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Date: | Tue, 2 Mar 2010 15:04:03 EST |
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<<Disclaimer: Verify this information before applying it to your situation.>>
Here is the summary regarding my post about info for Pharmacies:
Gluten in Medication
Gluten is used in many medications as an excipient, so it is important for
people with
celiac disease to check with the manufacturer to be sure that each
medication they take
is gluten-free. Some patients may ask their pharmacist’s help in reading
the list of ingredients
or contacting the manufacturer.
It’s also important for pharmacists to be aware that medications may not
work as expected
in people with undiagnosed celiac disease, due to problems with
malabsorption.
The problem:
■ There are currently NO requirements for labeling gluten or common
allergens
found in drug ingredients.
■ There are NO specific precautions for individuals with celiac disease in
labeling.
■ Potential sources of gluten in medication excipients are NOT
well-recognized by
health professionals or patients.
■ Botanical source of starch may not be specified.
■ Generic formulations may include different excipients than the
brand-name drug.
Starches found in medications:
Starch derivatives:
■ Dextrates (source not specified)
■ Dextrin (source not specified but usually corn or potato)
Other excipients:
■ Dextrimaltose (when barley malt is used)
■ Caramel coloring (when barley malt is used)
■ Corn (most common)
■ Modified starch
(source not specified)
■ Potato
■ Pregelatinized starch
(source not specified)
■ Wheat
■ Tapioca
■ Pregelatinized
modified starch
(source not specified)
Manufacturers
Some drug manufacturers can advise a patient who contacts them about the
gluten
content of a particular medication.
On the Web
_www.glutenfreedrugs.com_ (http://www.glutenfreedrugs.com) (Maintained by
a pharmacist at Nationwide Children’s
Hospital, Columbus, Ohio)
In Print
A Guide through the Medicine Cabinet
A book developed to give those who suffer with Celiac Disease the tools to
choose
medications and supplements that meet special dietary requirements.
Literature
Crowe, J. P., & Falini, N. P. (2001). Gluten in pharmaceutical products.
American Journal
of Health-System Pharmacists, 58, 396-401.
Parrish, C. R. (2007). Medications and celiac disease: Tips from a
pharmacist. Practical
Gastroenterology. January, 58-64.
Resources for more information about gluten in medications
For the Pharmacist
7272 Wisconsin Ave.
Bethesda, MD 20814
301-657-3000
_www.ashp.org_ (http://www.ashp.org)
224 South Maple Street,
2nd Floor
Ambler, PA 19002
_www.celiaccentral.org_ (http://www.celiaccentral.org)
Information provided by the National Foundation for Celiac Awareness
and the American Society of Health-System Pharmacists.
*Support summarization of posts, reply to the SENDER not the CELIAC List*
Archives are at: Http://Listserv.icors.org/SCRIPTS/WA-ICORS.EXE?LIST=CELIAC
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