Celiac.com 11/30/2021 - We all know symptoms of celiac disease are activated by the consumption of gluten, which can be found in wheat, barley, rye, and even oats that aren’t certified gluten-free. Most individuals who go on a gluten-free diet will think about food only, not necessarily medications. However, the truth of the matter is you need to be careful with both nutritional supplements, and over-the-counter and prescription medications, as they could contain gluten.
More often than not, excipients, which are binding agents or inactive ingredients in pills, tend to contain wheat, potato, corn, or rice. Additionally, even if a brand name drug is gluten-free, this does not mean that its generic version is. Nutritional supplements tend to be easier because a lot of companies now label their bottles "gluten-free", or list all ingredients used in them on the packaging. For supplements that are not clearly labelled, checking the product on their company Web site is the best way to be sure, and sometimes you may need to call the manufacturer directly.
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Currently, however, prescriptions don't include "gluten-free" on their labels, and, unlike foods, are also not required to list any of the top eight common food allergens that they might contain. If you know your pharmacist well, they might be able to assist you, or you could reach out directly to the manufacturer. Another option is the Dailymed Web site which allows you to search for most prescription medications, including their generic equivalents, to find out what inactive ingredients are used to make them.
Search for inactive ingredients and allergens contained in prescription medications:
Below are some potential suspect inactive ingredients that could contain gluten if their source is not specified:
- Modified starch
- Pregelatinized starch
- Pregelatinized modified starch
- Dextrates
- Dextrin
- Dextrimaltose
- Caramel coloring
So, the next time you have to refill a prescription keep this information handy. That way, you protect your villi from further damage.
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