Cytomel vs liothyronine

Common Questions and Answers about Cytomel vs liothyronine


This is related to the other question you asked about generic vs brand cytomel. It's always best to keep related questions together. While you may not feel that 5 mcg cytomel is not making a difference, most likely, it is, even though it may be subtle. I was on 5 mcg for quite a while before my endo finally agreed to increase to 7.5 mcg/day and I'd even forget to take it on occasion. If you forget often enough, you'll know the difference.
I'm actually doing better on the generic levo than I did on synthroid; I can't tell a difference with the generic liothyronine (Cytomel). I'm happy to hear that you are on the tirosint; I downloaded info on it last week and faxed to my endo, in hopes that he will let me try it when I see him on Tues.
The use of Armour vs Synthroid or Synthroid/Cytomel combination depends on the individual that is taking the medicine. Most patients only need Synthroid since the body converts T4 to T3. In some cases, like myself, Synthroid/Cytomel combination works the best since I'm having a hard time with the conversion.
I quit the Cytomel due to the tonsilitis, which I was told was a rare side effect. Also, there was some increased anxiety. Due to the way I feel now, I wonder if there isn't a 3 mg dose, that I can divide, and try again. This is way worse then the anxiety, and prior to trying the Cytomel, which I was on for just over a month.
TSH: 0.57 (Range: (0.40-4.50) Labs at this time: TSH 0.32 Free T4: 1.4 Free T4: 1.5 (Range: 0.8-1.8) Free T3: 2.8 (Range: 2.3-4.2) Free T3: 3.2 (Range: 2.3-4.2) T3 Total: 70 T4: 9.0 (Range: 4.5-12.
That's a real savings with the generic T3 vs the actual Cytomel price in the past. Does the generic just say liothyronine on the lable? Very little is mentioned about generic T3 on the forum. Just found my old leftover Cyto 5 made by Monarch, it was spendy stuff. When I was on Nature Throid after the Armour shortage (boy was that fun), it was also cheaper without insurance and similarly priced with Armour under $20 per month. I imagine the newer natural thyroid Acella NP Thyroid (or PN?
What are your actual, current, thyroid levels? Please include reference ranges, since those vary lab to lab and have to come from your own report. There are 2 ways to calculate the dosage of desiccated vs synthetic. Dessicated has 38 mcg T4 and 9 mcg T3 per grain, so if you'd raised your desiccated according that, ahmee's calculation would be correct, and would seem logical; however, according to the conversion charts, 1.
The name brand Cytomel is co-pay $100/90 day supply vs. $14/90 day supply of generic liothyronine from CVS - big difference! But if the Cytomel works better it may be worth it!
Some people absolutely have to have desiccated in order to feel well, some of us do fine on synthetics, others do well on compounded. I, personally, am on 88 mcg Tirosint (T4 gelcap) and 10 mcg Liothyronine (generic cytomel)/day and it works great, for me, but may not be right for someone else. Adjustments to either T4 or T3 med can be made very easily without changing the other.
Levothyroxine /L-thyroxine (Synthroid, Levoxyl, Unithroid, etc.) Liothyronine (Cytomel/T3) Liotrix (Thyrolar) Methimazole (Tapazole) Propylthiouracil / PTU Natural thyroid (Armour, Naturethroid, Bio-tech) Thyrotropin alfa (Thyrogen) Time-released T3, compounded It is best to stick with the same medication. However, when changing, its best to give it time to work and make sure test are done because levels might change. Once you are regulated on the new med.
The bottle just says Liothyronine, so apparently it is just a generic T3 med.
Well, I went to see him, and he agreed to give me Cytomel. He wanted me to take 10 mcg of Cytomel per day (in 5-mcg pills). I would take the first 5-mcg pill with the 125-mcg Synthroid in the morning (I would swallow both pills at the same time). About 6 hours later, I would swallow the second 5-mcg pill. I would do this every day. However, to acclimate my body to the Cytomel, I would spend the first four days taking only one 5-mcg Cytomel pill, in the morning with the Synthroid.
3) Since I cannot get anything answered until January 10th, should I try getting rid of the generic levothyroxine and liothyronine and replace with Synthroid and Cytomel? I am just beginning this journey to regulate my horomones, thyroid, etc. Unfortunately, I won't be able to have my first visit with an endocrinologist until January 10th. In the meantime I have been calling in sick left and right due to dizziness, feeling faint, and exhaustion.
After 6 ms on NT(3grain) my labs didn't improve much, I was switched to Synthroid/Cytomel about a month ago(due to resistance supposedly). I'm feeling much better now, but not optimal yet. I still have lows but are not debilitating as before, do see small improvements every day, not a big wow effect. Have you tried a different medication before? And a question for Barb, how long do you think is a fair amount of time to give a medication a good try before trying another?
Since you're already on Synthroid, the easiest method would be to add cytomel or its generic counterpart, liothyronine. Typically, the T4 med is decreased by 20-25 mcg for every 5 mcg of T3 added, which could be about right, since your FT4 is already higher than necessary. Do you have symptoms of hypo? What's your current dose of Synthroid?
If they don't, you may have to try a different type of med combo - perhaps a T4 med with and added smaller dose of T3, such as cytomel or its generic counterpart, liothyronine. 4) Since your FT4 stayed the same, even after 2 months without med and your FT3 increased, it's possible that your thyroid is still producing some hormones on its own. No, it doesn't mean that NatureThroid doesn't work for you. You should ask to get tested for Hashimoto's Thyroiditis.
Levothyroxine /L-thyroxine (Synthroid, Levoxyl, Unithroid, etc.) Liothyronine (Cytomel/T3) Liotrix (Thyrolar) Methimazole (Tapazole) Propylthiouracil / PTU Natural thyroid (Armour, Naturethroid, Bio-tech) Thyrotropin alfa (Thyrogen) Time-released T3, compounded It is best to stick with the same medication. However, when changing, its best to give it time to work and make sure test are done because levels might change. Once you are regulated on the new med.
I, personally, prefer synthetics, because many of us don't need the extra T3 that's present in the desiccated hormones and do fine on T4 meds and those of that do need extra T3 don't need the large amounts present in the desiccated hormones so we get by with just a small amount of added T3 in the form of cytomel or its generic liothyronine. That said, there are many people who absolutely do much better on desiccated hormones than they do on synthetics and all options should be kept open.
she was totally against me going to Mexico to do Weight Loss Surgery which my insurance did not cover, (cheaper abroad - 8K vs. 20k) and now she's happy I did it as I am in my ideal weight etc. she prescribed zoloft in my annual when I complained that I was still low and had difficulty getting up of bed. we did not have the results yet and did not know I was hypo. we found out a week later when labs came in.
What she is telling me is that my TSH is too low (meaning it is working too hard) My T4 is low - therefore is also working too hard My T3 is normal and therefore wants to lower my medications I have been taking 75MCG of levothyroxine and 25MCG of liothyronine since December. Her preference is that I quit taking the T3, but because she knows I am reluctant to do that, she lowered my dosage of levo. to 50MCG (back to what it was prior to December).
05 mg T4 with a smidge of T3 (10 mcg, Cytomel --never Armour brand, it is terribnle in the effects) (T3, ie, Cytomel works as a kickstarter in 5 to 10 min whereas T4 alone is 40 minutes, at best). I take this dose about 30min before breakfast and I repeat the dose at lunch (total of .1 mg T4 and 20 mcg cytomel), and another 0.02 T4 at dinner (a total of .12mcg T4 for each day, and no more than 20 mcg cytomel).
Took synthroiod and similar brands for 12 years and got worse every year as Hashi progressed. Was on Cytomel too, but ended up on dessicated pig thyroid early '09, and feel better. Anyone on dessicated knows it was a pain is the arse to get in 09. And the American brands changed - becoming less effective. So I and a few others here get our dessicated from Canada. After being on Canadian Erfa thyroid since May I feel a whole lot better.
Naturethroid provides 38mcg Levothyroxine (T4) and 9mcg liothyronine (T3) for each 65mg (1 grain) of the labeled content of thyroid. I have been told Westroid will be hard to find shortly and RLC labs is commenting to comsumers that are calling to look into Naturethroid as the choice. I thought about Thyrolar in the beginning, but my doctor wants to use this medication. I am not good with milk and Nature-throid has lactose in it. I am hoping to get a healthpage up this weekend.
I'm now taking generic levothyroxine and he added 10 mcg cytomel daily. I also have pernicious anemia so as long as I get my B12 shot every 2 weeks and take my thyroid meds, I'm feeling better than I have for years, in spite of still struggling with the weight issues. Thanks to everyone here who did and still does provide such a lot of information for me to be able to get the treatment I needed/deserved.