Skip to content
← Back to this collection

LABELS · b85ab7fa-ba96-43cd-b736-44b3924e644c

Synthroid

Open original source → · Download preserved record

Preserved label snapshot, not confirmation of a current approved indication. Approval/withdrawal status must be checked for the exact disease, setting and regimen.

Label effective date
2024-02-20
Captured
2026-09-09T23:37:58.719708+00:00
Current indication reconciliation
Not reconciled
Boxed warning in this label
  1. WARNING: NOT FOR TREATMENT OF OBESITY OR FOR WEIGHT LOSS Thyroid hormones, including SYNTHROID, either alone or with other therapeutic agents, should not be used for the treatment of obesity or for weight loss. In euthyroid patients, doses within the range of daily hormonal requirements are ineffective for weight reduction. Larger doses may produce serious or even life - threatening manifestations of toxicity, particularly when given in association with sympathomimetic amines such as those used for their anorectic effects [see Adverse Reactions ( 6 ), Drug Interactions ( 7.7 ), and Overdosage ( 10 )] . WARNING: NOT FOR TREATMENT OF OBESITY OR FOR WEIGHT LOSS See full prescribing information for complete boxed warning . Thyroid hormones, including SYNTHROID , should not be used for the treatment of obesity or for weight loss. Doses beyond the range of daily hormonal requirements may produce serious or even life - threatening manifestations of toxicity ( 6 , 10 ).

Indications and usage: exact source text

  1. 1 INDICATIONS AND USAGE Hypothyroidism SYNTHROID is indicated in adult and pediatric patients, including neonates, as a replacement therapy in primary (thyroidal), secondary (pituitary), and tertiary (hypothalamic) congenital or acquired hypothyroidism. Pituitary Thyrotropin (Thyroid -Stimulating Hormone, TSH) Suppression SYNTHROID is indicated in adult and pediatric patients, including neonates, as an adjunct to surgery and radioiodine therapy in the management of thyrotropin-dependent well-differentiated thyroid cancer. Limitations of Use SYNTHROID is not indicated for suppression of benign thyroid nodules and nontoxic diffuse goiter in iodine-sufficient patients as there are no clinical benefits and overtreatment with SYNTHROID may induce hyperthyroidism [see Warnings and Precautions ( 5.1 )]. SYNTHROID is not indicated for treatment of hypothyroidism during the recovery phase of subacute thyroiditis. SYNTHROID is a L-thyroxine (T4) indicated in adult and pediatric patients, including neonates, for: Hypothyroidism: As replacement therapy in primary (thyroidal), secondary (pituitary), and tertiary (hypothalamic) congenital or acquired hypothyroidism. ( 1 ) Pituitary Thyrotropin (Thyroid-Stimulating Hormone, TSH) Suppression: As an adjunct to surgery and radioiodine therapy in the management of thyrotropin-dependent well-differentiated thyroid cancer. ( 1 ) Limitations of Use: Not indicated for suppression of benign thyroid nodules and nontoxic diffuse goiter in iodine-sufficient patients Not indicated for treatment of hypothyroidism during the recovery phase of subacute thyroiditis
Full extracted label fields
application numbers
  1. NDA021402
boxed warning exact
  1. WARNING: NOT FOR TREATMENT OF OBESITY OR FOR WEIGHT LOSS Thyroid hormones, including SYNTHROID, either alone or with other therapeutic agents, should not be used for the treatment of obesity or for weight loss. In euthyroid patients, doses within the range of daily hormonal requirements are ineffective for weight reduction. Larger doses may produce serious or even life - threatening manifestations of toxicity, particularly when given in association with sympathomimetic amines such as those used for their anorectic effects [see Adverse Reactions ( 6 ), Drug Interactions ( 7.7 ), and Overdosage ( 10 )] . WARNING: NOT FOR TREATMENT OF OBESITY OR FOR WEIGHT LOSS See full prescribing information for complete boxed warning . Thyroid hormones, including SYNTHROID , should not be used for the treatment of obesity or for weight loss. Doses beyond the range of daily hormonal requirements may produce serious or even life - threatening manifestations of toxicity ( 6 , 10 ).
brand names
  1. Synthroid
current indication status
not_reconciled
dailymed set url
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=1e11ad30-1041-4520-10b0-8f9d30d30fcc
generic names
  1. LEVOTHYROXINE SODIUM
id
b85ab7fa-ba96-43cd-b736-44b3924e644c
indications and usage exact
  1. 1 INDICATIONS AND USAGE Hypothyroidism SYNTHROID is indicated in adult and pediatric patients, including neonates, as a replacement therapy in primary (thyroidal), secondary (pituitary), and tertiary (hypothalamic) congenital or acquired hypothyroidism. Pituitary Thyrotropin (Thyroid -Stimulating Hormone, TSH) Suppression SYNTHROID is indicated in adult and pediatric patients, including neonates, as an adjunct to surgery and radioiodine therapy in the management of thyrotropin-dependent well-differentiated thyroid cancer. Limitations of Use SYNTHROID is not indicated for suppression of benign thyroid nodules and nontoxic diffuse goiter in iodine-sufficient patients as there are no clinical benefits and overtreatment with SYNTHROID may induce hyperthyroidism [see Warnings and Precautions ( 5.1 )]. SYNTHROID is not indicated for treatment of hypothyroidism during the recovery phase of subacute thyroiditis. SYNTHROID is a L-thyroxine (T4) indicated in adult and pediatric patients, including neonates, for: Hypothyroidism: As replacement therapy in primary (thyroidal), secondary (pituitary), and tertiary (hypothalamic) congenital or acquired hypothyroidism. ( 1 ) Pituitary Thyrotropin (Thyroid-Stimulating Hormone, TSH) Suppression: As an adjunct to surgery and radioiodine therapy in the management of thyrotropin-dependent well-differentiated thyroid cancer. ( 1 ) Limitations of Use: Not indicated for suppression of benign thyroid nodules and nontoxic diffuse goiter in iodine-sufficient patients Not indicated for treatment of hypothyroidism during the recovery phase of subacute thyroiditis
indications and usage tables exact
    is original packager
    1. true
    manufacturer names
    1. AbbVie Inc.
    matched search terms
    1. cancer
    package ndcs
    1. 0074-4341-13
    2. 0074-4341-90
    3. 0074-4341-19
    4. 0074-4341-72
    5. 0074-4552-13
    6. 0074-4552-90
    7. 0074-4552-19
    8. 0074-4552-11
    9. 0074-4552-71
    10. 0074-4552-72
    11. 0074-5182-13
    12. 0074-5182-90
    product ndcs
    1. 0074-3727
    2. 0074-4341
    3. 0074-4552
    4. 0074-5182
    5. 0074-6594
    6. 0074-6624
    7. 0074-9296
    8. 0074-7068
    9. 0074-7069
    10. 0074-7070
    11. 0074-7148
    12. 0074-7149
    product types
    1. HUMAN PRESCRIPTION DRUG
    recent major changes exact
    1. Dosage and Administration, Important Considerations for Dosing ( 2.2 ) 2/2024 Dosage and Administration, Monitoring TSH and/or Thyroxine (T4) Levels ( 2.4 ) 2/2024
    record type
    complete_spl_indications_section_candidate
    routes
    1. ORAL
    rxcuis
    1. 892246
    2. 892251
    3. 892255
    4. 966158
    5. 966171
    6. 966185
    7. 966191
    8. 966201
    9. 966205
    10. 966218
    11. 966220
    12. 966221
    source batch
    file
    /private/tmp/cancer-full-research/indications/raw/labels-00600.json
    meta
    disclaimer
    Do not rely on openFDA to make decisions regarding medical care. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated. We may limit or otherwise restrict your access to the API in line with our Terms of Service.
    last updated
    2026-09-09
    results
    limit
    100
    skip
    600
    total
    830
    sha256
    a9df7a5786dc51557d38f2a0881b5b5e9ae02ae396a6798e39ac96f586bcc5e6
    url
    https://api.fda.gov/drug/label.json?search=%28indications_and_usage%3Acancer+OR+indications_and_usage%3Acarcinoma+OR+indications_and_usage%3Acarcinomas+OR+indications_and_usage%3Alymphoma+OR+indications_and_usage%3Alymphomas+OR+indications_and_usage%3Aleukemia+OR+indications_and_usage%3Aleukaemia+OR+indications_and_usage%3Asarcoma+OR+indications_and_usage%3Asarcomas+OR+indications_and_usage%3Amelanoma+OR+indications_and_usage%3Amyeloma+OR+indications_and_usage%3Atumor+OR+indications_and_usage%3Atumors+OR+indications_and_usage%3Atumour+OR+indications_and_usage%3Atumours+OR+indications_and_usage%3Aneoplasm+OR+indications_and_usage%3Aneoplasms+OR+indications_and_usage%3Amalignant+OR+indications_and_usage%3Amalignancy+OR+indications_and_usage%3Amyelodysplastic+OR+indications_and_usage%3Amyelofibrosis+OR+indications_and_usage%3Amastocytosis+OR+indications_and_usage%3Aglioma+OR+indications_and_usage%3Aglioblastoma+OR+indications_and_usage%3Aneuroblastoma+OR+indications_and_usage%3Aretinoblastoma+OR+indications_and_usage%3Apheochromocytoma+OR+indications_and_usage%3Aparaganglioma+OR+indications_and_usage%3Amyeloproliferative+OR+indications_and_usage%3Awaldenstrom+OR+indications_and_usage%3Apolycythemia+OR+indications_and_usage%3Athrombocythemia+OR+indications_and_usage%3Adesmoid+OR+indications_and_usage%3Aneurofibromatosis+OR+indications_and_usage%3Ahistiocytosis%29+AND+%28openfda.application_number%3ANDA%2A+OR+openfda.application_number%3ABLA%2A%29&limit=100&skip=600&sort=id%3Aasc
    source url
    https://api.fda.gov/drug/label.json?search=id%3A%22b85ab7fa-ba96-43cd-b736-44b3924e644c%22
    spl effective date
    2024-02-20
    spl effective time
    20240220
    spl set id
    1e11ad30-1041-4520-10b0-8f9d30d30fcc
    spl version
    1537
    substance names
    1. LEVOTHYROXINE SODIUM
    uniis
    1. 9J765S329G
    verification flags
    1. oncology_keyword_candidate_not_clinically_classified
    2. spl_text_not_verified_identical_to_latest_approved_label
    3. individual_indications_not_split_or_reconciled
    Drugs@FDA application source records
    1. application number
      NDA021402
      payload
      all indexed label documents
      1. Appl No
        021402
        Application Docs Date
        2002-07-24 00:00:00
        Application Docs ID
        15371
        Application Docs Title
        0
        Application Docs Type ID
        2
        Submission No
        1
        Submission Type
        ORIG
      2. Appl No
        021402
        Application Docs Date
        2008-07-15 00:00:00
        Application Docs ID
        15372
        Application Docs Title
        0
        Application Docs Type ID
        2
        Submission No
        17
        Submission Type
        SUPPL
      3. Appl No
        021402
        Application Docs Date
        2014-01-15 00:00:00
        Application Docs ID
        15373
        Application Docs Title
        0
        Application Docs Type ID
        2
        Submission No
        20
        Submission Type
        SUPPL
      4. Appl No
        021402
        Application Docs Date
        2008-06-05 00:00:00
        Application Docs ID
        36822
        Application Docs Title
        0
        Application Docs Type ID
        2
        Submission No
        11
        Submission Type
        SUPPL
      5. Appl No
        021402
        Application Docs Date
        2017-02-24 00:00:00
        Application Docs ID
        47324
        Application Docs Title
        0
        Application Docs Type ID
        2
        Submission No
        24
        Submission Type
        SUPPL
      6. Appl No
        021402
        Application Docs Date
        2017-02-24 00:00:00
        Application Docs ID
        47325
        Application Docs Title
        0
        Application Docs Type ID
        2
        Submission No
        28
        Submission Type
        SUPPL
      7. Appl No
        021402
        Application Docs Date
        2020-07-16 00:00:00
        Application Docs ID
        63938
        Application Docs Title
        0
        Application Docs Type ID
        2
        Submission No
        34
        Submission Type
        SUPPL
      8. Appl No
        021402
        Application Docs Date
        2022-08-31 00:00:00
        Application Docs ID
        71979
        Application Docs Title
        0
        Application Docs Type ID
        2
        Submission No
        36
        Submission Type
        SUPPL
      9. Appl No
        021402
        Application Docs Date
        2024-02-20 00:00:00
        Application Docs ID
        77590
        Application Docs Title
        0
        Application Docs Type ID
        2
        Submission No
        38
        Submission Type
        SUPPL
      all submission records
      1. Appl No
        021402
        Review Priority
        STANDARD
        Submission Class Code ID
        3
        Submission No
        38
        Submission Status
        AP
        Submission Status Date
        2024-02-20 00:00:00
        Submission Type
        SUPPL
        Submissions Public Notes
      2. Appl No
        021402
        Review Priority
        STANDARD
        Submission Class Code ID
        3
        Submission No
        36
        Submission Status
        AP
        Submission Status Date
        2022-08-30 00:00:00
        Submission Type
        SUPPL
        Submissions Public Notes
      3. Appl No
        021402
        Review Priority
        STANDARD
        Submission Class Code ID
        3
        Submission No
        34
        Submission Status
        AP
        Submission Status Date
        2020-07-15 00:00:00
        Submission Type
        SUPPL
        Submissions Public Notes
      4. Appl No
        021402
        Review Priority
        STANDARD
        Submission Class Code ID
        4
        Submission No
        30
        Submission Status
        AP
        Submission Status Date
        2016-05-13 00:00:00
        Submission Type
        SUPPL
        Submissions Public Notes
      5. Appl No
        021402
        Review Priority
        STANDARD
        Submission Class Code ID
        4
        Submission No
        29
        Submission Status
        AP
        Submission Status Date
        2015-11-25 00:00:00
        Submission Type
        SUPPL
        Submissions Public Notes
      6. Appl No
        021402
        Review Priority
        STANDARD
        Submission Class Code ID
        3
        Submission No
        28
        Submission Status
        AP
        Submission Status Date
        2017-02-23 00:00:00
        Submission Type
        SUPPL
        Submissions Public Notes
      7. Appl No
        021402
        Review Priority
        STANDARD
        Submission Class Code ID
        4
        Submission No
        27
        Submission Status
        AP
        Submission Status Date
        2015-04-15 00:00:00
        Submission Type
        SUPPL
        Submissions Public Notes
      8. Appl No
        021402
        Review Priority
        STANDARD
        Submission Class Code ID
        4
        Submission No
        26
        Submission Status
        AP
        Submission Status Date
        2014-04-08 00:00:00
        Submission Type
        SUPPL
        Submissions Public Notes
      9. Appl No
        021402
        Review Priority
        STANDARD
        Submission Class Code ID
        4
        Submission No
        25
        Submission Status
        AP
        Submission Status Date
        2014-05-27 00:00:00
        Submission Type
        SUPPL
        Submissions Public Notes
      10. Appl No
        021402
        Review Priority
        STANDARD
        Submission Class Code ID
        3
        Submission No
        24
        Submission Status
        AP
        Submission Status Date
        2017-02-23 00:00:00
        Submission Type
        SUPPL
        Submissions Public Notes
      11. Appl No
        021402
        Review Priority
        UNKNOWN
        Submission Class Code ID
        3
        Submission No
        20
        Submission Status
        AP
        Submission Status Date
        2011-01-14 00:00:00
        Submission Type
        SUPPL
        Submissions Public Notes
      12. Appl No
        021402
        Review Priority
        STANDARD
        Submission Class Code ID
        3
        Submission No
        17
        Submission Status
        AP
        Submission Status Date
        2008-07-14 00:00:00
        Submission Type
        SUPPL
        Submissions Public Notes
      application number
      NDA021402
      approval interpretation
      Application linkage and approved submission are not indication-level current approval verification
      current indication status
      not_reconciled
      has approved submission record
      true
      latest approved submission date
      2024-02-20
      latest label selection rule
      max FDA ApplicationDocsDate, including all ties; posting date is not approval date and latest indexed document may be incomplete
      latest posted label documents
      1. Appl No
        021402
        Application Docs Date
        2024-02-20 00:00:00
        Application Docs ID
        77590
        Application Docs Title
        0
        Application Docs Type ID
        2
        Submission No
        38
        Submission Type
        SUPPL
      official application record
      Appl No
      021402
      Appl Public Notes
      Appl Type
      NDA
      Sponsor Name
      ABBVIE
      openfda application present
      true
      products
      1. Active Ingredient
        LEVOTHYROXINE SODIUM
        Appl No
        021402
        Drug Name
        SYNTHROID
        Form
        TABLET;ORAL
        Product No
        001
        Reference Drug
        1
        Reference Standard
        0
        Strength
        0.025MG **See current Annual Edition, 1.8 Description of Special Situations, Levothyroxine Sodium
        marketing status
        1. Prescription
      2. Active Ingredient
        LEVOTHYROXINE SODIUM
        Appl No
        021402
        Drug Name
        SYNTHROID
        Form
        TABLET;ORAL
        Product No
        002
        Reference Drug
        1
        Reference Standard
        0
        Strength
        0.05MG **See current Annual Edition, 1.8 Description of Special Situations, Levothyroxine Sodium
        marketing status
        1. Prescription
      3. Active Ingredient
        LEVOTHYROXINE SODIUM
        Appl No
        021402
        Drug Name
        SYNTHROID
        Form
        TABLET;ORAL
        Product No
        003
        Reference Drug
        1
        Reference Standard
        0
        Strength
        0.075MG **See current Annual Edition, 1.8 Description of Special Situations, Levothyroxine Sodium
        marketing status
        1. Prescription
      4. Active Ingredient
        LEVOTHYROXINE SODIUM
        Appl No
        021402
        Drug Name
        SYNTHROID
        Form
        TABLET;ORAL
        Product No
        004
        Reference Drug
        1
        Reference Standard
        0
        Strength
        0.088MG **See current Annual Edition, 1.8 Description of Special Situations, Levothyroxine Sodium
        marketing status
        1. Prescription
      5. Active Ingredient
        LEVOTHYROXINE SODIUM
        Appl No
        021402
        Drug Name
        SYNTHROID
        Form
        TABLET;ORAL
        Product No
        005
        Reference Drug
        1
        Reference Standard
        0
        Strength
        0.1MG **See current Annual Edition, 1.8 Description of Special Situations, Levothyroxine Sodium
        marketing status
        1. Prescription
      6. Active Ingredient
        LEVOTHYROXINE SODIUM
        Appl No
        021402
        Drug Name
        SYNTHROID
        Form
        TABLET;ORAL
        Product No
        006
        Reference Drug
        1
        Reference Standard
        0
        Strength
        0.112MG **See current Annual Edition, 1.8 Description of Special Situations, Levothyroxine Sodium
        marketing status
        1. Prescription
      7. Active Ingredient
        LEVOTHYROXINE SODIUM
        Appl No
        021402
        Drug Name
        SYNTHROID
        Form
        TABLET;ORAL
        Product No
        007
        Reference Drug
        1
        Reference Standard
        0
        Strength
        0.125MG **See current Annual Edition, 1.8 Description of Special Situations, Levothyroxine Sodium
        marketing status
        1. Prescription
      8. Active Ingredient
        LEVOTHYROXINE SODIUM
        Appl No
        021402
        Drug Name
        SYNTHROID
        Form
        TABLET;ORAL
        Product No
        008
        Reference Drug
        1
        Reference Standard
        0
        Strength
        0.137MG **See current Annual Edition, 1.8 Description of Special Situations, Levothyroxine Sodium
        marketing status
        1. Prescription
      9. Active Ingredient
        LEVOTHYROXINE SODIUM
        Appl No
        021402
        Drug Name
        SYNTHROID
        Form
        TABLET;ORAL
        Product No
        009
        Reference Drug
        1
        Reference Standard
        0
        Strength
        0.15MG **See current Annual Edition, 1.8 Description of Special Situations, Levothyroxine Sodium
        marketing status
        1. Prescription
      10. Active Ingredient
        LEVOTHYROXINE SODIUM
        Appl No
        021402
        Drug Name
        SYNTHROID
        Form
        TABLET;ORAL
        Product No
        010
        Reference Drug
        1
        Reference Standard
        0
        Strength
        0.175MG **See current Annual Edition, 1.8 Description of Special Situations, Levothyroxine Sodium
        marketing status
        1. Prescription
      11. Active Ingredient
        LEVOTHYROXINE SODIUM
        Appl No
        021402
        Drug Name
        SYNTHROID
        Form
        TABLET;ORAL
        Product No
        011
        Reference Drug
        1
        Reference Standard
        1
        Strength
        0.3MG **See current Annual Edition, 1.8 Description of Special Situations, Levothyroxine Sodium
        marketing status
        1. Prescription
      12. Active Ingredient
        LEVOTHYROXINE SODIUM
        Appl No
        021402
        Drug Name
        SYNTHROID
        Form
        TABLET;ORAL
        Product No
        012
        Reference Drug
        1
        Reference Standard
        0
        Strength
        0.2MG **See current Annual Edition, 1.8 Description of Special Situations, Levothyroxine Sodium
        marketing status
        1. Prescription

    Source passages and status connections

    Passage classifications are automated and are not treatment recommendations. Connections apply only to their recorded indication scope.

    Passage 1 · positive indication candidate
    application numbers
    1. NDA021402
    brand names
    1. Synthroid
    classification reasons
    1. explicit_positive_indication_predicate
    2. no_tumor_directed_keyword_in_positive_statement
    clinical review status
    pending
    content role
    positive_indication_candidate
    context span
    end
    453
    end exclusive
    true
    exact text
    1 INDICATIONS AND USAGE Hypothyroidism SYNTHROID is indicated in adult and pediatric patients, including neonates, as a replacement therapy in primary (thyroidal), secondary (pituitary), and tertiary (hypothalamic) congenital or acquired hypothyroidism. Pituitary Thyrotropin (Thyroid -Stimulating Hormone, TSH) Suppression SYNTHROID is indicated in adult and pediatric patients, including neonates, as an adjunct to surgery and radioiodine therapy in t
    label id
    b85ab7fa-ba96-43cd-b736-44b3924e644c
    offset unit
    unicode_code_points
    source array index
    0
    source field
    indications_and_usage_exact
    source text sha256
    179a491a382e0e4b2e467cef384ab9610286f4a585086a44dede373fa4d68fb2
    start
    0
    current approval status
    not_reconciled
    duplicate text group
    dup-bc676388c110164be51c
    extraction review status
    automated_candidate_pending_source_review
    generic names
    1. LEVOTHYROXINE SODIUM
    id
    ind-span-f8f5a4b777e356acbea2
    label id
    b85ab7fa-ba96-43cd-b736-44b3924e644c
    positive predicate support span
    end
    61
    end exclusive
    true
    exact text
    is indicated
    label id
    b85ab7fa-ba96-43cd-b736-44b3924e644c
    offset unit
    unicode_code_points
    source array index
    0
    source field
    indications_and_usage_exact
    source text sha256
    179a491a382e0e4b2e467cef384ab9610286f4a585086a44dede373fa4d68fb2
    start
    49
    qualifier mentions
    1. context exact
      ICATIONS AND USAGE Hypothyroidism SYNTHROID is indicated in adult and pediatric patients, including neonates, as a replacemen
      kind
      age
      polarity
      not_inferred
      span
      end
      70
      end exclusive
      true
      exact text
      adult
      label id
      b85ab7fa-ba96-43cd-b736-44b3924e644c
      offset unit
      unicode_code_points
      source array index
      0
      source field
      indications_and_usage_exact
      source text sha256
      179a491a382e0e4b2e467cef384ab9610286f4a585086a44dede373fa4d68fb2
      start
      65
    2. context exact
      ND USAGE Hypothyroidism SYNTHROID is indicated in adult and pediatric patients, including neonates, as a replacement therapy in primary (t
      kind
      age
      polarity
      not_inferred
      span
      end
      93
      end exclusive
      true
      exact text
      pediatric patients
      label id
      b85ab7fa-ba96-43cd-b736-44b3924e644c
      offset unit
      unicode_code_points
      source array index
      0
      source field
      indications_and_usage_exact
      source text sha256
      179a491a382e0e4b2e467cef384ab9610286f4a585086a44dede373fa4d68fb2
      start
      75
    regulatory links
      schema version
      0.1.0
      source batch sha256
      a9df7a5786dc51557d38f2a0881b5b5e9ae02ae396a6798e39ac96f586bcc5e6
      source defined aliases
        source span
        end
        253
        end exclusive
        true
        exact text
        1 INDICATIONS AND USAGE Hypothyroidism SYNTHROID is indicated in adult and pediatric patients, including neonates, as a replacement therapy in primary (thyroidal), secondary (pituitary), and tertiary (hypothalamic) congenital or acquired hypothyroidism.
        label id
        b85ab7fa-ba96-43cd-b736-44b3924e644c
        offset unit
        unicode_code_points
        source array index
        0
        source field
        indications_and_usage_exact
        source text sha256
        179a491a382e0e4b2e467cef384ab9610286f4a585086a44dede373fa4d68fb2
        start
        0
        source url
        https://api.fda.gov/drug/label.json?search=id%3A%22b85ab7fa-ba96-43cd-b736-44b3924e644c%22
        spl effective date
        2024-02-20
        spl set id
        1e11ad30-1041-4520-10b0-8f9d30d30fcc
        spl version
        1537
        structured fields status
        not_extracted_no_values_inferred_from_mentions
        structured indication
        age
        Source null
        approval pathway
        Source null
        biomarker and test
        Source null
        disease stage
        Source null
        limitations
        Source null
        line
        Source null
        prior therapy
        Source null
        regimen
        Source null
        tumor histology
        Source null
        use intent
        non_oncology_or_unclear_candidate
        Passage 2 · positive indication candidate
        application numbers
        1. NDA021402
        brand names
        1. Synthroid
        classification reasons
        1. explicit_positive_indication_predicate
        2. tumor_or_malignant_hematology_words_in_positive_statement
        clinical review status
        pending
        content role
        positive_indication_candidate
        context span
        end
        727
        end exclusive
        true
        exact text
        dicated in adult and pediatric patients, including neonates, as a replacement therapy in primary (thyroidal), secondary (pituitary), and tertiary (hypothalamic) congenital or acquired hypothyroidism. Pituitary Thyrotropin (Thyroid -Stimulating Hormone, TSH) Suppression SYNTHROID is indicated in adult and pediatric patients, including neonates, as an adjunct to surgery and radioiodine therapy in the management of thyrotropin-dependent well-differentiated thyroid cancer. Limitations of Use SYNTHROID is not indicated for suppression of benign thyroid nodules and nontoxic diffuse goiter in iodine-sufficient patients as there are no clinical benefits and overtreatment w
        label id
        b85ab7fa-ba96-43cd-b736-44b3924e644c
        offset unit
        unicode_code_points
        source array index
        0
        source field
        indications_and_usage_exact
        source text sha256
        179a491a382e0e4b2e467cef384ab9610286f4a585086a44dede373fa4d68fb2
        start
        54
        current approval status
        not_reconciled
        duplicate text group
        dup-735ae249844f68212a5c
        extraction review status
        automated_candidate_pending_source_review
        generic names
        1. LEVOTHYROXINE SODIUM
        id
        ind-span-3778dec7de771aa89c94
        label id
        b85ab7fa-ba96-43cd-b736-44b3924e644c
        positive predicate support span
        end
        346
        end exclusive
        true
        exact text
        is indicated
        label id
        b85ab7fa-ba96-43cd-b736-44b3924e644c
        offset unit
        unicode_code_points
        source array index
        0
        source field
        indications_and_usage_exact
        source text sha256
        179a491a382e0e4b2e467cef384ab9610286f4a585086a44dede373fa4d68fb2
        start
        334
        qualifier mentions
        1. context exact
          ulating Hormone, TSH) Suppression SYNTHROID is indicated in adult and pediatric patients, including neonates, as an adjunct t
          kind
          age
          polarity
          not_inferred
          span
          end
          355
          end exclusive
          true
          exact text
          adult
          label id
          b85ab7fa-ba96-43cd-b736-44b3924e644c
          offset unit
          unicode_code_points
          source array index
          0
          source field
          indications_and_usage_exact
          source text sha256
          179a491a382e0e4b2e467cef384ab9610286f4a585086a44dede373fa4d68fb2
          start
          350
        2. context exact
          rmone, TSH) Suppression SYNTHROID is indicated in adult and pediatric patients, including neonates, as an adjunct to surgery and radioiodi
          kind
          age
          polarity
          not_inferred
          span
          end
          378
          end exclusive
          true
          exact text
          pediatric patients
          label id
          b85ab7fa-ba96-43cd-b736-44b3924e644c
          offset unit
          unicode_code_points
          source array index
          0
          source field
          indications_and_usage_exact
          source text sha256
          179a491a382e0e4b2e467cef384ab9610286f4a585086a44dede373fa4d68fb2
          start
          360
        regulatory links
          schema version
          0.1.0
          source batch sha256
          a9df7a5786dc51557d38f2a0881b5b5e9ae02ae396a6798e39ac96f586bcc5e6
          source defined aliases
            source span
            end
            527
            end exclusive
            true
            exact text
            Pituitary Thyrotropin (Thyroid -Stimulating Hormone, TSH) Suppression SYNTHROID is indicated in adult and pediatric patients, including neonates, as an adjunct to surgery and radioiodine therapy in the management of thyrotropin-dependent well-differentiated thyroid cancer.
            label id
            b85ab7fa-ba96-43cd-b736-44b3924e644c
            offset unit
            unicode_code_points
            source array index
            0
            source field
            indications_and_usage_exact
            source text sha256
            179a491a382e0e4b2e467cef384ab9610286f4a585086a44dede373fa4d68fb2
            start
            254
            source url
            https://api.fda.gov/drug/label.json?search=id%3A%22b85ab7fa-ba96-43cd-b736-44b3924e644c%22
            spl effective date
            2024-02-20
            spl set id
            1e11ad30-1041-4520-10b0-8f9d30d30fcc
            spl version
            1537
            structured fields status
            not_extracted_no_values_inferred_from_mentions
            structured indication
            age
            Source null
            approval pathway
            Source null
            biomarker and test
            Source null
            disease stage
            Source null
            limitations
            Source null
            line
            Source null
            prior therapy
            Source null
            regimen
            Source null
            tumor histology
            Source null
            use intent
            tumor_directed_candidate
            Passage 3 · limitation of use
            application numbers
            1. NDA021402
            brand names
            1. Synthroid
            classification reasons
            1. negative_or_not_established_clause
            clinical review status
            pending
            content role
            limitation_of_use
            context span
            end
            1007
            end exclusive
            true
            exact text
            HROID is indicated in adult and pediatric patients, including neonates, as an adjunct to surgery and radioiodine therapy in the management of thyrotropin-dependent well-differentiated thyroid cancer. Limitations of Use SYNTHROID is not indicated for suppression of benign thyroid nodules and nontoxic diffuse goiter in iodine-sufficient patients as there are no clinical benefits and overtreatment with SYNTHROID may induce hyperthyroidism [see Warnings and Precautions ( 5.1 )]. SYNTHROID is not indicated for treatment of hypothyroidism during the recovery phase of subacute thyroiditis. SYNTHROID is a L-thyroxine (T4) indicated in adult and pediatric patients, including neon
            label id
            b85ab7fa-ba96-43cd-b736-44b3924e644c
            offset unit
            unicode_code_points
            source array index
            0
            source field
            indications_and_usage_exact
            source text sha256
            179a491a382e0e4b2e467cef384ab9610286f4a585086a44dede373fa4d68fb2
            start
            328
            current approval status
            not_reconciled
            duplicate text group
            dup-740ce925465244229566
            extraction review status
            automated_candidate_pending_source_review
            generic names
            1. LEVOTHYROXINE SODIUM
            id
            ind-span-d6ad870949bc4eea0b6b
            label id
            b85ab7fa-ba96-43cd-b736-44b3924e644c
            positive predicate support span
            Source null
            qualifier mentions
              regulatory links
                schema version
                0.1.0
                source batch sha256
                a9df7a5786dc51557d38f2a0881b5b5e9ae02ae396a6798e39ac96f586bcc5e6
                source defined aliases
                  source span
                  end
                  807
                  end exclusive
                  true
                  exact text
                  Limitations of Use SYNTHROID is not indicated for suppression of benign thyroid nodules and nontoxic diffuse goiter in iodine-sufficient patients as there are no clinical benefits and overtreatment with SYNTHROID may induce hyperthyroidism [see Warnings and Precautions ( 5.1 )].
                  label id
                  b85ab7fa-ba96-43cd-b736-44b3924e644c
                  offset unit
                  unicode_code_points
                  source array index
                  0
                  source field
                  indications_and_usage_exact
                  source text sha256
                  179a491a382e0e4b2e467cef384ab9610286f4a585086a44dede373fa4d68fb2
                  start
                  528
                  source url
                  https://api.fda.gov/drug/label.json?search=id%3A%22b85ab7fa-ba96-43cd-b736-44b3924e644c%22
                  spl effective date
                  2024-02-20
                  spl set id
                  1e11ad30-1041-4520-10b0-8f9d30d30fcc
                  spl version
                  1537
                  structured fields status
                  not_extracted_no_values_inferred_from_mentions
                  structured indication
                  age
                  Source null
                  approval pathway
                  Source null
                  biomarker and test
                  Source null
                  disease stage
                  Source null
                  limitations
                  Source null
                  line
                  Source null
                  prior therapy
                  Source null
                  regimen
                  Source null
                  tumor histology
                  Source null
                  use intent
                  not_applicable
                  Passage 4 · limitation of use
                  application numbers
                  1. NDA021402
                  brand names
                  1. Synthroid
                  classification reasons
                  1. negative_or_not_established_clause
                  clinical review status
                  pending
                  content role
                  limitation_of_use
                  context span
                  end
                  1117
                  end exclusive
                  true
                  exact text
                  nodules and nontoxic diffuse goiter in iodine-sufficient patients as there are no clinical benefits and overtreatment with SYNTHROID may induce hyperthyroidism [see Warnings and Precautions ( 5.1 )]. SYNTHROID is not indicated for treatment of hypothyroidism during the recovery phase of subacute thyroiditis. SYNTHROID is a L-thyroxine (T4) indicated in adult and pediatric patients, including neonates, for: Hypothyroidism: As replacement therapy in primary (thyroidal), secondary (pituitary), and tertiary
                  label id
                  b85ab7fa-ba96-43cd-b736-44b3924e644c
                  offset unit
                  unicode_code_points
                  source array index
                  0
                  source field
                  indications_and_usage_exact
                  source text sha256
                  179a491a382e0e4b2e467cef384ab9610286f4a585086a44dede373fa4d68fb2
                  start
                  608
                  current approval status
                  not_reconciled
                  duplicate text group
                  dup-595b617b50919944a37e
                  extraction review status
                  automated_candidate_pending_source_review
                  generic names
                  1. LEVOTHYROXINE SODIUM
                  id
                  ind-span-04f2fcc64d59bca6ad34
                  label id
                  b85ab7fa-ba96-43cd-b736-44b3924e644c
                  positive predicate support span
                  Source null
                  qualifier mentions
                    regulatory links
                      schema version
                      0.1.0
                      source batch sha256
                      a9df7a5786dc51557d38f2a0881b5b5e9ae02ae396a6798e39ac96f586bcc5e6
                      source defined aliases
                        source span
                        end
                        917
                        end exclusive
                        true
                        exact text
                        SYNTHROID is not indicated for treatment of hypothyroidism during the recovery phase of subacute thyroiditis.
                        label id
                        b85ab7fa-ba96-43cd-b736-44b3924e644c
                        offset unit
                        unicode_code_points
                        source array index
                        0
                        source field
                        indications_and_usage_exact
                        source text sha256
                        179a491a382e0e4b2e467cef384ab9610286f4a585086a44dede373fa4d68fb2
                        start
                        808
                        source url
                        https://api.fda.gov/drug/label.json?search=id%3A%22b85ab7fa-ba96-43cd-b736-44b3924e644c%22
                        spl effective date
                        2024-02-20
                        spl set id
                        1e11ad30-1041-4520-10b0-8f9d30d30fcc
                        spl version
                        1537
                        structured fields status
                        not_extracted_no_values_inferred_from_mentions
                        structured indication
                        age
                        Source null
                        approval pathway
                        Source null
                        biomarker and test
                        Source null
                        disease stage
                        Source null
                        limitations
                        Source null
                        line
                        Source null
                        prior therapy
                        Source null
                        regimen
                        Source null
                        tumor histology
                        Source null
                        use intent
                        not_applicable
                        Passage 5 · positive indication candidate
                        application numbers
                        1. NDA021402
                        brand names
                        1. Synthroid
                        classification reasons
                        1. explicit_positive_indication_predicate
                        2. no_tumor_directed_keyword_in_positive_statement
                        clinical review status
                        pending
                        content role
                        positive_indication_candidate
                        context span
                        end
                        1370
                        end exclusive
                        true
                        exact text
                        eatment with SYNTHROID may induce hyperthyroidism [see Warnings and Precautions ( 5.1 )]. SYNTHROID is not indicated for treatment of hypothyroidism during the recovery phase of subacute thyroiditis. SYNTHROID is a L-thyroxine (T4) indicated in adult and pediatric patients, including neonates, for: Hypothyroidism: As replacement therapy in primary (thyroidal), secondary (pituitary), and tertiary (hypothalamic) congenital or acquired hypothyroidism. ( 1 ) Pituitary Thyrotropin (Thyroid-Stimulating Hormone, TSH) Suppression: As an adjunct to surgery and radioiodine therapy in the management of thyrotropin-dependent well-differentiated thyroid can
                        label id
                        b85ab7fa-ba96-43cd-b736-44b3924e644c
                        offset unit
                        unicode_code_points
                        source array index
                        0
                        source field
                        indications_and_usage_exact
                        source text sha256
                        179a491a382e0e4b2e467cef384ab9610286f4a585086a44dede373fa4d68fb2
                        start
                        718
                        current approval status
                        not_reconciled
                        duplicate text group
                        dup-85273142f6efd22d489b
                        extraction review status
                        automated_candidate_pending_source_review
                        generic names
                        1. LEVOTHYROXINE SODIUM
                        id
                        ind-span-b618b7f527e73b67c487
                        label id
                        b85ab7fa-ba96-43cd-b736-44b3924e644c
                        positive predicate support span
                        end
                        959
                        end exclusive
                        true
                        exact text
                        is a L-thyroxine (T4) indicated
                        label id
                        b85ab7fa-ba96-43cd-b736-44b3924e644c
                        offset unit
                        unicode_code_points
                        source array index
                        0
                        source field
                        indications_and_usage_exact
                        source text sha256
                        179a491a382e0e4b2e467cef384ab9610286f4a585086a44dede373fa4d68fb2
                        start
                        928
                        qualifier mentions
                        1. context exact
                          SYNTHROID is a L-thyroxine (T4) indicated in adult and pediatric patients, including neonates, for: Hypothyroi
                          kind
                          age
                          polarity
                          not_inferred
                          span
                          end
                          968
                          end exclusive
                          true
                          exact text
                          adult
                          label id
                          b85ab7fa-ba96-43cd-b736-44b3924e644c
                          offset unit
                          unicode_code_points
                          source array index
                          0
                          source field
                          indications_and_usage_exact
                          source text sha256
                          179a491a382e0e4b2e467cef384ab9610286f4a585086a44dede373fa4d68fb2
                          start
                          963
                        2. context exact
                          SYNTHROID is a L-thyroxine (T4) indicated in adult and pediatric patients, including neonates, for: Hypothyroidism: As replacement th
                          kind
                          age
                          polarity
                          not_inferred
                          span
                          end
                          991
                          end exclusive
                          true
                          exact text
                          pediatric patients
                          label id
                          b85ab7fa-ba96-43cd-b736-44b3924e644c
                          offset unit
                          unicode_code_points
                          source array index
                          0
                          source field
                          indications_and_usage_exact
                          source text sha256
                          179a491a382e0e4b2e467cef384ab9610286f4a585086a44dede373fa4d68fb2
                          start
                          973
                        regulatory links
                          schema version
                          0.1.0
                          source batch sha256
                          a9df7a5786dc51557d38f2a0881b5b5e9ae02ae396a6798e39ac96f586bcc5e6
                          source defined aliases
                            source span
                            end
                            1170
                            end exclusive
                            true
                            exact text
                            SYNTHROID is a L-thyroxine (T4) indicated in adult and pediatric patients, including neonates, for: Hypothyroidism: As replacement therapy in primary (thyroidal), secondary (pituitary), and tertiary (hypothalamic) congenital or acquired hypothyroidism.
                            label id
                            b85ab7fa-ba96-43cd-b736-44b3924e644c
                            offset unit
                            unicode_code_points
                            source array index
                            0
                            source field
                            indications_and_usage_exact
                            source text sha256
                            179a491a382e0e4b2e467cef384ab9610286f4a585086a44dede373fa4d68fb2
                            start
                            918
                            source url
                            https://api.fda.gov/drug/label.json?search=id%3A%22b85ab7fa-ba96-43cd-b736-44b3924e644c%22
                            spl effective date
                            2024-02-20
                            spl set id
                            1e11ad30-1041-4520-10b0-8f9d30d30fcc
                            spl version
                            1537
                            structured fields status
                            not_extracted_no_values_inferred_from_mentions
                            structured indication
                            age
                            Source null
                            approval pathway
                            Source null
                            biomarker and test
                            Source null
                            disease stage
                            Source null
                            limitations
                            Source null
                            line
                            Source null
                            prior therapy
                            Source null
                            regimen
                            Source null
                            tumor histology
                            Source null
                            use intent
                            non_oncology_or_unclear_candidate
                            Passage 6 · unclassified context
                            application numbers
                            1. NDA021402
                            brand names
                            1. Synthroid
                            classification reasons
                            1. no_unambiguous_positive_indication_predicate
                            clinical review status
                            pending
                            content role
                            unclassified_context
                            context span
                            end
                            1574
                            end exclusive
                            true
                            exact text
                            d pediatric patients, including neonates, for: Hypothyroidism: As replacement therapy in primary (thyroidal), secondary (pituitary), and tertiary (hypothalamic) congenital or acquired hypothyroidism. ( 1 ) Pituitary Thyrotropin (Thyroid-Stimulating Hormone, TSH) Suppression: As an adjunct to surgery and radioiodine therapy in the management of thyrotropin-dependent well-differentiated thyroid cancer. ( 1 ) Limitations of Use: Not indicated for suppression of benign thyroid nodules and nontoxic diffuse goiter in iodine-sufficient patients Not indicated for treatment of hypothyroidism during the re
                            label id
                            b85ab7fa-ba96-43cd-b736-44b3924e644c
                            offset unit
                            unicode_code_points
                            source array index
                            0
                            source field
                            indications_and_usage_exact
                            source text sha256
                            179a491a382e0e4b2e467cef384ab9610286f4a585086a44dede373fa4d68fb2
                            start
                            971
                            current approval status
                            not_reconciled
                            duplicate text group
                            dup-b0c7f5519df41f839787
                            extraction review status
                            automated_candidate_pending_source_review
                            generic names
                            1. LEVOTHYROXINE SODIUM
                            id
                            ind-span-1a372476e5b440db06aa
                            label id
                            b85ab7fa-ba96-43cd-b736-44b3924e644c
                            positive predicate support span
                            Source null
                            qualifier mentions
                              regulatory links
                                schema version
                                0.1.0
                                source batch sha256
                                a9df7a5786dc51557d38f2a0881b5b5e9ae02ae396a6798e39ac96f586bcc5e6
                                source defined aliases
                                  source span
                                  end
                                  1374
                                  end exclusive
                                  true
                                  exact text
                                  ( 1 ) Pituitary Thyrotropin (Thyroid-Stimulating Hormone, TSH) Suppression: As an adjunct to surgery and radioiodine therapy in the management of thyrotropin-dependent well-differentiated thyroid cancer.
                                  label id
                                  b85ab7fa-ba96-43cd-b736-44b3924e644c
                                  offset unit
                                  unicode_code_points
                                  source array index
                                  0
                                  source field
                                  indications_and_usage_exact
                                  source text sha256
                                  179a491a382e0e4b2e467cef384ab9610286f4a585086a44dede373fa4d68fb2
                                  start
                                  1171
                                  source url
                                  https://api.fda.gov/drug/label.json?search=id%3A%22b85ab7fa-ba96-43cd-b736-44b3924e644c%22
                                  spl effective date
                                  2024-02-20
                                  spl set id
                                  1e11ad30-1041-4520-10b0-8f9d30d30fcc
                                  spl version
                                  1537
                                  structured fields status
                                  not_extracted_no_values_inferred_from_mentions
                                  structured indication
                                  age
                                  Source null
                                  approval pathway
                                  Source null
                                  biomarker and test
                                  Source null
                                  disease stage
                                  Source null
                                  limitations
                                  Source null
                                  line
                                  Source null
                                  prior therapy
                                  Source null
                                  regimen
                                  Source null
                                  tumor histology
                                  Source null
                                  use intent
                                  unclear
                                  Passage 7 · limitation of use
                                  application numbers
                                  1. NDA021402
                                  brand names
                                  1. Synthroid
                                  classification reasons
                                  1. negative_or_not_established_clause
                                  clinical review status
                                  pending
                                  content role
                                  limitation_of_use
                                  context span
                                  end
                                  1610
                                  end exclusive
                                  true
                                  exact text
                                  ) Pituitary Thyrotropin (Thyroid-Stimulating Hormone, TSH) Suppression: As an adjunct to surgery and radioiodine therapy in the management of thyrotropin-dependent well-differentiated thyroid cancer. ( 1 ) Limitations of Use: Not indicated for suppression of benign thyroid nodules and nontoxic diffuse goiter in iodine-sufficient patients Not indicated for treatment of hypothyroidism during the recovery phase of subacute thyroiditis
                                  label id
                                  b85ab7fa-ba96-43cd-b736-44b3924e644c
                                  offset unit
                                  unicode_code_points
                                  source array index
                                  0
                                  source field
                                  indications_and_usage_exact
                                  source text sha256
                                  179a491a382e0e4b2e467cef384ab9610286f4a585086a44dede373fa4d68fb2
                                  start
                                  1175
                                  current approval status
                                  not_reconciled
                                  duplicate text group
                                  dup-fb4e8dfda45fcb1b2c96
                                  extraction review status
                                  automated_candidate_pending_source_review
                                  generic names
                                  1. LEVOTHYROXINE SODIUM
                                  id
                                  ind-span-cfd768983b3743f834a5
                                  label id
                                  b85ab7fa-ba96-43cd-b736-44b3924e644c
                                  positive predicate support span
                                  Source null
                                  qualifier mentions
                                    regulatory links
                                      schema version
                                      0.1.0
                                      source batch sha256
                                      a9df7a5786dc51557d38f2a0881b5b5e9ae02ae396a6798e39ac96f586bcc5e6
                                      source defined aliases
                                        source span
                                        end
                                        1610
                                        end exclusive
                                        true
                                        exact text
                                        ( 1 ) Limitations of Use: Not indicated for suppression of benign thyroid nodules and nontoxic diffuse goiter in iodine-sufficient patients Not indicated for treatment of hypothyroidism during the recovery phase of subacute thyroiditis
                                        label id
                                        b85ab7fa-ba96-43cd-b736-44b3924e644c
                                        offset unit
                                        unicode_code_points
                                        source array index
                                        0
                                        source field
                                        indications_and_usage_exact
                                        source text sha256
                                        179a491a382e0e4b2e467cef384ab9610286f4a585086a44dede373fa4d68fb2
                                        start
                                        1375
                                        source url
                                        https://api.fda.gov/drug/label.json?search=id%3A%22b85ab7fa-ba96-43cd-b736-44b3924e644c%22
                                        spl effective date
                                        2024-02-20
                                        spl set id
                                        1e11ad30-1041-4520-10b0-8f9d30d30fcc
                                        spl version
                                        1537
                                        structured fields status
                                        not_extracted_no_values_inferred_from_mentions
                                        structured indication
                                        age
                                        Source null
                                        approval pathway
                                        Source null
                                        biomarker and test
                                        Source null
                                        disease stage
                                        Source null
                                        limitations
                                        Source null
                                        line
                                        Source null
                                        prior therapy
                                        Source null
                                        regimen
                                        Source null
                                        tumor histology
                                        Source null
                                        use intent
                                        not_applicable

                                        Preserved source evidence · Not medical advice