Thyrolar (compounded)

Nov 1, 2011

Dear Doctors,

At the Dauphin Clinic Pharmacy, we want to help you help your patients. One way we can help you is through compounding. Compounding is when a pharmacist modifies or mixes a medication for a specific patient with a prescription from that patients prescriber. Common reasons to compound a medication are to get a non-commercially available dose, to get a medication into a patient by a different route or to re-create a medication that is temporarily or permanently off the market. Here is our suggestion this month:

Compound Name:Thyrolar (compounded)
What is in It:levothyroxine (T4) and liothyronine (T3). AKA Liotrix Various strengths. We have compounded 100 mcg T4 and 25 mcg T3
Indication:Mainly for hypothyroidism. The argument for combined T4/T3 goes like this: thyroid gland produces T4. T4 goes to periphery and is converted to T3 by enzymes. T3 is the active hormone. Some people don't convert T4 to T3 well, so supplementing them with just T4 (e.g. eltroxin, synthroid) doesn't work well.
How to Prescribe:Start low and go slow. If patient is taking 100 mcg of eltroxin, drop them to 50mcg T4 and 12.5mcg T3 and try for a month.

We hope that gives you some ideas about how we can help you help your patients! Any questions? Call us at 638-4602.

The Pharmacists of the Dauphin Clinic Pharmacy


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