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Table 2 LT4 formulations preferred by respondents in different clinical scenarios

From: Use of thyroid hormones in hypothyroid and euthyroid patients: a 2022 THESIS questionnaire survey of members of the Latin American Thyroid Society (LATS)

 

Tablets,

n (%)

Soft-gel capsules,

n (%)

Liquid Solutions,

n (%)

I expect no major changes with different formulations, n (%)

Interfering drugs may influence the stability of therapy. Which LT4 preparation is, in your experience, less likely to be subject to variable absorption?

33 (40.7)

20 (24.7)

19 (23.5)

9 (11.1)

Which of the following preparations of LT4 would you prescribe in case of a first diagnosis of hypothyroidism, when the patient self-reports intolerance to various foods, raising the possibility of celiac disease, malabsorption, lactose intolerance or intolerance to excipients?

37 (45.7)

16 (19.8)

20 (24.7)

8 (9.9)

Which of the following preparations of LT4 would you prescribe for a patient established on generic LT4 who has unexplained poor biochemical control of hypothyroidism?

32 (39.5)

18 (22.2)

17 (21)

14 (17.3)

Which of the following preparations of LT4 would you prescribe for a patient with poor biochemical control who is unable (due to busy lifestyle) to take LT4 fasting and separate from food/drink?

35 (43.2)

16 (19.8)

20 (24.7)

10 (12.3)

Which of the following preparations of LT4 would you prescribe for a patient established on generic T4 who has good biochemical control of hypothyroidism, but continue to have symptoms?

41 (50.6)

4 (4.9)

9 (11.1)

27 (33.3)