Joint Formulary & PAD

Liothyronine sodium - Treatment resistant depression

I agree that in using this database I understand that this platform only provides guidance on local prescribing policy and that all prescribing decisions are ultimately the responsibility of the clinician.

Status 1

Red
Formulations :
  • Capsules
  • Tablets
Associated Icons :
Off Label
R
SPC
Restrictions / Comments :
Important

Initiation by consultant psychiatrists / specialist mental health team only

 

Status 2

See narrative
Formulations :
  • Oral solution
Associated Icons :
NFD2
SPC
Restrictions / Comments :
Important

The oral solution has not been reviewed for addition to the formulary. Please contact your Pharmacy Team for advice.

This formulation has not yet been assessed for formulary status and is not currently on the APC work-plan.

It has not yet been evaluated by the Surrey Heartlands ICS Area Prescribing Committee (APC).  As such, advice regarding safety, effectiveness (including cost-effectiveness) and its place in therapy is yet to be determined. 

Before prescribing, it is recommended that clinicians contact their Medicines Optimisation team to discuss possible alternatives/options.

The APC will consider recommending the prescribing of this treatment upon submission of a formal request with its associated evidence. Clinicians can contact syheartlandsicb.APC@nhs.net  if they wish to make a submission.

PAD Profile

ChemicalSubstance :
Liothyronine sodium
Indication :
Treatment resistant depression
Group Name :
Keywords :
TRD, L-T3, L-Tri-iodothyronine sodium, low value medicines, drugs of low clinical value, LVM, drugs of limited clinical value
Brand Names Include :
Important Information :
Latest Additions Date From :
Latest Additions Date To :
Guidelines :
Supporting Documents :
5
Traffic Light Entries :
2

Other Drugs

Below are listed other drugs that are used to treat Treatment resistant depression.

Committee Recommendations (1)

The Surrey Heartlands Integrated Care System Area Prescribing Committee agreed  that the decision made by APC in March 2016 still stands and a RED traffic light status for Liothyronine (T3) as an option for treatment resistant depression in a niche group of adults whose depression has failed to respond to several antidepressants and is intolerant to lithium augmentation.

Where liothyronine is prescribed for the treatment of depression only, this should be under the care of an NHS consultant psychiatrist.

The most cost-effective formulation should be prescribed at initiation.