Thyrogen is available in Canada. The DIN is 02246016. Thyrogen is approved as an adjunct to radioactive iodine for remnant ablation to avoid hypothyroidism, and as an aid to avoid hypothyroidism during follow up testing where avoidance of hypothyroidism is desirable. As Thyrogen is a drug commonly dispensed in the outpatient setting, it is not frequently not covered by hospital pharmacies and patients generally need to obtain insurance coverage for Thyrogen use. Patients may review a Detailed Product Monograph describing Thyrogen use or a more simplified Patient-friendly overview of Thyrogen information.
Dr. Drucker's patients who wish to undergo Thyrogen testing should review information (Download a brief summary sheet of Instructions for Follow-up Testing.) about test options, and Fax your request to Dr. Drucker's office at 416-361-2669
THYROGEN™ REIMBURSEMENT HELPLINE
PROCESS FOR OBTAINING THYROGEN
Lynden International Logistics 10 Corrine Court Vaughan, ON L4K 4T7
Order desk: 1-800-268-4937
- The DIN is 02246016
- Shipment is between 24 and 48 hours
- The product will not be shipped on Friday's as it requires refrigeration.
- Lynden will require the pharmacy placing the Thyrogen order to give them a Purchase Order number
Treatment Regimen: For Diagnostic Testing and Scanning
Blood tests for a) thyroglobulin b) anti-thyroglobulin antibodies and c)TSH may be done in any outpatient laboratory. All other procedures are carried out in the Nuclear Medicine Lab, frequently in the first Floor Eaton Wing at the Toronto General Hospital. Patients continue taking levothyroxine sodium tablet daily before and during Thyrogen® use. A one page summary sheet of the use of Thyrogen as a diagnostic aid in testing, also known as the Thyrogen Protocol can be downloaded as a PDF file and is reproduced below.
- DAY 1 (Monday): Thyrogen® injected intramuscularly (0.9 mg).
- DAY 2 (Tuesday): Thyrogen® injected intramuscularly (0.9 mg)
- DAY 3 (Wednesday): Radioactive iodine tracer dose is administered orally
- DAY 4 (Thursday)
- DAY 5 (Friday): Whole body scan is performed and repeat blood test for thyroglobulin is done.
If you are having blood work done at TGH on Friday, you will not receive a separate requisition for the Thyroglobulin blood test, but the test has been ordered for you in the UHN computer.
DO NOT FORGET THE THYROGLOBULIN BLOOD TEST FRIDAY!!