Drug & supplement interaction

Diiodothyronine + Palifermin

Palifermin brand name: Kepivance.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Diiodothyronine and Palifermin in our sources. Absence of a documented interaction is not the same as proven safety, and does not guarantee one does not exist. Do not start, stop, or change a medication or supplement based on this page; confirm with your pharmacist or doctor first.

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Interaction report

Diiodothyronine and Palifermin

We checked these two against our interaction database. Here is what we found.

No Known Interaction Found

We did not find a documented interaction between Palifermin and Diiodothyronine in our sources. This does not guarantee that the combination is completely free of risk — there is often limited research on supplements and herbal products, especially around drug interactions.

Worth understanding: our licensed dataset holds no drug-interaction record for Diiodothyronine at all — not against Palifermin, and not against any other medication we track. This verdict therefore rests on the absence of any recorded data, not on research that looked at this combination and found nothing. We cannot rule an interaction out.

If you decide to take both, the practical routine is simple: add one new thing at a time and note the date you started it. If the combination is going to disagree with you, it usually shows in the first days to a couple of weeks — and a start date turns “I’ve been feeling off” into something a pharmacist can actually work with. Do not stop a prescribed medicine on your own.

Always talk with your pharmacist or doctor before making changes to your medications or supplements, particularly if you take several medications or have an ongoing health condition.

Diiodothyronine safety at a glance

Diiodothyronine overall Use caution It is a thyroid-active compound with limited human safety data and possible effects on the heart and thyroid.
Pregnancy Avoid Avoid during pregnancy; thyroid-active compounds can affect mother and baby and safety is unknown.
Breastfeeding Avoid Avoid while breastfeeding due to unknown effects on the infant.

Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Palifermin and Diiodothyronine? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

What Palifermin’s Own FDA Label Lists

This is not an interaction — none of it involves Diiodothyronine. These are the most notable effects listed in the ADVERSE REACTIONS section of Palifermin’s own FDA label, for the medication by itself. Knowing the drug’s own list makes it easier to work out the likely cause if something new turns up while you take both. One of them is worth acting on rather than waiting out — marked below.

  • A higher chance of infection Worth acting on mentioned in 6.2% of FDA reports for Palifermin
  • Fever mentioned in 16.0% of FDA reports for Palifermin
  • Numbness or tingling
  • Joint pain
  • A skin rash mentioned in 10.1% of FDA reports for Palifermin
  • Itching
  • Swelling

From the ADVERSE REACTIONS section of the FDA label for Palifermin. Read the label on DailyMed › Where a percentage is shown, it is the share of 388 voluntary FDA FAERS reports for Palifermin that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Diiodothyronine’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Diiodothyronine side to compare — that is a limit of the record, not a statement that Diiodothyronine has no side effects.

Everything else you take

See Every Supplement That Interacts With Palifermin

This page covers Diiodothyronine only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Palifermin page lists 17 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Coffee Charcoal (moderate), European Mandrake (moderate), Glucomannan (moderate) and Guar Gum (moderate).

By severity: 1 major · 7 moderate · 9 minor.

From our pharmacist’s overview on the Palifermin page

“Palifermin (Kepivance) is given by IV to prevent the severe mouth sores that intensive chemotherapy can cause, most often in patients heading into a stem cell transplant, and I read its interaction list with genuine caution because of how fragile those patients already are. All 17 supplements on file act on absorption through the gut,…”

Reviewed by 2 · Jul 18, 2026

Open the Palifermin interaction page

One more smart check

Taking Diiodothyronine as Part of a Dietary Supplement Product? Check It for Interactions

We hold 58 real supplement products containing Diiodothyronine, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Diiodothyronine. Even though Diiodothyronine itself has no known interaction with Palifermin, another ingredient on your label might. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Diiodothyronine and Palifermin Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Diiodothyronine
Steady interest

#1,144 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Palifermin
Steady interest

#2,150 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Where does our data come from?
  • Source: the Natural Medicines (TRC Healthcare) clinical database — the evidence-graded professional reference for herb & supplement interactions. Diiodothyronine is not yet covered by that licensed database, so its write-up cites publicly available medical sources directly (see the references below).
  • Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Diiodothyronine reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Diiodothyronine and Palifermin records this page draws on were last updated June 22, 2026.
  • What “no known interaction” means: no documented interaction in the sources above — not a guarantee of safety. Supplements are studied far less than prescription drugs, so we say exactly what the evidence supports, and nothing more.
Data structure & sourcing designed and verified by .
Supplement

About Diiodothyronine

What is Diiodothyronine?

  • Weight loss and fat burning
  • Boosting metabolism
  • Bodybuilding and cutting
  • Increasing energy

Diiodothyronine (T2) is a thyroid hormone metabolite sold as a fat-loss and metabolism supplement, mostly in the bodybuilding world. Human evidence for its safety and effectiveness is very limited, and because it can affect the thyroid and heart, it should not be used without medical supervision.

Capsules, tablets, powders (sold as 'T2' supplements)

An interaction check asks whether these two react with each other — it does not ask whether Diiodothyronine is a good idea for someone in your situation. Here is what our Diiodothyronine record says about it on its own.

Diiodothyronine: dosing

There is no established, medically recommended dose of T2. It has not been studied well enough in humans to define a safe and effective amount.If a product lists a dose on the label, do not assume it is safe just because it is printed there. If you choose to use it despite the limited evidence, do not exceed the label directions and let your healthcare provider monitor you.

From our Diiodothyronine monograph — the full record covers uses, side effects and every documented interaction.

Read the full Diiodothyronine monograph & all interactions
Medication

About Palifermin

What Is Palifermin Used For?

Brand name: Kepivance

Kepivance (palifermin) is used to decrease how often and how long severe oral mucositis — painful sores in the mouth and throat — occurs in patients with hematologic malignancies (blood cancers such as lymphoma, leukemia, or multiple myeloma) who are receiving high-dose, cell-damaging (myelotoxic) therapy before an autologous hematopoietic stem cell transplant (a transplant using the patient's own stem cells).

Kepivance is specifically indicated when the preparative chemotherapy or radiation regimen is expected to cause severe mucositis in most patients. It is not recommended for use with a high-dose melphalan conditioning regimen, and it was not found to be effective in the setting of allogeneic stem cell transplant (using a donor's cells). Its safety and effectiveness have not been established for patients with non-blood cancers (non-hematologic malignancies).

Most-Reported Side Effects for Palifermin

From FAERS, the FDA’s public side-effect reporting system (388 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Mucosal inflammation 56 reports
Febrile neutropenia 39 reports
Rash 39 reports
Stomatitis 34 reports
Erythema 28 reports
See full Palifermin drug information
Keep checking

Other Drugs & Diiodothyronine

Browse every other medication we’ve checked against Diiodothyronine — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
0Moderate
0Minor
2,829No known interaction
No interaction 2,829 drugs checked — show the list
Evidence & sources

Diiodothyronine References

The 3 sources that drive our Diiodothyronine monograph — publicly available pages from reputable medical and government organizations. Every link was verified to work before publishing. Diiodothyronine is not covered by the licensed Natural Medicines interaction database, so its page cites these public sources directly.

  1. Thyroid Hormone — MedlinePlus (U.S. National Library of Medicine) Source
  2. Dietary Supplements: What You Need to Know — NIH Office of Dietary Supplements Source
  3. Using Dietary Supplements Wisely — NIH NCCIH Source

Medication overviews come from MedlinePlus (NIH); supplement label data from the NIH Dietary Supplement Label Database. Content is written and reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.

Pharmacist Counseling Corner

Taking Diiodothyronine and Palifermin Together: Common Questions

Is it safe to take Diiodothyronine with Palifermin?
We do not list a known interaction between Diiodothyronine and Palifermin. That does not guarantee the combination is risk-free, so confirm with your pharmacist or doctor — especially if you take other medications or have a health condition.
Does Palifermin interact with any supplements?
Yes. Palifermin has documented interactions with 17 supplements in our database — Diiodothyronine is not one of them. The Palifermin interaction page linked on this page lists every one, ranked by severity.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Still Have a Question About Palifermin and Diiodothyronine?

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.