Drugplain

Levothyroxine Sodium 300 ug/1

Levothyroxine Sodium · TABLET · Lannett Company, Inc

10 Recalls on RecordCurrently in Shortage
Plain English

Levothyroxine Sodium is a tablet containing levothyroxine sodium at 300 ug/1, taken oral. Manufactured by Lannett Company, Inc.

Key Facts

Brand Name
Levothyroxine Sodium
Generic Name
Levothyroxine Sodium
NDC Code (Product)
0527-3291
Manufacturer
Lannett Company, Inc
Strength
300 ug/1
Dosage Form
TABLET
Route
ORAL
Marketing Status
Application #
NDA021342
Marketing Start
08/03/2020

Recall History

10 Recalls on Record
Class II11/18/2024

Viatris Inc

Superpotent Drug and Subpotent Drug: potency failures obtained

OngoingVoluntary: Firm initiated
Class II11/14/2014

Attix Pharmaceuticals

Penicillin Cross Contamination: All lots of all products repackaged and distributed between 01/05/12 and 02/12/15 are being recalled because they were repackaged in a facility with penicillin products without adequate separation which could introduce the potential for cross contamination with penicillin.

TerminatedVoluntary: Firm initiated
Class II02/06/2023

Alvogen, Inc

Sub-Potent Drug: Out of specification for assay at the 24 month interval.

TerminatedVoluntary: Firm initiated
Class II07/02/2013

Aidapak Services, LLC

Labeling: Label Mixup: LEVOTHYROXINE SODIUM, Tablet, 137 mcg may have potentially been mislabeled as the following drug: ISONIAZID, Tablet, 300 mg, NDC 00555007102, Pedigree: AD60272_70, EXP: 5/22/2014.

TerminatedVoluntary: Firm initiated
Class II01/30/2023

IBSA PHARMA INC

Subpotent Drug

TerminatedVoluntary: Firm initiated
Class II04/10/2025

ACCORD HEALTHCARE, INC.

Subpotent

OngoingVoluntary: Firm initiated
Class II01/30/2023

IBSA PHARMA INC

Subpotent Drug

TerminatedVoluntary: Firm initiated
Class II04/30/2013

King Legacy, a wholly owned subsidiary of Pfizer

Subpotent Drug: The products were below specification for potency at the expiry stability point.

TerminatedVoluntary: Firm initiated
Class II04/01/2013

Lloyd Inc. of Iowa

cGMP deviations; After quality review of stability failures in previous lots, there is insufficient data to determine that other lots are not affected.

TerminatedVoluntary: Firm initiated
Class II04/01/2013

Lloyd Inc. of Iowa

cGMP deviations; After quality review of stability failures in previous lots, there is insufficient data to determine that other lots are not affected.

TerminatedVoluntary: Firm initiated

Side Effects Reported to FDA

FDA FAERS database · These are reported events, not confirmed side effects

fatigue7,941 reports
nausea6,958 reports
diarrhoea6,274 reports
headache6,063 reports
dyspnoea6,026 reports
drug ineffective5,164 reports
pain5,083 reports
dizziness4,836 reports
vomiting4,387 reports
asthenia4,203 reports

Full Prescribing Information

Source: FDA Drug Label (SPL)For healthcare professionals

Indications & Usage

1 INDICATIONS AND USAGE Hypothyroidism Levothyroxine sodium tablets are indicated in adult and pediatric patients, including neonates, as a replacement therapy in primary (thyroidal), secondary (pituitary), and tertiary (hypothalamic) congenital or acquired hypothyroidism. Pituitary Thyrotropin (Thyroid‑Stimulating Hormone, TSH) Suppression Levothyroxine sodium tablets are indicated in adult and pediatric patients, including neonates, as an adjunct to surgery and radioiodine therapy in the management of thyrotropin-dependent well-differentiated thyroid cancer. Limitations of Use Levothyroxine sodium tablets are not indicated for suppression of benign thyroid nodules and nontoxic diffuse goiter in iodine-sufficient patients as there are no clinical benefits and overtreatment with levothyroxine sodium may induce hyperthyroidism [see Warnings and Precautions (5.1) ]. Levothyroxine sodium tablets are not indicated for treatment of hypothyroidism during the recovery phase of subacute thyroiditis. Levothyroxine sodium tablets are a L-thyroxine (T4) indicated in adult and pediatric patients, including neonates, for: Hypothyroidism: As replacement therapy in primary (thyroidal), secondary

Dosage & Administration

2 DOSAGE AND ADMINISTRATION Administer once daily, preferably on an empty stomach, one-half to one hour before breakfast with a full glass of water. (2.1) Administer at least 4 hours before or after drugs that are known to interfere with absorption. (2.1) Evaluate the need for dose adjustments when regularly administering within one hour of certain foods that may affect absorption. (2.1) Advise patients to stop biotin and biotin-containing supplements at least 2 days before assessing TSH and/or T4 levels. (2.2) Starting dose depends on a variety of factors, including age, body weight, cardiovascular status, and concomitant medications. Peak therapeutic effect may not be attained for 4 to 6 weeks. (2.2) See full prescribing information for dosing in specific patient populations. (2.3) Adequacy of therapy determined with periodic monitoring of TSH and/or T4 as well as clinical status. (2.4) 2.1 Important Administration Instructions Administer levothyroxine sodium tablets as a single daily dose, on an empty stomach, one-half to one hour before breakfast with a full glass of water to avoid choking or gagging [see Adverse Reactions (6) ]. Administer levothyroxine sodium tablets at least

Contraindications

4 CONTRAINDICATIONS Levothyroxine sodium tablets are contraindicated in patients with uncorrected adrenal insufficiency [see Warnings and Precautions (5.4) ]. Uncorrected adrenal insufficiency. (4)

Drug Interactions

7 DRUG INTERACTIONS See full prescribing information for drugs that affect thyroid hormone pharmacokinetics and metabolism (e.g., absorption, synthesis, secretion, catabolism, protein binding, and target tissue response) and may alter the therapeutic response to levothyroxine sodium. (7) 7.1 Drugs Known to Affect Thyroid Hormone Pharmacokinetics Many drugs can exert effects on thyroid hormone pharmacokinetics and metabolism (e.g., absorption, synthesis, secretion, catabolism, protein binding, and target tissue response) and may alter the therapeutic response to levothyroxine sodium (Tables 5 to 8). Table 5. Drugs That May Decrease T4 Absorption (Hypothyroidism) Potential impact: Concurrent use may reduce the efficacy of levothyroxine sodium by binding and delaying or preventing absorption, potentially resulting in hypothyroidism. Drug or Drug Class Effect Phosphate Binders (e.g., calcium carbonate, ferrous sulfate, sevelamer, lanthanum) Phosphate binders may bind to levothyroxine. Administer levothyroxine sodium tablets at least 4 hours apart from these agents. Orlistat Monitor patients treated concomitantly with orlistat and levothyroxine sodium for changes in thyroid function. Bi

Adverse Reactions

6 ADVERSE REACTIONS Adverse reactions associated with levothyroxine sodium therapy are primarily those of hyperthyroidism due to therapeutic overdosage [see Warnings and Precautions (5) and Overdosage (10) ]. They include the following: General: fatigue, increased appetite, weight loss, heat intolerance, fever, excessive sweating Central nervous system: headache, hyperactivity, nervousness, anxiety, irritability, emotional lability, insomnia Musculoskeletal: tremors, muscle weakness, muscle spasm Cardiovascular: palpitations, tachycardia, arrhythmias, increased pulse and blood pressure, heart failure, angina, myocardial infarction, cardiac arrest Respiratory: dyspnea Gastrointestinal: diarrhea, vomiting, abdominal cramps, elevations in liver function tests Dermatologic: hair loss, flushing, rash Endocrine: decreased bone mineral density Reproductive: menstrual irregularities, impaired fertility Seizures have been reported rarely with the institution of levothyroxine therapy. Adverse Reactions in Pediatric Patients Pseudotumor cerebri and slipped capital femoral epiphysis have been reported in pediatric patients receiving levothyroxine therapy. Overtreatment may result in craniosyno

Frequently Asked Questions

What is Levothyroxine Sodium used for?

Levothyroxine Sodium contains Levothyroxine Sodium. It is a tablet taken oral. Consult your doctor for specific uses.

Is Levothyroxine Sodium a controlled substance?

Levothyroxine Sodium is not classified as a controlled substance by the DEA.

What is the generic name for Levothyroxine Sodium?

The generic name for Levothyroxine Sodium is Levothyroxine Sodium. There are 6 other brand versions of Levothyroxine Sodium.

What is the NDC code for Levothyroxine Sodium 300 ug/1?

The NDC (National Drug Code) for Levothyroxine Sodium 300 ug/1 is 0527-3291, listed by Lannett Company, Inc.