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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.

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