Potency of United States Pharmacopeia Desiccated Thyroid Tablets as Determined by the Antigoitrogenic Assay in Rats
Abstract
Ten samples of USP desiccated thyroid, 2 from an investigator and 8 purchased on the open market across the nation, were tested for metabolic potency by the antigoitrogenic bioassay technique and for total iodine by the USP assay technique. Four of the 10 samples were found to be markedly off potency. Although all the tablets were found to conform to the specifications of the Pharmacopeia of the United States of America for the total iodine content, 4 were found to be so variable in potency that they were essentially useless or even potentially dangerous, if used according to their labeled potency. A small sampling such as reported, demonstrating a relatively high percentage of USP desiccated thyroid tablets to be of questionably standardized biological activity, suggests that thyroid substitution medication of variable potency may represent a common and widespread pharmaceutical problem in the United States.
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Since 1985, the formulation of clinician-prescribed NDT has been considered reliable.
“However, it should again be pointed out that since 1985 the formulation of clinician prescribed NDT has been considered reliable (8), contrary to what is believed by some to be the case.”
From Natural desiccated thyroid for the treatment of hypothyroidism? (2024) · cites this paper as [8]
The 1985 revision of the U.S. Pharmacopeia standard from iodine content to L-liothyronine (T3)/L-thyroxine (T4) content resulted in stable potency of desiccated thyroid preparations.
“It was not until 1985 that the revision of the U.S. Pharmacopeia standard from iodine content to L-liothyronine Tt3)/L-thyroxine (T4) content resulted in stable potency after earlier concerns (8)”
From Natural desiccated thyroid for the treatment of hypothyroidism? (2024) · cites this paper as [8]
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Natural desiccated thyroid for the treatment of hypothyroidism?
Heald, A. H., Taylor, P., Premawardhana, L., Stedman, M., & Dayan, C. (2024) · Frontiers in Endocrinology · doi:10.3389/fendo.2023.1309159 · Cited by 5 · see citing works
- Authors
- MANGIERI, C. N., & LUND, M. H.
- Affiliations
- Morristown Medical Center (US)
- Venue
- The Journal of Clinical Endocrinology & Metabolism
- Publisher
- The Endocrine Society
- Published
- 1970-01
- Volume
- 30
- Issue
- 1
- Pages
- 102-104
- ISSN
- 0021-972X (ISSN-L)
- 1945-7197
- OpenAlex
- W2069254422
- Cited by
- 27
- References
- 0
- Citations by year
- 2026: 1 · 2024: 1 · 2022: 1 · 2021: 1 · 2020: 1 · 2019: 2 · 2016: 1
- FWCI
- 0.69
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Disorders and Treatments
- Physical Sciences › Chemistry › Analytical Chemistry › Analytical Methods in Pharmaceuticals
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pharmaceutical Quality and Counterfeiting
- Keywords
- drug potency, pharmaceutical quality control
- MeSH terms
- Animals, Biological Assay, Diet, Female, Goiter, Iodine, Organ Size, Pharmacopoeias as Topic, Tablets, Thiouracil, Thyroid Hormones, United States, Rats
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