Liothyronine is a man-made form of a hormone that is normally produced by your thyroid gland to regulate the body's energy and metabolism. Liothyronine is given when the thyroid does not produce enough of this hormone on its own.

Liothyronine treats hypothyroidism (low thyroid hormone). Liothyronine is also given as part of a medical test for thyroid disorders.

Liothyronine is also used together with surgery and radioactive iodine therapy in people with thyroid cancer.

Liothyronine should not be used to treat obesity or weight problems.

Liothyronine may also be used for purposes not listed in this medication guide.

Liothyronine should not be used to treat obesity or weight problems.

You may not be able to use liothyronine if you have an adrenal gland problem that is not controlled by treatment.

Stop taking liothyronine and call your doctor if you have symptoms of thyroid toxicity, such as chest pain, fast or pounding heartbeats, feeling hot or nervous, or sweating more than usual.

Liothyronine comes as a tablet to take by mouth. It usually is taken once daily. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take liothyronine exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Your doctor will probably start you on a low dose of liothyronine and gradually increase your dose not more than once every 1 to 2 weeks.

To control the symptoms of hypothyroidism, you probably will need to take this medication for the rest of your life. Continue to take liothyronine even if you feel well. Do not stop taking liothyronine without talking to your doctor.

Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.

Older adults may be more sensitive to the effects of liothyronine, and doses are generally lower for people in this age group.

If you are switching to liothyronine from any other thyroid medicine, stop using the other medicine before you start taking liothyronine.

Liothyronine doses are based on weight (especially in children and teenagers). Your dose needs may change if you gain or lose weight.

When given as part of a thyroid suppression test, you will need to take liothyronine for several days in a row in preparation for the test. Tell your doctor if you miss any doses during this time.

Your thyroid function will need to be tested often. Even if you have no symptoms, tests can help your doctor determine if this medicine is effective.

If you need surgery, tell your surgeon you currently use this medicine. You may need to stop for a short time.

This medicine can affect the results of certain medical tests. Tell any doctor who treats you that you are using liothyronine.

Keep using this medicine as directed, even if you feel well. You may need to take thyroid medication for the rest of your life.

Store at room temperature away from moisture and heat.

Since thyroid hormone occurs naturally in the body, almost anyone can take liothyronine. However, you may not be able to use this medicine if you have an adrenal gland problem that is not controlled by treatment.

Tell your doctor if you have ever had:

• problems with your pituitary or adrenal gland;

• heart disease, angina (chest pain);

• a bleeding or blood clotting disorder;

• diabetes; or

• osteoporosis or low bone mineral density.

Tell your doctor if you are pregnant or breastfeeding.

Follow your doctor's instructions about using this medicine if you are pregnant. Controlling your thyroid hormone levels is very important during pregnancy, and your dose needs may be different during each trimester.

Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include headache, sweating, diarrhea, irregular menstrual periods, confusion, weakness, swelling in your hands or feet, fast heart rate, chest pain, feeling short of breath, fainting, or feeling nervous, restless, or irritable.

Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom).

It is important to keep all medication out of sight and reach of children as many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location – one that is up and away and out of their sight and reach. http://www.upandaway.org

Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. See the FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) for more information if you do not have access to a take-back program.

Unless your doctor tells you otherwise, continue your normal diet.

Do not change brands or change to a generic product without first asking your doctor. Different brands of liothyronine may not work the same. If you get a prescription refill and your new pills look different, talk with your pharmacist or doctor.

Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Stop using liothyronine and call your doctor if you have symptoms of thyroid toxicity, such as chest pain, fast or pounding heartbeats, feeling hot or nervous, or sweating more than usual.

Also call your doctor at once if you have:

• weak or shallow breathing;

• confusion;

• a feeling of being cold all the time;

• changes in weight or appetite;

• chest pressure spreading to your jaw or shoulder;

• a light-headed feeling, like you might pass out;

• severe headaches, ringing in your ears, dizziness, vision problems, pain behind your eyes;

• a seizure; or

• (in a child or teenager) pain, stiffness, and trouble moving the legs.

Common side effects of liothyronine may include:

• trouble breathing;

• headache;

• tremors, feeling nervous or irritable;

• muscle weakness;

• increased appetite;

• diarrhea;

• irregular menstrual periods;

• weight loss;

• feeling hot;

• rash; or

• sleep problems (insomnia).

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Some medicines can make liothyronine much less effective when taken at the same time. If you take any of the following medicines, take your liothyronine dose 4 hours before you take the other medicine.

• cholestyramine;

• colesevelam;

• colestipol; or

• sevelamer.

Tell your doctor about all your current medicines. Many drugs can affect liothyronine, especially:

• cancer medicine;

• birth control pills or hormone replacement therapy;

• cough or cold medicine;

• an antidepressant;

• steroid medicine;

• seizure medicine;

• insulin or oral diabetes medicine; or

• a blood thinner (warfarin, Coumadin, Jantoven).

This list is not complete and many other drugs may affect liothyronine. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

Keep all appointments with your doctor and the laboratory. Your doctor will order certain lab tests to check your response to liothyronine.

Before having any laboratory test, tell your doctor and the laboratory personnel that you are taking liothyronine.

Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription.

It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.