Liquid levothyroxine formulations in patients taking drugs interfering with L-T4 absorption

PurposeTo describe the current knowledge on thyroid hormonal profile in patients on liquid L-T4 therapy and drugs known to interfere with L-T4 absorption.MethodsA PubMed/MEDLINE, Web of Science, and Scopus research was performed. Case reports, case series, original studies and reviews written in Eng...

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Main Authors: Elisa Gatta, Francesca Bambini, Caterina Buoso, Maria Gava, Virginia Maltese, Valentina Anelli, Andrea Delbarba, Ilenia Pirola, Carlo Cappelli
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-12-01
Series:Frontiers in Endocrinology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2022.1080108/full
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author Elisa Gatta
Francesca Bambini
Caterina Buoso
Maria Gava
Virginia Maltese
Valentina Anelli
Andrea Delbarba
Ilenia Pirola
Carlo Cappelli
author_facet Elisa Gatta
Francesca Bambini
Caterina Buoso
Maria Gava
Virginia Maltese
Valentina Anelli
Andrea Delbarba
Ilenia Pirola
Carlo Cappelli
author_sort Elisa Gatta
collection DOAJ
description PurposeTo describe the current knowledge on thyroid hormonal profile in patients on liquid L-T4 therapy and drugs known to interfere with L-T4 absorption.MethodsA PubMed/MEDLINE, Web of Science, and Scopus research was performed. Case reports, case series, original studies and reviews written in English and published online up to 31 August 2022 were selected and reviewed. The final reference list was defined based on the relevance of each paper to the scope of this review.ResultsThe available data showed that novel levothyroxine formulations circumvent gastric pH impairment due to multiple interfering drugs such as proton pump inhibitors, calcium or iron supplements, sevelamer, aluminum/magnesium hydroxide and sodium alginate.ConclusionNew formulations can be taken simultaneously with drugs interfering with L-T4 absorption, in particular liquid formulations. Softgel capsules need more studies to support these data.
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spelling doaj.art-9fa8b8d33b034421a9bce6f3a7aa1c1e2022-12-22T03:45:51ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922022-12-011310.3389/fendo.2022.10801081080108Liquid levothyroxine formulations in patients taking drugs interfering with L-T4 absorptionElisa GattaFrancesca BambiniCaterina BuosoMaria GavaVirginia MalteseValentina AnelliAndrea DelbarbaIlenia PirolaCarlo CappelliPurposeTo describe the current knowledge on thyroid hormonal profile in patients on liquid L-T4 therapy and drugs known to interfere with L-T4 absorption.MethodsA PubMed/MEDLINE, Web of Science, and Scopus research was performed. Case reports, case series, original studies and reviews written in English and published online up to 31 August 2022 were selected and reviewed. The final reference list was defined based on the relevance of each paper to the scope of this review.ResultsThe available data showed that novel levothyroxine formulations circumvent gastric pH impairment due to multiple interfering drugs such as proton pump inhibitors, calcium or iron supplements, sevelamer, aluminum/magnesium hydroxide and sodium alginate.ConclusionNew formulations can be taken simultaneously with drugs interfering with L-T4 absorption, in particular liquid formulations. Softgel capsules need more studies to support these data.https://www.frontiersin.org/articles/10.3389/fendo.2022.1080108/fulllevothyroxineliquid levothyroxinesoftgel capsulesinterfering drugslevothyroxine malabsorption
spellingShingle Elisa Gatta
Francesca Bambini
Caterina Buoso
Maria Gava
Virginia Maltese
Valentina Anelli
Andrea Delbarba
Ilenia Pirola
Carlo Cappelli
Liquid levothyroxine formulations in patients taking drugs interfering with L-T4 absorption
Frontiers in Endocrinology
levothyroxine
liquid levothyroxine
softgel capsules
interfering drugs
levothyroxine malabsorption
title Liquid levothyroxine formulations in patients taking drugs interfering with L-T4 absorption
title_full Liquid levothyroxine formulations in patients taking drugs interfering with L-T4 absorption
title_fullStr Liquid levothyroxine formulations in patients taking drugs interfering with L-T4 absorption
title_full_unstemmed Liquid levothyroxine formulations in patients taking drugs interfering with L-T4 absorption
title_short Liquid levothyroxine formulations in patients taking drugs interfering with L-T4 absorption
title_sort liquid levothyroxine formulations in patients taking drugs interfering with l t4 absorption
topic levothyroxine
liquid levothyroxine
softgel capsules
interfering drugs
levothyroxine malabsorption
url https://www.frontiersin.org/articles/10.3389/fendo.2022.1080108/full
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