Experiences with
Mannitol463 public posts
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Teva versus the rest
Both of which are lactose-free.)
2️⃣ Second, Teva’s only unique excipient is mannitol (E421) so it is natural to suspect that could be a cause.
Excipients and Levothyroxine
Among these, we identified compounds resulting from reactions between mannitol and other excipients, such as citric acid, stearate, and palmitate, or from reactions between an excipient and an active pharmaceutical ingredient, such as levothyroxine-lactose adduct.