Levothyroxine without Mannitol

[Senior48]

Hello,

I've been taking Levo for many years, but after brand-swapping by my local pharmacy over the past couple of years I pinpointed a sensitivity to Mannitol. It makes me really unwell.

My dose is 75mcg and I'm having difficulty identifying and getting a mannitol-free levothyroxine at that dose. Some brands even have mannitol at some doses and not at others...

Can anyone help with identifying brands that will be mannitol-free at that dose (or I could combine a 50+25?) and where I can secure a regular supply? "Out of stock" is cropping up online.

I'm happy to pay as I'm having no luck with NHS on this.

Thank you,

Lorraine

[SeasideSusie Remembering]

Senior48

The image below is from helvella 's thyroid hormone document and shows which is the only brand that contains mannitol - Teva.

dropbox.com/s/wfhrlmb5983co...

So just avoid Teva (and Northstar 25mcg dose tablets which are made by Teva). To achieve 75mcg you could take one and a half 50mcg tablets or alternate 100/50mcg of a brand not containing mannitol.

Levo

[Senior48 in reply to SeasideSusie]

Thank you so much for your helpful reply, Susie. I really do appreciate it. Lorraine

[Anthea55]

If you can't get the brand you want locally it may be worth looking online. The Thyroid UK website has a list of pharmacies at this page

thyroiduk.org/if-you-are-hy...

Many of these will dispense NHS prescriptions. Hope that helps.

[SlowDragon Administrator]

most easily tolerated and widely available are Mercury Pharma or Accord

Mercury Pharma make 25mcg and 50mcg tablets

or

Accord only make 50mcg and 100mcg tablets

Accord also boxed as Almus via Boots or Northstar via Lloyds

Cut 50mcg tablets in half to get 25mcg

or

Wockhardt only make 25mcg tablets