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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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On Eltroxin For Graves Disease. Friend With Same Condition Prescribed With Eltroxin And Diotroxin. Do I Need Extra Medicine?

I have had a thyroid condition for more than 10 years. It has been diagnosed as Graves Disease . I take 10ug of eltroxin daily and have it monitored every 6 months by blood tests. Recently a close friend of mine has been having thyroid problems and after a lot of testing she has been put on a combination of eltroxin and diotroxin. Now I am wondering - what is diotroxin - why did they prescribe it to her, but not to me and should I be taking some extra medication like diotroxin or even tetroxin?
Wed, 11 Sep 2013
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Internal Medicine Specialist 's  Response
Hello

Thyroid gland produces 2 hormones ,,,T3 liothyronine and T4 thyroxine , T4 is converted to T3 for any active action

T3 is marketed as liothyronine like tetraoxin or diotroxin (combined with T4)

T4 is marketed as thyroxine , eltroxine , part of diotroxin

All post radionucleotide ablated cancer patients or primary hypothyroid take T4 as international guide lines

T3 alone or combined with T4 is taken in thyroid cancer patient who have to undergo thyroid cancer scan like for 2-3 months , or who had to undergo chemotherapy for thyroid cancer spread, according to international guide lines

But in trials underway , are telling us that T3 + T4 combinations are effective in improving , mood , confidence , general well being , than T4 treatement alone

So if low mood is there , try diotroxin , for a month or so , but do get thyroid levels after that month , as combinations increase the TSH, you can also add T4 + ( T4+T3) as dose is 1.6 x body weight

Hope this helps
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On Eltroxin For Graves Disease. Friend With Same Condition Prescribed With Eltroxin And Diotroxin. Do I Need Extra Medicine?

Hello Thyroid gland produces 2 hormones ,,,T3 liothyronine and T4 thyroxine , T4 is converted to T3 for any active action T3 is marketed as liothyronine like tetraoxin or diotroxin (combined with T4) T4 is marketed as thyroxine , eltroxine , part of diotroxin All post radionucleotide ablated cancer patients or primary hypothyroid take T4 as international guide lines T3 alone or combined with T4 is taken in thyroid cancer patient who have to undergo thyroid cancer scan like for 2-3 months , or who had to undergo chemotherapy for thyroid cancer spread, according to international guide lines But in trials underway , are telling us that T3 + T4 combinations are effective in improving , mood , confidence , general well being , than T4 treatement alone So if low mood is there , try diotroxin , for a month or so , but do get thyroid levels after that month , as combinations increase the TSH, you can also add T4 + ( T4+T3) as dose is 1.6 x body weight Hope this helps