Achieving value and sustainability in prescribing medication: consultation
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.