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pharmaceutical

Liothyronine

Also known as: T3, Cytomel, liothyronine sodium

Synthetic triiodothyronine (T3), the active thyroid hormone. Sometimes added to levothyroxine (T4) in patients who do not feel well on T4 alone, though this combination therapy is not routinely recommended by NICE or the BTA. Increasingly sought privately by patients who report persistent symptoms on levothyroxine monotherapy.

This page contains self-reported experiences from the Narrated community — not clinical data. Outcomes are subjective. Always consult your doctor or specialist before starting, stopping, or changing any approach.

Regulatory status does not mean an approach is safe or unsafe. Laws vary by country — check your local regulations.

Community Experiences

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Research Context

Research context compiled from published sources

How does Liothyronine work?

T3 is the biologically active thyroid hormone that directly binds to nuclear thyroid receptors, regulating gene expression in virtually every tissue. It has a rapid onset of action and shorter half-life than T4. Some patients may have impaired T4-to-T3 conversion (e.g., DIO2 gene polymorphisms), which is a proposed rationale for combination therapy.

Research Depth

Well Studied

Extensive human research over many years, including randomized controlled trials.

Long-Term Evidence

Unknown

Known Interactions
Anticoagulants (may enhance warfarin effect)Antidiabetics (may increase insulin requirements)Cardiac glycosides (may increase risk of arrhythmia)
Reported Contraindicated Populations
ThyrotoxicosisCardiovascular disease (rapid action may precipitate angina or arrhythmia)Adrenal insufficiency (must be treated first)
Published Dose Ranges
520 mcg/dayoral · once or twice daily (dose split to avoid peak/trough fluctuations)
BNF

Dose ranges from published research. Individual dosing should be determined with your healthcare provider based on your specific circumstances.

Factual research context from published sources — not a safety assessment or recommendation. Research classifications may change as new data emerges.

Related Approaches

Other approaches tracked on Narrated.

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