MACE Medication Aide

Category - MACE

A 28-year-old female patient is diagnosed with Graves’ disease. She is placed on liothyronine. Why is that inappropriate?
  1. Liothyronine is synthetic T3. Graves’ disease is a state of hyperthyroidism, and Liothyronine is contraindicated..
  2. It is not inappropriate; use of liothyronine follows current practice guidelines.
  3. She should be given Levothyroxine instead; the Levothyroxine will be converted in vivo to T3.
  4. Liothyronine is a Category X drug and should not be given to females of child bearing age.
Explanation
Answer: A - Liothyronine is a synthetic thyroid hormone replacement and is an analog to T3. Since Graves’ disease is hyperthyroid, the patient is producing too much T3/T4, and more should not be given.
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