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thyroid (USP) (Westhroid, Natural Thyroid, Nature-Throid, NP Thyroid)

Tradenames: Armour thyroid. Indications: - replacement of supplemental therapy for hypothyroidism (not agent of choice) [3] Dosage: Tabs: 15, 30, 60, 90, 120, 180, 240, 300 mg. Adverse effects: - uncommon (< 1%) - palpitations, nervousness, sweating, tachycardia, headache, cardiac arrhythmias, tremors, insomnia, fever, hair loss, increased appetite, diarrhea, abdominal cramps, changes in menstrual cycle, constipation, muscle aches, chest pain, hand tremors, shortness of breath, clumsiness Mechanism of action: 1) contains both T3 & T4 2) preparations not well standardized. Notes: - porcine (or mixed beef & pork) thyroid glands, dried & powdered for therapeutic use

General

pharmacologic combination endocrine agent

References

  1. Kaiser Permanente Northern California Regional Drug Formulary, 1998
  2. Prescriber's Letter 12(5): 2005 Combination Liothyronine (T3) and Levothyroxine (T4) Supplementation for Hypothyroidism Detail-Document#: 210512 (subscription needed) http://www.prescribersletter.com
  3. Drugs.com http://www.drugs.com/ppa/thyroid-desiccated-thyroid-usp.html
  4. Wikipedia: dessicated thyroid extract http://en.wikipedia.org/wiki/Desiccated_thyroid_extract
  5. Jackson IM, Cobb WE. Why does anyone still use desiccated thyroid USP? Am J Med. 1978 Feb;64(2):284-8. PMID: 629277