Switching Generic Levothyroxine Maintains Thyroid Function: Study
An FDA-sponsored study found that for patients undergoing properly monitored levothyroxine treatment over time, those who switched among generic drug products maintained the same level of thyroid function as those who consistently used a single levothyroxine product. As reported in Spotlight on CDER Science, the study was not designed to assess the therapeutic equivalence of levothyroxine products but to compare the effects of product switching to single-product use throughout treatment.
“The researchers’ conclusion, although fully consistent with FDA precepts of bioequivalence and, at the pharmacy level, product interchangeability itself, conflicts with current American Thyroid Association (ATA) guideline recommendations that warn clinicians about potential changes in thyroid function associated with levothyroxine product switching,” the report says. “These results establish evidence that should mitigate concerns such as those raised by the ATA over levothyroxine product switching…. The CDER-sponsored research discussed here suggests that there may be institutional resistance among some stakeholders that may not be supported by real-world evidence.”