modelLevothyroxineSodiumAndIo

Diagram of LevothyroxineSodiumAndIo

Extends from Pharmacolibrary.Drugs.ATC.H.H03AA51.

Information

name:LevothyroxineSodiumAndIodineCompounds
ATC code:H03AA51
route:oral
compartments:2
dosage:100mg
volume of distribution:11.6L
clearance:0.127L/h
other parameters in model implementation

Levothyroxine sodium and iodine compounds (ATC code H03AA51) represent a fixed combination therapy used in the treatment of hypothyroidism and goiter. Levothyroxine is a synthetic form of the thyroid hormone thyroxine (T4), while iodine or its compounds provide a necessary substrate for endogenous hormone synthesis. This drug is mainly indicated where treatment with both hormone and iodine supplementation is appropriate, though such combinations are less commonly used today due to a preference for monotherapies. Levothyroxine alone is widely approved for hypothyroidism; the fixed combination is not universally used.

Pharmacokinetics

Pharmacokinetic parameters for fixed combinations of levothyroxine sodium and iodine compounds are not specifically reported in published literature. The following parameters are estimated based on pharmacokinetics of levothyroxine monotherapy in adults with hypothyroidism.

References

  1. Thomas, MC, et al., & Russ, GR (2002). Changes in thyroxine requirements in patients with hypothyroidism undergoing renal transplantation. American journal of kidney diseases : the official journal of the National Kidney Foundation 39(2) 354–357. DOI:10.1053/ajkd.2002.30556 PUBMED:https://pubmed.ncbi.nlm.nih.gov/11840377

Parameters

TypeNameDefaultDescription
Modelica.Units.SI.Massweight (from PK_1C)75patient weight (kg)
Modelica.Units.SI.SpecificVolumeVdPerKg (from PK_1C)0.9Volume of distribution (L/kg)
Modelica.Units.SI.MassFractionF (from PK_1C)0.8bioavailiability (0-1)
Pharmacolibrary.Types.ClearanceCl (from PK_1C)20clearance
Modelica.Units.SI.TimeadminTime (from PK_1C)60first administration time (s)
Modelica.Units.SI.TimeadminDuration (from PK_1C)600administration duration (s)
Modelica.Units.SI.TimeadminPeriod (from PK_1C)8*60*60period of administration (default 8 hours)(s)
Pharmacolibrary.Types.MassadminMass (from PK_1C)1000administration mass (mg)
IntegeradminCount (from PK_1C)8number of dose administered (1)
Pharmacolibrary.Types.VolumeVd (from PK_1C)VdPerKg*weightVolume of distribution (m3)
Pharmacolibrary.Types.MassConcentrationCmin (from PK_1C)0.004minimal therapeutic range
Pharmacolibrary.Types.MassConcentrationCmax (from PK_1C)0.008minimal therapeutic range
Pharmacolibrary.Types.MassConcentrationCtox_peak (from PK_1C)0.012toxicity peak level
Pharmacolibrary.Types.MassConcentrationCtox_trough (from PK_1C)0.006toxicity trough level
Pharmacolibrary.Types.VolumeVdp (from PK_2C)VdpPerKg*weightVolume of distribution (m3)
Modelica.Units.SI.SpecificVolumeVdpPerKg (from PK_2C)0.9Volume of distribution peripheral(l/kg)
Pharmacolibrary.Types.Clearancek12 (from PK_2C)1intercompartmental C-P clearance
Pharmacolibrary.Types.Clearancek21 (from PK_2C)1intercompartmental P-C clearance
Pharmacolibrary.Types.TransferRateka (from PK_2C_enteral)0.016666666666666666first order absorption rate
Modelica.Units.SI.TimeTlag (from PK_2C_enteral)600delay between oral administration and absorption (default 10min)

Connectors

TypeNameDefaultDescription
Types.ConcentrationOutputC_central (from PK_1C)
Interfaces.ConcentrationPort_bcentralCPort (from PK_1C)
Interfaces.ConcentrationPort_bperipheralCPort (from PK_2C)
Pharmacolibrary.Types.ConcentrationOutputC_peripheral1 (from PK_2C)

Components

TypeNameDefaultDescription
Pharmacokinetic.NoPerfusedTissueCompartmentcentral (from PK_1C)
Pharmacokinetic.ClearanceDrivenEliminationelim (from PK_1C)
Sources.PeriodicDoseperiodicDose (from PK_1C)
Modelica.Units.SI.Timet1_2 (from PK_1C)elimination half-life
Pharmacolibrary.Pharmacokinetic.TransferFirstOrderNonSymtransfer (from PK_2C)
Pharmacolibrary.Pharmacokinetic.NoPerfusedTissueCompartmentperipheral (from PK_2C)

Revisions

  • 06/2025 Tomas Kulhanek, generated model from data extracted from PUBMED, DrugBank and LLM(GPT4.1)