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Talking with your doctor about Euthyrox

Why Euthyrox?

Today, many are familiar with engaging their healthcare provider where they capture key health information via an electronic medical record system.  These digital systems often will default in selecting a generically priced medication.  This is a good thing in that they're trying to save you money.  Rest assured,  Euthyrox is priced as a generic and in fact the majority of commercial and Medicare plans cover Euthyrox on their lowest tier or generic copay.  This provides you a brand quality product at a generic price, saving you money.

"Studies[1] continue to demonstrate that packaging differences like blister packs, can prove as an effective means with patients striving for better adherence to therapy.  Furthermore, in one study adherence rates have been shown to increase significantly (69.1% vs 95.5%) when incorporating the use of blister packs after a six-month period [2].  We believe its important to provide a blister pack option in one of the most dispensed chronic categories in the US market." -- Steve Hodge, CEO

[1] Conn VS, Ruppar TM, Chan KC, Dunbar-Jacob J, Pepper GA, De Geest S. Packaging interventions to increase medication adherence: systematic review and meta-analysis. Curr Med Res Opin. 2015;31(1):145-160. doi:10.1185/03007995.2014.978939

[2] Lee JK, Grace KA, Taylor AJ. Effect of a Pharmacy Care Program on Medication Adherence and Persistence, Blood Pressure, and Low-Density Lipoprotein Cholesterol: A Randomized Controlled Trial. JAMA. 2006;296(21):2563–2571. doi:10.1001/jama.296.21.joc60162

AACE, TES, and ATA Joint Position Statement on the Use and Interchangeability of Thyroxine (i.e. Levothyroxine Sodium) Products


On December 8, 2004, the American Association of Clinical Endocrinologists (AACE), The Endocrine Society (TES), and the American Thyroid Association (ATA) published a joint position statement on the use and interchangeability of Thyroxine (i.e. levothyroxine sodium) product.  This was due to the introduction of several generic levothyroxine products to the US market that the FDA determined to be equivalent to some branded medications.

Under Best Physician Practices:

"Patients should be maintained on the same brand name levothyroxine product."

Under Best Patient Practices:

"Patients should be maintained on the same brand name levothyroxine product."

Prescription Drugs

As of June 2022, according to, there are currently eleven (11) branded and at least seven (7) generic levothyroxine sodium options approved for use in the US.

IMPORTANT SAFETY INFORMATION Thyroid hormones, including EUTHYROX®, should not be used either alone or in combination with other drugs for the treatment of obesity or for weight loss. In patients with normal thyroid levels, doses of EUTHYROX® used for daily hormone replacement therapy are not helpful for weight loss. Larger doses beyond what your healthcare provider prescribed may result in serious or even life-threatening events. •Use EUTHYROX® only as directed by your healthcare provider. •EUTHYROX® is intended to be taken orally as a single dose, preferably on an empty stomach, one-half to one hour before breakfast. •Do not use EUTHYROX® if you have uncorrected adrenal insufficiency. •EUTHYROX® should not be used as a primary or add-on therapy in any weight loss program. •Tell your healthcare provider if you are pregnant or breastfeeding or are thinking of becoming pregnant while taking EUTHYROX®. •Taking too much levothyroxine has been associated with increased bone loss, especially in women after menopause. •Once your healthcare provider has found your specific EUTHYROX® dose, it is important to have lab tests completed, as ordered by your healthcare provider, to ensure that you are on the correct dose. •Talk with your healthcare provider about your diet as foods like soybean flour, cottonseed meal, walnuts, and dietary fiber may cause your body to absorb less EUTHYROX® from the gastrointestinal tract. Grapefruit juice may cause your body to absorb less levothyroxine and may reduce its effect. If you eat these types of food, your dose of EUTHYROX® may need to be adjusted. •Products such as iron and calcium supplements and antacids, can decrease the absorption of levothyroxine; therefore, EUTHYROX® should be taken 4 hours before or after taking these products. •It may take several weeks before you notice an improvement in your symptoms. •Tell your healthcare provider if you are taking any other drugs, including prescription and over-the-counter products. •Tell your healthcare provider about any other medical conditions you may have, especially heart disease, diabetes, blood clotting disorders, and adrenal or pituitary gland problems. The dose of other drugs you may be taking to control these conditions may have to be changed while you are taking EUTHYROX®. If you have diabetes, check your blood sugar levels and/or the glucose in your urine, as ordered by your healthcare provider, and immediately tell your healthcare provider if there are any changes. If you are taking blood thinners, your blood clotting status should be checked frequently. •Tell your healthcare provider or dentist that you are taking EUTHYROX® before any surgery. •Tell your healthcare provider if you develop any of the following symptoms: rapid or irregular heartbeat, chest pain, shortness of breath, leg cramps, headache, nervousness, irritability, sleeplessness, shaking, change in appetite, weight gain or loss, vomiting, diarrhea, increased sweating, difficulty tolerating heat, fever, changes in menstrual periods, swollen red bumps on the skin (hives) or skin rash, or any other unusual medical event. •Partial hair loss may occur during the first few months you are taking EUTHYROX®. This is the most important safety information you should know about EUTHYROX®. For more information, talk with your healthcare provider. Please refer to the full prescribing information located within your EUTHYROX® prescription box or visit You are encouraged to report negative side effects of prescription drugs to the FDA. You can do this by contacting Provell Pharmaceuticals, LLC at 1-888-899-7041 or by clicking here or contact the FDA at 1 800 FDA 1088 or visit

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Description for Use

EUTHYROX® (levothyroxine sodium) tablets, is a prescription, thyroid hormone that is used to treat a condition called hypothyroidism. It is usually taken by mouth and should be taken as directed by your healthcare provider. It is meant to replace a hormone that is normally made by your thyroid gland. Generally, thyroid replacement treatment is to be taken for life. EUTHYROX should not be used to treat noncancerous growths or enlargement of the thyroid in patients with normal iodine levels, or in cases of temporary hypothyroidism caused by inflammation of the thyroid gland (thyroiditis).

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