.

Hydrocortisone, a glucocorticoid, can also interact with various drugs. It may decrease the efficacy of antidiabetic agents, necessitating adjustments in the dosage of insulin or oral hypoglycemic drugs. Concurrent use with nonsteroidal anti-inflammatory drugs (NSAIDs) can increase the risk of gastrointestinal bleeding and ulceration. Furthermore, hydrocortisone can reduce the plasma concentration of salicylates, potentially diminishing their therapeutic effects. Patients should be monitored for signs of salicylate toxicity if high doses of aspirin are used.

Both liothyronine and hydrocortisone can interact with enzyme-inducing drugs such as rifampin, phenytoin, and carbamazepine, which may increase the metabolism of these hormones, potentially reducing their effectiveness. Conversely, enzyme inhibitors like ketoconazole and erythromycin may increase the levels of liothyronine and hydrocortisone, necessitating careful monitoring and possible dose adjustments.

Patients with cardiovascular disease should be closely monitored, as liothyronine can increase the risk of arrhythmias, especially when combined with other medications that affect cardiac function. Additionally, the immunosuppressive effects of hydrocortisone may be enhanced when used with other immunosuppressants, increasing the risk of infections.

It is essential for both patients and prescribers to be aware of these potential interactions and to communicate any concerns or questions to the healthcare provider. Regular monitoring and appropriate dose adjustments can help mitigate these risks and ensure the safe and appropriate use of Liothyronine Sodium 5 mcg/Hydrocortisone 5 mg Slow Release (ME4M) Oral Capsules. If you have any questions, please reach out to us.

How Does it Work

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The Liothyronine Sodium 5 mcg/Hydrocortisone 5 mg Slow Release (ME4M) Oral Capsules are a specialized formulation designed to provide a controlled and sustained release of the active ingredients, liothyronine sodium and hydrocortisone, over an extended period. This formulation utilizes Methocel E4M, a type of hydroxypropyl methylcellulose (HPMC) polymer, which is known for its ability to form a gel-like matrix when in contact with gastrointestinal fluids. This matrix controls the rate at which the active ingredients are released, ensuring a gradual and consistent delivery into the bloodstream.

Liothyronine sodium is a synthetic form of the thyroid hormone triiodothyronine (T3), which plays a crucial role in regulating metabolism, energy production, and overall endocrine function. It is often prescribed for patients with hypothyroidism or other thyroid-related disorders where there is a deficiency or imbalance of thyroid hormones. By incorporating liothyronine sodium into a slow-release capsule, the formulation aims to maintain stable blood levels of T3, minimizing fluctuations that can lead to symptoms such as fatigue, weight gain, and mood disturbances. This steady release can enhance the therapeutic efficacy and improve the quality of life for patients requiring thyroid hormone replacement therapy.

Hydrocortisone, on the other hand, is a glucocorticoid hormone that is essential for managing inflammation, immune response, and stress. It is commonly used in the treatment of adrenal insufficiency, where the body is unable to produce adequate amounts of cortisol. The slow-release mechanism of this formulation ensures that hydrocortisone is delivered consistently throughout the day, mimicking the natural diurnal rhythm of cortisol secretion. This can help in reducing the risk of adrenal crisis and improving the management of symptoms such as fatigue, muscle weakness, and low blood pressure associated with adrenal insufficiency.

The combination of liothyronine sodium and hydrocortisone in a single slow-release capsule offers a convenient dosing regimen, potentially reducing the number of doses a patient needs to take each day. This can significantly enhance patient compliance, especially for those who require long-term management of their conditions. The controlled-release profile also minimizes the peaks and troughs in drug levels, reducing the likelihood of side effects and improving overall treatment outcomes.

For prescribers, this formulation provides a valuable option for patients who may benefit from a more consistent delivery of thyroid and adrenal hormones. It is particularly useful for individuals who experience difficulty in maintaining stable hormone levels with immediate-release formulations. The use of Methocel E4M as the controlled-release agent ensures that the medication is released in a predictable manner, allowing for better control over the therapeutic effects.

If you have any questions about this formulation or its use in treating specific disease states, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and support you need to make informed decisions about your health and treatment options.

Other Uses

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The Liothyronine Sodium 5 mcg/Hydrocortisone 5 mg Slow Release (ME4M) Oral Capsules, formulated with Methocel E4M, are primarily used for managing conditions related to thyroid hormone deficiency and adrenal insufficiency. However, beyond these primary indications, this formulation may have other potential uses that could benefit patients and prescribers seeking alternative therapeutic strategies. The slow-release mechanism of these capsules can be particularly advantageous in scenarios where maintaining stable blood levels of the active ingredients is crucial. For instance, in patients with complex endocrine disorders that require precise hormonal balance, the controlled release of liothyronine and hydrocortisone can help in achieving a more consistent physiological effect, potentially reducing the risk of peaks and troughs associated with immediate-release formulations.

Additionally, this formulation might be considered in the management of certain off-label conditions where thyroid and adrenal support is deemed beneficial. For example, in some cases of chronic fatigue syndrome or fibromyalgia, where there is a hypothesis of underlying hormonal imbalances, a carefully monitored regimen of liothyronine and hydrocortisone could be explored as part of a comprehensive treatment plan. The slow-release nature of the capsules ensures that the hormones are delivered steadily, which might help in alleviating symptoms without causing the side effects associated with fluctuating hormone levels.

Furthermore, the combination of liothyronine and hydrocortisone in a single slow-release capsule could be advantageous for patients who have difficulty adhering to multiple medication regimens. By simplifying the dosing schedule, this formulation can improve patient compliance, which is a critical factor in the successful management of chronic conditions. It is important for prescribers to consider the individual needs of their patients, including their ability to adhere to complex medication schedules, when deciding on the use of this formulation.

For patients and prescribers interested in exploring these other uses, it is essential to conduct a thorough evaluation of the patient's medical history, current health status, and specific therapeutic goals. As with any off-label use, careful monitoring and regular follow-up are necessary to ensure safety and efficacy. If you have any questions or need further information about this formulation, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries you may have.

Frequently Asked Questions

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What is the purpose of using Methocel E4M in these capsules?

Methocel E4M is a controlled-release polymer used in these capsules to gradually release the active ingredients over an extended period. This helps maintain sustained therapeutic effects, reduces the frequency of dosing, and improves patient compliance.

How does the slow-release mechanism benefit patients?

The slow-release mechanism ensures that the medication is released gradually, providing a consistent therapeutic effect over time. This reduces the need for frequent dosing and helps maintain stable blood levels of the medication, improving overall treatment outcomes.

What are the active ingredients in these capsules?

The active ingredients in these capsules are Liothyronine Sodium 5 mcg and Hydrocortisone 5 mg. These are combined in a slow-release formulation to provide prolonged therapeutic effects.

Who might benefit from this compounded formulation?

Patients who require a controlled and prolonged release of Liothyronine Sodium and Hydrocortisone may benefit from this formulation. It is particularly useful for those who need consistent medication levels throughout the day.

How should these capsules be taken?

These capsules should be taken as prescribed by a healthcare provider. It is important to follow the dosing instructions carefully to ensure optimal therapeutic effects and minimize potential side effects.

Can these capsules be taken with other medications?

Before taking these capsules with other medications, it is important to consult with a healthcare provider. They can assess potential interactions and adjust treatment plans accordingly.

Are there any side effects associated with this formulation?

As with any medication, there may be side effects. Common side effects can include symptoms related to the active ingredients, such as changes in heart rate or mood. It is important to report any unusual symptoms to a healthcare provider.

What should I do if I miss a dose?

If you miss a dose, take it as soon as you remember. If it is close to the time for your next dose, skip the missed dose and resume your regular dosing schedule. Do not double the dose to catch up.

How should these capsules be stored?

Store these capsules in a cool, dry place away from direct sunlight and moisture. Keep them out of reach of children and pets to prevent accidental ingestion.

Can these capsules be used during pregnancy or breastfeeding?

It is important to consult with a healthcare provider before using these capsules during pregnancy or breastfeeding. They can provide guidance based on individual health needs and potential risks.

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 Sodium 5 mcg/Hydrocortisone 5 mg Slow Release (ME4M) Oral Capsules
Slow Release Capsules
controlled

Take 1 capsule by mouth

Twice daily