Drug & supplement interaction

Tiratricol + Liothyronine

Liothyronine brand name: Cytomel.

Major Interaction
Medically reviewed by · Updated September 2026
The bottom line Major

Tiratricol has a major interaction with Liothyronine. Concomitant use of tiratricol with thyroid hormones may have additive effects.

Read the full interaction report
SeverityMajor
LikelihoodProbable
EvidenceB
What do Severity, Likelihood & Evidence mean?
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Interaction report

Tiratricol and Liothyronine

Here is the interaction we found between these two, with the evidence behind it.

Major

THYROID HORMONE

Why this applies to Liothyronine

Liothyronine falls under THYROID HORMONE — the group Tiratricol interacts with.

Concomitant use of tiratricol with thyroid hormones may have additive effects.
Tiratricol is a thyroid hormone and should only be used under medical supervision.
Severity Major Likelihood Probable Evidence B

Interaction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports..

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Here's the simple version: liothyronine (Cytomel) is itself the active thyroid hormone T3, and tiratricol acts on the very same thyroid receptors. So if you take both, you're essentially stacking two thyroid signals on top of each other. The effects add up, and that's the problem.

Pushing your thyroid system too hard can cause a racing or pounding heart, palpitations, shakiness, anxiety, trouble sleeping, sweating, weight loss, and even dangerous heart rhythm changes over time. Tiratricol isn't an approved supplement (the FDA has warned against it), so I'd steer clear of it entirely. Please don't change your Cytomel dose on your own. Talk with your doctor or pharmacist before adding anything thyroid-related.

Contact Dr. Brian directly if you have additional questions on this interaction
References
  1. Mueller-Gaertner HW, Schneider C. 3,5,3'-Triiodothyroacetic acid minimizes the pituitary thyrotrophin secretion in patients on levo-thyroxine therapy after ablative therapy for differentiated thyroid carcinoma. Clin Endocrinol (Oxf) 1988;28:345-51.

What These Ratings Mean

Every interaction above is graded three ways — here’s the key to each label.

Severity how clinically significant the interaction is
Major

Clinically significant. Avoid the combination, or use only under close professional supervision.

Moderate

Usually worth avoiding or managing — may need monitoring, a dose change, or timing apart.

Minor

Generally not serious. Be aware of it and mention it to your pharmacist.

Likelihood how strong the evidence is that the interaction actually happens in people
  • LikelyWell-controlled human studies have demonstrated the likely existence of this interaction.
  • ProbableInteraction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • PossibleInteraction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.
  • UnlikelyInteraction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Evidence the quality of the studies behind the rating (graded A–D)
  • AHigh-quality meta-analysis (quantitative systematic review).
  • BCase-control study.
  • CConsensus.
  • DAnecdotal evidence.

These ratings are for information only. Never start, stop, or otherwise change your therapy before speaking with your provider.

Keep it in perspective

Tiratricol Also Interacts With Other Medications

Tiratricol has 15 major, 209 moderate known drug interactions in our database — the Liothyronine one above is one of them. If you take anything else, check it against the full list below.

Major 15 Moderate 209 No known interaction 2,606 (incl. Liothyronine)
Taking anything else?

Check Another of Your Medications Against Tiratricol

Covers the 2,830 medications we’ve checked against Tiratricol. Pick one to open its full report.

From our Q&A

Questions About Tiratricol or Liothyronine

These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Tiratricol or Liothyronine, not necessarily both, but if one is close to what you were about to ask it will usually go further than a database entry can:

Not quite your question? Ask our pharmacists directly — it is free, there is no account required, and answers usually come back within 24 hours.

Everything else you take

See Every Supplement That Interacts With Liothyronine

This page covers Tiratricol only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Liothyronine page lists 38 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Acetyl-l-carnitine (moderate), Alpha-lipoic Acid (moderate), Ascophyllum Nodosum (moderate) and Ashwagandha (moderate).

By severity: 2 major · 26 moderate · 10 minor.

From our pharmacist’s overview on the Liothyronine page

“Liothyronine (Cytomel) is the active thyroid hormone T3, and it does not tolerate interference well. Of the 38 supplements and herbs on file, 21 act on thyroid function itself, some amplifying the hormone and others blunting it, iodine-rich seaweeds able to swing either way.”

Reviewed by 2 · Jul 18, 2026

Open the Liothyronine interaction page

How much people look this up

Where Tiratricol and Liothyronine 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 Tiratricol
Steady interest

#1,148 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Liothyronine
Top half

#913 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.

Supplement

About Tiratricol

What is Tiratricol?

  • Weight loss
  • Fat burning
  • Boosting metabolism
  • Bodybuilding and cutting
  • Thyroid-related supplementation

Tiratricol (also called TRIAC) is a powerful synthetic thyroid hormone metabolite, not a natural herb, and it has been illegally added to some weight-loss and bodybuilding supplements. It can cause serious heart and thyroid problems, and the U.S. FDA has warned consumers not to use products containing it. It is not a safe or approved dietary supplement, and you should avoid it.

Read the full Tiratricol monograph & all interactions
Medication

About Liothyronine

What Is Liothyronine Used For?

Brand name: Cytomel

Liothyronine (available as tablets under the brand names Cytomel, Liomny, and Liothyronine Sodium, and as an injection under Liothyronine Sodium and Triostat) is primarily used to treat hypothyroidism (an underactive thyroid) across all its forms — whether the cause is in the thyroid itself, the pituitary gland, or the hypothalamus, and whether it was present at birth or developed over time.

The oral tablets are also used alongside surgery and radioiodine therapy to suppress TSH (thyroid-stimulating hormone) in people with well-differentiated thyroid cancer, and as a diagnostic agent in thyroid suppression tests. Liothyronine sodium injection is specifically indicated for myxedema coma (a life-threatening form of severe hypothyroidism) and may be used in patients who are allergic to thyroid products derived from pork or beef.

See full Liothyronine drug information
Keep checking

Other Drugs & Tiratricol

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

15Major
209Moderate
0Minor
2,605No known interaction
15 Major 209 Moderate 2,605 No interaction
Major

15 interactions

Moderate

209 interactions

Showing 60 of 209 moderate interactions — see all 209 on the Tiratricol page.

No interaction 2,605 drugs checked — show the list

We also checked Tiratricol against these medications and found no known interaction in our sources. Open any page to confirm.

Showing the 60 most looked-up of 2,605 medications checked with no known interaction — see the full Tiratricol list.

See the full Tiratricol interactions page
See every supplement checked against Liothyronine, ranked by severity
Sources

Sources & How We Checked

Interaction details are evidence-graded and sourced from the Natural Medicines database. The medication overview comes from MedlinePlus.

Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

Keep exploring
Tiratricol monograph › Uses, safety, and every drug interaction in one place Liothyronine supplement interactions › Every supplement checked against Liothyronine, ranked by severity Liothyronine drug information › The full plain-English guide to this medication Supplement interaction checker › Check any supplement or product against your medications Browse medications A–Z › Every drug we've checked against herbs & supplements Ask a pharmacist › Free, personal answer from our licensed team
Pharmacist Counseling Corner

Taking Tiratricol and Liothyronine Together: Common Questions

Can you take Tiratricol with Liothyronine?
This is rated a major interaction, so the combination is best avoided unless your doctor or pharmacist has specifically told you otherwise. Read the full details on this page and confirm with your pharmacist before combining them.
How serious is the Tiratricol and Liothyronine interaction?
We rate it Major. This is a clinically significant combination that is generally best avoided, or used only under the direct supervision of your physician or pharmacist.

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

Still Have a Question About Liothyronine and Tiratricol?

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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.