April 1997 -- This week, the most well-known drug to thyroid patients in the U.S. Synthroid -- is in the
limelight. It appears that Knoll Pharmaceutical, Synthroid's manufacturers, have decided to release the
long-awaited results of a study they funded, looking at the bioequivalence of Synthroid -- Knoll's brand
name levothyroxine -- compared to other brand names and generic levothyroxine. Seems that researchers
found that there's really no difference in effectiveness, and Knoll wasn't too eager to release results that
didn't support their profitable claim that Synthroid -- currently the third largest selling prescription
medicine in the U.S. -- has no bioequivalent.
Bioequivalence?
According to the medical dictionaries, it means the property of having the same biological effects of that
to which a medicine was compared. Come again--in English this time??? Okay, it means that the medicine
studied DOES the same thing as the medicine it was compared to, even though the different brands might
not be identical in terms of contents, fillers, manufacturing, etc.
While the end result of the study showed bioequivalence, that doesn't mean that each drug works the
same for each person. Doctors don't like to arbitrarily switch your thyroid drug, especially if your
thyroid is stabilized. But if you do switch from one drug to another, your TSH levels should be checked.
And if you're not doing well on one brand or a generic, consider asking your doctor to switch you to
another brand. There are many reports of people who do fine on one brand name or generic
levothyroxine, but have recurring symptoms and blood levels getting out of whack when taking the same
dose of another brand name or generic. Go figure!

