Achieving value and sustainability in prescribing medication: consultation

Closes 8 Sep 2024

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Liothyronine

Recommendations

  • prescribe only if for an exception or indication named in this guidance
  • consider deprescribing in individuals currently prescribed this item where appropriate
  • prescribe only if no other item or intervention is clinically appropriate
  • prescribe only if no other item or intervention is available

 

Exceptions:

  • These recommendations do not apply to individuals who have already been reviewed by an NHS consultant endocrinologist.
  • New patients with overt hypothyroidism whose symptoms persist on levothyroxine may be prescribed liothyronine after a three-month or longer review by an NHS consultant endocrinologist.
  • These recommendations do not apply to individuals with thyroid cancer where liothyronine is used in preparation for radioiodine ablation, iodine scanning, or stimulated thyroglobulin test.
  • These recommendations do not apply to individuals where liothyronine is prescribed for the treatment of depression only, in certain settings under the care of a NHS consultant psychiatrist.
27a. Do you agree or disagree with the recommendation that liothyronine should only be prescribed for an exception or indication named in this guidance?
27b. Do you agree or disagree with the recommendation to deprescribe liothyronine in individuals where appropriate?
27c. Do you agree or disagree with the recommendation to only prescribe liothyronine if no other item or intervention is clinically appropriate or available?
27d. Please provide any further comments on the recommendations for liothyronine.