T3 IR or SR

Capsule commonly stocked strengths:
7.5 mcg | 10 mcg | 12.5mcg | 15 mcg | 20 mcg

Up to and including 90 mcg

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Disclaimer: Images are for reference only; actual products may vary.

Product Overview

T3 IR or SR Description1,2

Oral T3 may be compounded in either immediate-release or sustained-release formulations. T3 acts in a manner comparable to the naturally occurring thyroid hormone triiodothyronine. It is supplied as an oral capsule and is intended for use as replacement or adjunctive therapy in the management of hypothyroidism.

The human body contains two primary thyroid hormones: triiodothyronine (T3) and thyroxine (T4). Triiodothyronine is the more biologically active hormone. In the body, T4 is converted into T3. Additionally, T3 has a faster onset of action than T4 and may be used in individuals who do not efficiently convert T4 to T3.

T3 is indicated for the following:

  • Hypothyroidism: As replacement therapy in primary (thyroidal), secondary (pituitary), or tertiary (hypothalamic) congenital or acquired hypothyroidism

  • Pituitary Thyrotropin (Thyroid-Stimulating Hormone, TSH) Suppression: As an adjunct to surgery and radioiodine therapy in the management of well-differentiated thyroid cancer

  • Thyroid Suppression Test: As a diagnostic agent in suppression testing to distinguish suspected mild hyperthyroidism or thyroid gland autonomy

Mechanism of Action1

Triiodothyronine exerts its physiologic actions through control of DNA transcription and protein synthesis. It does this by entering into the cell nucleus and binding to thyroid receptor proteins attached to DNA. This hormone nuclear receptor complex activates gene transcription and synthesis of messenger RNA and cytoplasmic proteins. The physiological actions of thyroid hormones are produced predominantly by T3.

Common (mimic symptoms of hyperthyroidism)1,2

  • Cardiac-arrhythmias, myocardial infarction, palpitations
  • Nervousness or anxiety
  • Irritability
  • Insomnia
  • Weight loss
  • Heat intolerance
  • Diarrhea or abdominal cramps
  • Temporary hair loss, especially in pediatric patients early in therapy

Contraindications & Precautions1

Contraindications

  • Hypersensitivity to liothyronine or any tablet component

Precautions

  • Use caution in patients with cardiovascular disease (e.g., angina, coronary artery disease, arrhythmias) due to the risk of exacerbation from increased metabolic demands
  • Monitor glucose levels in diabetic patients; thyroid hormone can alter insulin requirements
  • Use lower initial doses in elderly patients or those with longstanding hypothyroidism
  • Osteoporosis risk increases with over-replacement of thyroid hormone
  • Store at controlled room temperature (20°C to 25°C / 68°F to 77°F)
  • Protect from moisture and light
  • Keep in a tightly closed container
  1. Cytomel (Liothyronine Sodium) Prescribing Information. FDA. www.accessdata.fda.gov/drugsatfda_docs/label/2018/010379s054lbl.pdf. Revised December 2018. Accessed May 26, 2025
  2. Clinical Pharmacology liothyronine clinical monograph 2025 https://www.clinicalkey.com/pharmacology/

WPPL operates as a 503A compounding pharmacy and prepares individualized prescription medications pursuant to provider direction. Compounded preparations are not reviewed, tested, or approved by the FDA.

This listing also includes commercially manufactured products for convenience; these items are not compounded by our pharmacy and are sold as provided by their manufacturers. Actual products in stock at time of dispensing may vary due to supply chain variability. Any statements regarding non-compounded products are manufacturer-supplied, have not been evaluated by the FDA, and are not intended to diagnose, treat, cure, or prevent any disease. WPPL does not verify or endorse any therapeutic claims made by manufacturers. Please refer to original labeling for complete product information.

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