Peringatan Keamanan

Hypermetabolic state indistinguishable from thyrotoxicosis of endogenous origin. Symptoms of thyrotoxicosis include weight loss, increased appetite, palpitations, nervousness, diarrhea, abdominal cramps, sweating, tachycardia, increased pulse and blood pressure, cardiac arrhythmias, tremors, insomnia, heat intolerance, fever, and menstrual irregularities.

Liotrix

DB01583

small molecule approved

Deskripsi

Liotrix is a synthetically derived thyroid hormone replacement preparation. It consists of levothyroxine sodium (thyroxine, T4) and liothyronine sodium (triiodothyronine, T3) in a 4 to 1 ratio by weight. Liotrix was developed when it was believed that serum levels of both T4 and T3 were maintained by direct thyroidal secretion. It is now known that the thyroid gland secretes approximately ten times more T4 than T3 and that 80% of serum T3 is derived from deiodination of T4 in peripheral tissues. Administration of levothyroxine alone is sufficient for maintaining serum T4 and T3 levels in most patients and combination hormone replacement therapy generally offers no therapeutic advantage. In fact, administration of T3 may result in supratherapeutic levels of T3.

Struktur Molekul 2D

Berat 1471.8072
Wujud solid

Peta Jejaring Molekuler
Legenda: ObatTargetGenEnzim(Panah → menunjukkan arah efek / relasi)TransporterCarrier

Profil Farmakokinetik

Waktu Paruh (Half-Life) -
Volume Distribusi -
Klirens (Clearance) -

Absorpsi

Data absorpsi tidak tersedia.

Metabolisme

Data metabolisme tidak tersedia.

Rute Eliminasi

Thyroid hormones are primarily eliminated by the kidneys.

Interaksi Makanan

7 Data
  • 1. Avoid calcium supplements/calcium rich foods. Calcium may interfere with the absorption of this drug by forming an insoluble complex. Separate medication administration by at least 4 hours.
  • 2. Avoid grapefruit products. Grapefruit may delay the absorption of this medicaiton.
  • 3. Avoid high-fiber foods. High-fiber foods may affect absorption. Separate medication administration by at least 1 hour.
  • 4. Avoid iron supplements. Iron may interfere with the absorption of this drug by forming an insoluble complex. Separate medication administration by at least 4 hours.
  • 5. Avoid multivalent ions. Avoid iron and calcium containing products as well as antacids.
  • 6. Take before a meal. Take 30-60 minutes before breakfast.
  • 7. Take on an empty stomach.

Interaksi Obat

752 Data
Succinic acid The excretion of Succinic acid can be decreased when combined with Liotrix.
Citrulline The excretion of Citrulline can be decreased when combined with Liotrix.
Pravastatin The excretion of Pravastatin can be decreased when combined with Liotrix.
Oseltamivir The excretion of Oseltamivir can be decreased when combined with Liotrix.
Cefotiam The excretion of Cefotiam can be decreased when combined with Liotrix.
Tenofovir disoproxil The excretion of Tenofovir disoproxil can be decreased when combined with Liotrix.
Piperacillin The excretion of Piperacillin can be decreased when combined with Liotrix.
Indomethacin The excretion of Indomethacin can be decreased when combined with Liotrix.
Aminohippuric acid The excretion of Aminohippuric acid can be decreased when combined with Liotrix.
Trifluridine The excretion of Trifluridine can be decreased when combined with Liotrix.
Allopurinol The excretion of Allopurinol can be decreased when combined with Liotrix.
Zidovudine The excretion of Zidovudine can be decreased when combined with Liotrix.
Cimetidine The excretion of Cimetidine can be decreased when combined with Liotrix.
Cefdinir The excretion of Cefdinir can be decreased when combined with Liotrix.
Methotrexate The excretion of Methotrexate can be decreased when combined with Liotrix.
Cephalexin The excretion of Cephalexin can be decreased when combined with Liotrix.
Valaciclovir The excretion of Valaciclovir can be decreased when combined with Liotrix.
Levocarnitine The excretion of Levocarnitine can be decreased when combined with Liotrix.
Leucovorin The excretion of Leucovorin can be decreased when combined with Liotrix.
Fluorescein The excretion of Fluorescein can be decreased when combined with Liotrix.
Acyclovir The excretion of Acyclovir can be decreased when combined with Liotrix.
Cefaclor The excretion of Cefaclor can be decreased when combined with Liotrix.
Ranitidine The excretion of Ranitidine can be decreased when combined with Liotrix.
Quinapril The excretion of Quinapril can be decreased when combined with Liotrix.
Bumetanide The excretion of Bumetanide can be decreased when combined with Liotrix.
Dinoprostone The excretion of Dinoprostone can be decreased when combined with Liotrix.
Famotidine The excretion of Famotidine can be decreased when combined with Liotrix.
Fexofenadine The excretion of Fexofenadine can be decreased when combined with Liotrix.
Benzylpenicillin The excretion of Benzylpenicillin can be decreased when combined with Liotrix.
Rosuvastatin The excretion of Rosuvastatin can be decreased when combined with Liotrix.
Captopril The excretion of Captopril can be decreased when combined with Liotrix.
Cefazolin The excretion of Cefazolin can be decreased when combined with Liotrix.
Ceftizoxime The excretion of Ceftizoxime can be decreased when combined with Liotrix.
Cefacetrile The excretion of Cefacetrile can be decreased when combined with Liotrix.
Ceftibuten The excretion of Ceftibuten can be decreased when combined with Liotrix.
Tazobactam The excretion of Tazobactam can be decreased when combined with Liotrix.
Cyclic adenosine monophosphate The excretion of Cyclic adenosine monophosphate can be decreased when combined with Liotrix.
Cholic Acid The excretion of Cholic Acid can be decreased when combined with Liotrix.
Glutaric Acid The excretion of Glutaric Acid can be decreased when combined with Liotrix.
Oxalic Acid The excretion of Oxalic Acid can be decreased when combined with Liotrix.
Taurocholic acid The excretion of Taurocholic acid can be decreased when combined with Liotrix.
Doripenem The excretion of Doripenem can be decreased when combined with Liotrix.
Ellagic acid The excretion of Ellagic acid can be decreased when combined with Liotrix.
Cefaloridine The excretion of Cefaloridine can be decreased when combined with Liotrix.
Avibactam The excretion of Avibactam can be decreased when combined with Liotrix.
Eluxadoline The excretion of Eluxadoline can be decreased when combined with Liotrix.
Silibinin The excretion of Silibinin can be decreased when combined with Liotrix.
Tenofovir alafenamide The excretion of Tenofovir alafenamide can be decreased when combined with Liotrix.
Baricitinib The serum concentration of Baricitinib can be increased when it is combined with Liotrix.
Relebactam The excretion of Relebactam can be decreased when combined with Liotrix.
Tenofovir The excretion of Tenofovir can be decreased when combined with Liotrix.
Hydrochlorothiazide The excretion of Hydrochlorothiazide can be decreased when combined with Liotrix.
Hydrocortisone The excretion of Hydrocortisone can be decreased when combined with Liotrix.
Tetracycline The excretion of Tetracycline can be decreased when combined with Liotrix.
Oxytetracycline The excretion of Oxytetracycline can be decreased when combined with Liotrix.
Polythiazide The excretion of Polythiazide can be decreased when combined with Liotrix.
Dexamethasone acetate The excretion of Dexamethasone acetate can be decreased when combined with Liotrix.
Tolevamer Tolevamer can cause a decrease in the absorption of Liotrix resulting in a reduced serum concentration and potentially a decrease in efficacy.
Chlorotrianisene The therapeutic efficacy of Liotrix can be decreased when used in combination with Chlorotrianisene.
Tibolone The therapeutic efficacy of Liotrix can be decreased when used in combination with Tibolone.
Polyestradiol phosphate The therapeutic efficacy of Liotrix can be decreased when used in combination with Polyestradiol phosphate.
Zeranol The therapeutic efficacy of Liotrix can be decreased when used in combination with Zeranol.
Equol The therapeutic efficacy of Liotrix can be decreased when used in combination with Equol.
Methallenestril The therapeutic efficacy of Liotrix can be decreased when used in combination with Methallenestril.
Epimestrol The therapeutic efficacy of Liotrix can be decreased when used in combination with Epimestrol.
Moxestrol The therapeutic efficacy of Liotrix can be decreased when used in combination with Moxestrol.
Biochanin A The therapeutic efficacy of Liotrix can be decreased when used in combination with Biochanin A.
Formononetin The therapeutic efficacy of Liotrix can be decreased when used in combination with Formononetin.
Ritanserin The therapeutic efficacy of Liotrix can be decreased when used in combination with Ritanserin.
Alaproclate The therapeutic efficacy of Liotrix can be decreased when used in combination with Alaproclate.
Citalopram The therapeutic efficacy of Liotrix can be decreased when used in combination with Citalopram.
Fluoxetine The therapeutic efficacy of Liotrix can be decreased when used in combination with Fluoxetine.
Duloxetine The therapeutic efficacy of Liotrix can be decreased when used in combination with Duloxetine.
Trazodone The therapeutic efficacy of Liotrix can be decreased when used in combination with Trazodone.
Paroxetine The therapeutic efficacy of Liotrix can be decreased when used in combination with Paroxetine.
Sertraline The therapeutic efficacy of Liotrix can be decreased when used in combination with Sertraline.
Sibutramine The therapeutic efficacy of Liotrix can be decreased when used in combination with Sibutramine.
Escitalopram The therapeutic efficacy of Liotrix can be decreased when used in combination with Escitalopram.
Dapoxetine The therapeutic efficacy of Liotrix can be decreased when used in combination with Dapoxetine.
Colesevelam The therapeutic efficacy of Liotrix can be decreased when used in combination with Colesevelam.
Calcium acetate The therapeutic efficacy of Liotrix can be decreased when used in combination with Calcium acetate.
Calcium glucoheptonate The therapeutic efficacy of Liotrix can be decreased when used in combination with Calcium glucoheptonate.
Calcium chloride The therapeutic efficacy of Liotrix can be decreased when used in combination with Calcium chloride.
Calcium The therapeutic efficacy of Liotrix can be decreased when used in combination with Calcium.
Calcium carbonate The therapeutic efficacy of Liotrix can be decreased when used in combination with Calcium carbonate.
Calcium citrate The therapeutic efficacy of Liotrix can be decreased when used in combination with Calcium citrate.
Calcium gluconate The therapeutic efficacy of Liotrix can be decreased when used in combination with Calcium gluconate.
Calcium Phosphate The therapeutic efficacy of Liotrix can be decreased when used in combination with Calcium Phosphate.
Calcium glubionate anhydrous The therapeutic efficacy of Liotrix can be decreased when used in combination with Calcium glubionate anhydrous.
Calcium lactate The therapeutic efficacy of Liotrix can be decreased when used in combination with Calcium lactate.
Calcium lactate gluconate The therapeutic efficacy of Liotrix can be decreased when used in combination with Calcium lactate gluconate.
Calcium pangamate The therapeutic efficacy of Liotrix can be decreased when used in combination with Calcium pangamate.
Calcium levulinate The therapeutic efficacy of Liotrix can be decreased when used in combination with Calcium levulinate.
Calcium cation The therapeutic efficacy of Liotrix can be decreased when used in combination with Calcium cation.
Calcium polycarbophil The therapeutic efficacy of Liotrix can be decreased when used in combination with Calcium polycarbophil.
Lanthanum carbonate Lanthanum carbonate can cause a decrease in the absorption of Liotrix resulting in a reduced serum concentration and potentially a decrease in efficacy.
Piracetam The risk or severity of confusion, irritability, and sleep disorders can be increased when Liotrix is combined with Piracetam.
Pitolisant The serum concentration of Liotrix can be decreased when it is combined with Pitolisant.
Valsartan The excretion of Liotrix can be decreased when combined with Valsartan.
Reserpine The excretion of Liotrix can be decreased when combined with Reserpine.

Target Protein

Thyroid hormone receptor alpha THRA
Thyroid hormone receptor beta THRB

Referensi & Sumber

Artikel (PubMed)
  • PMID: 341699
    Cobb WE, Jackson IM: Drug therapy reviews: management of hypothyroidism. Am J Hosp Pharm. 1978 Jan;35(1):51-8.

Contoh Produk & Brand

Produk: 0 • International brands: 15
International Brands
  • Bitiron — Abdi (Turkey)
  • Combithyrex — Sandoz (Austria)
  • Cynoplus — Grossman (Mexico)
  • Dithyron — Unipharma (Greece)
  • Euthroid — Parke, Davis (United States) (discontinued)
  • Euthyral — Merck-Lipha (France)
  • Eutroid — Elea (Argentina)
  • Levotiroxina — Farmedica (Brazil) (discontinued)
  • Levotrin — GlaxoSmithKline (Argentina)
  • Novothyral — Merck (Austria, Belgium, Chile, Germany, Poland, Russia, Switzerland)

Sekuens Gen/Protein (FASTA)

Sekuens dimuat saat dibutuhkan agar halaman tetap ringan.
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