Drug reference
Liothyronine sodium
Thyroid Hormone · Thyroid disorders
Also known as L-T3, CYTOMEL, TRIOSTAT
Thyroid HormoneThyroid disorders
CDSCO approved
EXCRETION
—
not curated
INTERACTIONS
—
none in our sources
PREGNANCY
—
not curated
Mechanism
Liothyronine sodium has a similar action to levothyroxine sodium but is more rapidly metabolized, resulting in a more rapid effect. It directly replaces endogenous triiodothyronine (T3), exerting its effects by binding to thyroid hormone receptors in target tissues. Normalization of circulating TSH may rely on both direct T3 effects and the local generation of T3 from circulating T4, which is not provided by Liothyronine monotherapy.
Indications
HypothyroidismSevere hypothyroid states when a rapid response is desiredHypothyroid comaPreparing a thyroid cancer patient for 131I therapy
Dosing
- Adult
- For athyreotic individuals: 10 to 15 micrograms three times per day typically yields a normal serum free T3. By intravenous injection is the treatment of choice in hypothyroid coma.
Pharmacokinetics
Onset
Effects develop after a few hours
Peak effect
Peak serum levels 2-4 hours following oral ingestion
Duration
Effects disappear within 24 to 48 hours of discontinuing treatment
Half-life
0.75 days
Bioavailability
Nearly 100%
Metabolism
More rapidly metabolised than levothyroxine sodium
Related guidelines
Other Thyroid Hormone drugs
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Sources: BNF·Verified: 2026-05-10 · House clinical team