Celiac.com 02/21/2023 - We get numerous questions about the gluten-free status of drugs and medications, including in our forum. Lately we've been seeing a bunch of questions about Paxlovid. Mainly, is Paxlovid gluten-free and safe for people with celiac disease?
Produced in the U.S. by Pfizer, Paxlovid is the name brand for nirmatrelvir tablets co-packaged with ritonavir tablets. Paxlovid is a drug that has been granted Emergency Use Authorisation (EUA) by the FDA for the treatment of mild-to-moderate COVID-19 in adults and children, who have had a positive SARS-CoV-2 viral test, and face a high risk for progression to severe COVID-19, including hospitalization or death.
Celiac.com Sponsor (A12):
Is Paxlovid gluten-free and safe for people with celiac disease? The short answer is that Paxlovid is not labeled as gluten-free, and Pfizer cannot guarantee that it is gluten-free. However, Paxlovid contains no gluten ingredients, and is naturally gluten-free. The fact that it must be manufactured in an FDA approved lab should greatly reduce any risk of cross-contamination during the manufacturing process.
In addition to the active ingredients, Nirmatrelvir UNII:7R9A5P7H32), and Ritonavir (UNII: O3J8G9O825)...
Paxlovid's Inactive Ingredients Include:
- Microcrystalline Cellulose (UNII: Op1r32d61u)
- Lactose Monohydrate (UNII: Ewq57q8i5x)
- Croscarmellose Sodium (UNII: M28ol1hh48)
- Silicon Dioxide (UNII: Etj7z6xbu4)
- Sodium Stearyl Fumarate (UNII: 7cv7wjk4ui)
- Hypromellose 2910 (10000 Mpa.S) (UNII: 0ho1h52958)
- Titanium Dioxide (UNII: 15fix9v2jp)
- Polyethylene Glycol, Unspecified (UNII: 3wjq0sdw1a)
- Ferric Oxide Red (UNII: 1k09f3g675)
- Copovidone K25-31 (UNII: D9c330md8b)
- Anhydrous Dibasic Calcium Phosphate (UNII: L11k75p92j)
- Sorbitan Monolaurate (UNII: 6w9ps8b71j)
- Silicon Dioxide (UNII: Etj7z6xbu4)
- Sodium Stearyl Fumarate (UNII: 7cv7wjk4ui)
- Hypromellose, Unspecified (UNII: 3nxw29v3wo)
- Titanium Dioxide (UNII: 15fix9v2jp)
- Polyethylene Glycol 400 (UNII: B697894sgq)
- Hydroxypropyl Cellulose (1600000 Wamw) (UNII: Rfw2et671p)
- Talc (UNII: 7sev7j4r1u)
- Polyethylene Glycol 3350 (UNII: G2m7p15e5p)
- Polysorbate 80 (UNII: 6ozp39zg8h)
If you have celiac disease or gluten intolerance, be sure to check with your doctor or pharmacist before taking Paxlovid, but it is unlikely to contain any gluten ingredients.
Side Effects of Paxlovid
Stop taking Paxlovid and call a health care provider right away if they experience any of the following signs of an allergic reaction:
- Hives
- Trouble swallowing or breathing
- Swelling of the mouth, lips, or face
- Throat tightness
- Hoarseness
- Skin rash
Other possible side effects include:
- Altered or impaired sense of taste
- Diarrhea
- Elevated blood pressure
- Muscle aches
- Abdominal pain
- Nausea
- Feeling generally unwell
For more information, try Dailymed.nlm.nih.gov
Read more at YaleMedicine.org
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