Dextrothyroxine: Difference between revisions

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'''Dextrothyroxine''' ('''D-thyroxine''') is a synthetic form of the [[thyroid hormone]] thyroxine (T4), designed as the right-handed (dextro) isomer of the naturally occurring hormone, which is the left-handed (levo) isomer. Unlike the naturally occurring form, dextrothyroxine has been found to have different effects on the body, which has led to its investigation for various clinical uses. However, it is not commonly used in current medical practice.
{{DISPLAYTITLE:Dextrothyroxine}}


==Medical Uses==
== Dextrothyroxine ==
Dextrothyroxine was primarily investigated for its potential in treating [[hypercholesterolemia]] due to its ability to lower [[cholesterol]] levels. In the past, it was also explored as a treatment for [[hypothyroidism]], but it was found to be less effective and less desirable compared to levothyroxine, the standard treatment for hypothyroidism.
[[File:Dextrothyroxine_skeletal.svg|thumb|right|Chemical structure of Dextrothyroxine]]
'''Dextrothyroxine''' is a synthetic [[thyroid hormone]] analog that was developed for the treatment of [[hyperlipidemia]], a condition characterized by elevated levels of lipids in the blood. Unlike the naturally occurring [[thyroid hormone]] [[levothyroxine]], dextrothyroxine is the [[dextrorotatory]] isomer, meaning it rotates plane-polarized light to the right.


==Mechanism of Action==
== Mechanism of Action ==
The mechanism of action of dextrothyroxine is similar to that of the natural thyroid hormones. Thyroid hormones are crucial for the regulation of metabolism, and they exert their effects by entering cells and affecting the transcription of genes, thereby modulating the synthesis of various proteins. However, the exact mechanism by which dextrothyroxine lowers cholesterol levels is not fully understood. It is believed to involve modulation of lipid metabolism in the liver.
Dextrothyroxine functions by increasing the [[metabolic rate]] and enhancing the breakdown of [[lipids]] in the body. It acts on the [[thyroid hormone receptor]]s, although with less potency compared to [[levothyroxine]]. The primary effect of dextrothyroxine is to lower [[cholesterol]] levels, particularly [[low-density lipoprotein]] (LDL) cholesterol, which is often referred to as "bad cholesterol."


==Side Effects==
== Clinical Use ==
The use of dextrothyroxine can lead to several side effects, particularly when used in high doses. These may include symptoms of [[hyperthyroidism]] such as weight loss, increased heart rate, anxiety, and insomnia. Due to its effects on cholesterol and lipid metabolism, there may also be impacts on cardiovascular health.
Dextrothyroxine was initially investigated for its potential to treat [[hypercholesterolemia]] and other forms of [[dyslipidemia]]. However, its use has been limited due to concerns about [[cardiovascular]] side effects, such as [[tachycardia]] and [[arrhythmias]], which are associated with excessive thyroid hormone activity.


==History==
== Side Effects ==
Dextrothyroxine's potential for treating hypercholesterolemia was explored in the mid-20th century. However, subsequent studies revealed that the benefits might not outweigh the risks, particularly concerning cardiovascular health. Its use has significantly declined since then, with more effective and safer treatments for cholesterol management, such as statins, becoming available.
The side effects of dextrothyroxine are similar to those of other thyroid hormones and can include symptoms of [[hyperthyroidism]], such as increased heart rate, [[anxiety]], [[insomnia]], and [[weight loss]]. Due to these potential adverse effects, its use in clinical practice has been largely discontinued.


==Current Status==
== History ==
As of now, dextrothyroxine is not widely used in clinical practice. Its role in modern medicine is limited, with research into its use being largely historical. The focus has shifted towards other treatments that offer better efficacy and safety profiles for the conditions dextrothyroxine was once considered for.
Dextrothyroxine was developed in the mid-20th century as researchers sought alternatives to traditional lipid-lowering therapies. Despite its initial promise, the development of more effective and safer lipid-lowering agents, such as [[statins]], has overshadowed its use.


==See Also==
== Related Pages ==
* [[Thyroid hormone]]
* [[Thyroid hormone]]
* [[Hypercholesterolemia]]
* [[Hypothyroidism]]
* [[Levothyroxine]]
* [[Levothyroxine]]
* [[Hyperlipidemia]]
* [[Cholesterol]]
* [[Statins]]


[[Category:Thyroid]]
[[Category:Thyroid hormones]]
[[Category:Endocrinology]]
[[Category:Hypolipidemic agents]]
[[Category:Obsolete drugs]]
 
{{Medicine-stub}}

Latest revision as of 05:17, 16 February 2025


Dextrothyroxine[edit]

Chemical structure of Dextrothyroxine

Dextrothyroxine is a synthetic thyroid hormone analog that was developed for the treatment of hyperlipidemia, a condition characterized by elevated levels of lipids in the blood. Unlike the naturally occurring thyroid hormone levothyroxine, dextrothyroxine is the dextrorotatory isomer, meaning it rotates plane-polarized light to the right.

Mechanism of Action[edit]

Dextrothyroxine functions by increasing the metabolic rate and enhancing the breakdown of lipids in the body. It acts on the thyroid hormone receptors, although with less potency compared to levothyroxine. The primary effect of dextrothyroxine is to lower cholesterol levels, particularly low-density lipoprotein (LDL) cholesterol, which is often referred to as "bad cholesterol."

Clinical Use[edit]

Dextrothyroxine was initially investigated for its potential to treat hypercholesterolemia and other forms of dyslipidemia. However, its use has been limited due to concerns about cardiovascular side effects, such as tachycardia and arrhythmias, which are associated with excessive thyroid hormone activity.

Side Effects[edit]

The side effects of dextrothyroxine are similar to those of other thyroid hormones and can include symptoms of hyperthyroidism, such as increased heart rate, anxiety, insomnia, and weight loss. Due to these potential adverse effects, its use in clinical practice has been largely discontinued.

History[edit]

Dextrothyroxine was developed in the mid-20th century as researchers sought alternatives to traditional lipid-lowering therapies. Despite its initial promise, the development of more effective and safer lipid-lowering agents, such as statins, has overshadowed its use.

Related Pages[edit]