Isoproterenol and Levothyroxine and liothyronine interaction

Isoproterenol and Levothyroxine and liothyronine: both prescribing labels flag this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

From the Levothyroxine and liothyronine (NP Thyroid 60) label · effective 2026-01-01

Major

Larger doses may produce serious or even life-threatening manifestations of toxicity, particularly when given in association with sympathomimetic amines such as those used for their anorectic effects.

Boxed warningby drug classView label on DailyMed

From the Isoproterenol (Isoproterenol hydrochloride) label · effective 2026-03-17

Moderate

Drugs that may potentiate clinical response of Isoproterenol Clinical Impact The effects of isoproterenol may be potentiated by tricyclic antidepressants, monoamine oxidase inhibitors, levothyroxine sodium, and certain antihistamines, notably chlorpheniramine, tripelennamine, and diphenhydramine.

Drug interactionsnames Levothyroxine and liothyronineView label on DailyMed
Moderate

Intervention Monitor hemodynamic parameters in patients who concurrently are taking tricyclic antidepressants, monoamine oxidase inhibitors, levothyroxine sodium and certain antihistamines.

Drug interactionsnames Levothyroxine and liothyronineView label on DailyMed
Moderate

• Concomitant use of tricyclic antidepressants, monoamine oxidase inhibitors, levothyroxine sodium and certain antihistamines; hemodynamic parameters may potentiate a clinical response of isoproterenol ( 7 )

Drug interactionsnames Levothyroxine and liothyronineView label on DailyMed

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.