Evidence map›Paper›PMID 29998143›Full record

ArticleAsia Oceania journal of nuclear medicine & biology2018

Comparison of Treatment Response Achieved by Tablet Splitting Versus Whole Tablet Administration of Levothyroxine in Patients with Thyroid Cancer.

Ramin Ashrafpour, Narjess Ayati, Ramin Sadeghi, Samira Zare Namdar, Nayyereh Ayati, Somayyeh Ghahremani, Seyed Rasoul Zakavi

Abstract read
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Article in Asia Oceania journal of nuclear medicine & biology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Ramin AshrafpourSchool of medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Narjess AyatiNuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Ramin SadeghiNuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Samira Zare NamdarNuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Nayyereh AyatiDepartment of harmacoeconomics and harmaceutical dministration, aculty of harmacy, Tehran University of medical sciences, Tehran, Iran.
Somayyeh GhahremaniNuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Seyed Rasoul ZakaviNuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTSH suppression by Levothyroxine consumption is a mainstay of thyroid cancer treatment. Tablet-splitting is a worldwide approach in dose adjustment in patients. However, it is highly recommended to evaluate the validity of tablet splitting for each distinctive drug by clinical trials before routinely using tablet halves in clinical practice. In this study we compared the effect of 150 µg dose of Levothyroxine by use of a100 and a 50 µg tablets or one and half 100 µg tablets in Differentiated thyroid cancer (DTC) patients.

methodsOne hundred DTC patients treated with one and half 100 µg Levothyroxine tablets were randomly divided into two groups. The first group continued taking medication as before and the second group received the same daily dose by taking one 100 and one 50 microgram Levothyroxine tablets. The mean changes in TSH and T3 levels and patients weight were compared between the groups.

results91 patients completed the study. Levothyroxine consumption pattern, age, gender distribution, weight and TSH levels were comparable between groups at the beginning of the study. The mean change of body weights, serum levels of T3 and TSH showed no significant difference between groups in different time points during the study (P>0.05).

conclusionThis study showed similar efficacy of tablet splitting and two tablets administration for Levothyroxine; however, patients preferred two tablets at the end of the study. It can be concluded that tablet splitting can be used as an alternative way when the 50 µg tablet is not available.

Indexed as

Differentiated thyroid cancerLevothyroxineSuppressive therapyTablet splittingTSH

Identifiers

PMID29998143
PMCPMC6038971

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