L-Thyroxine

L-Thyroxine is a synthetic thyroid hormone used to treat hypothyroidism by restoring normal metabolism and energy levels.

Structure of L-Thyroxine

  • It is also known as levothyroxine, is a synthetic form of the thyroid hormone thyroxine (T4) with a tyrosine backbone and four iodine atoms.
  • Chemical Formula: C₁₈H₁₉I₄NO₄
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Structure of L-Thyroxine

Mode of Action

  • Thyroid Hormone Replacement: Mimics endogenous thyroxine, binding to thyroid hormone receptors in the nucleus of target cells.
  • Metabolic Regulation: Enhances basal metabolic rate by increasing oxygen consumption and heat production.
  • Growth and Development: Essential for normal growth, neurological development, and differentiation in various tissues.
  • Cardiovascular Effects: Increases heart rate, cardiac contractility, and enhances cardiac output.
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Uses

  • Hypothyroidism: Replaces deficient thyroid hormones to restore normal metabolic function.
  • Myxedema Coma: Emergency treatment of severe hypothyroidism with life-threatening symptoms.
  • Goiter: Manages thyroid enlargement by providing negative feedback on thyroid-stimulating hormone (TSH) secretion.
  • Thyroid Cancer: As part of adjuvant therapy to suppress TSH and inhibit tumor growth.
  • Scholarly Use: Employed in studies investigating thyroid hormone physiology and metabolism.

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