Shytomel 25mcg

Package	Per tablet	Savings	Price
600 tablets	$0.25	$47.00	$195.00 $148
500 tablets	$0.25	$35.50	$162.50 $127
400 tablets	$0.26	$27.00	$130.00 $103
300 tablets	$0.27	$15.50	$97.50 $82
200 tablets	$0.30	$6.00	$65.00 $59
100 tablets	$0.30	–	$32.50

What is this medicine?

SHYTOMEL (Liothyronine Sodium 25 mcg) is a synthetic form of the thyroid hormone triiodothyronine (T3). It is used to treat hypothyroidism (low thyroid hormone levels), certain types of goiter, and sometimes as part of a test for thyroid function. It may also be used in the treatment of thyroid cancer or myxedema coma.

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What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• Heart disease (such as angina, arrhythmia, heart attack)

• High blood pressure

• Diabetes

• Adrenal or pituitary gland problems

• Osteoporosis or bone thinning

• Anxiety or nervousness disorders

• Kidney or liver disease

• A special diet, such as a low-salt or diabetic diet

• An unusual or allergic reaction to liothyronine, thyroid hormones, other medications, foods, dyes, or preservatives

• Pregnant or trying to get pregnant

• Breast-feeding

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How should I use this medicine?

Take this medicine by mouth with a glass of water. It is best taken on an empty stomach, typically 30 minutes before breakfast. Take your doses at regular intervals—at the same time each day. Do not take more or less than directed.

Overdosage: If you think you have taken too much of this medicine, contact a poison control center or emergency room at once.

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What if I miss a dose?

If you miss a dose, take it as soon as possible. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

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What may interact with this medicine?

• Blood thinners (e.g., warfarin)

• Diabetes medications (e.g., insulin, metformin)

• Estrogen-containing medications (e.g., birth control pills or hormone replacement therapy)

• Antacids or supplements with calcium, iron, or aluminum (may interfere with absorption)

• Cholestyramine or colestipol (cholesterol-lowering drugs)

• Seizure medications (e.g., phenytoin, carbamazepine, phenobarbital)

• Digoxin (heart medication)

• Antidepressants

• Soy-containing foods or high-fiber diets

This list may not describe all possible interactions. Give your healthcare provider a list of all the medicines, herbs, non-prescription drugs, or supplements you use. Also let them know if you smoke, drink alcohol, or use illegal drugs.

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What should I watch for while using this medicine?

• Visit your doctor or healthcare provider regularly to monitor your thyroid hormone levels and response to treatment.

• Do not stop taking the medication without your doctor’s advice—even if you feel well.

• Let your doctor know if you experience symptoms of too much thyroid hormone, such as rapid heartbeat, chest pain, excessive sweating, anxiety, or weight loss.

• Women should inform their doctor if they plan to become pregnant or are pregnant. Thyroid hormone levels may need to be adjusted during pregnancy.

• If you have diabetes, monitor your blood sugar closely—thyroid hormones can affect glucose control.

• Avoid switching between brands or generic forms unless your doctor instructs you to do so.

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What side effects may I notice from this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• Chest pain or palpitations

• Shortness of breath

• Rapid or irregular heartbeat

• Nervousness, anxiety, or irritability

• Tremors or shakiness

• Excessive sweating

• Intolerance to heat

• Unusual weight loss

• Insomnia

Side effects that usually do not require medical attention (report if they persist or are bothersome):

• Mild headache

• Temporary hair thinning (especially in children in early treatment)

• Diarrhea

• Muscle weakness

• Increased appetite

This list may not describe all possible side effects.

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Where should I keep my medicine?

• Keep out of the reach of children.

• Store at room temperature between 20 and 25°C (68 and 77°F).

• Protect from light and moisture.

• Do not store in a bathroom or near a sink.

• Safely discard any unused medicine after the expiration date.