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Roxane Laboratories Does Not Tell If Things Are Gluten-free


Beloved

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Beloved Apprentice

I was prescribed prednisone for my swollen knees, but have been unable to take my medication. This is because the two companies I have called do not verify the product to be gluten free, or know the ingredients.

The first company was Watson, they simply stated that they believed the main issues were with starch, and their starch was corn but they didn't know anything else.

Frustrated, I turned to the internet. I found two websites proclaiming Roxane Laboratory's Prednisone gluten-free. I called them and got a dead end message stating that they do not talk about their ingredients.

What?

So I emailed them. This was their response:

Roxane Laboratories Incorporated (RLI) does not provide information about the

composition of the ingredients used to manufacture our products.

Additionally, RLI does not provide details of the quantity or content of each

ingredient used to make our products. RLI products are approved by the FDA

and the approved ingredient information is available within the package

insert supplied with all products distributed and sold. Package inserts are

also available at www.roxane.com. We apologize for any inconvenience caused,

and we suggest that you consult with the prescribing physician to determine a

recommended course of action based upon this information.

Kind Regards,

Technical Product Information

Boehringer Ingelheim Roxane, Inc.

Tel: (800) 962-8364

Fax: (614) 308-3540

Wow gee, thanks so much guys. Not only did you not answer my question, you carbon copied the response from your phone message, so I am quite certain you didn't even read my question.

So please, do NOT believe everything you read on the gluten-free drug websites out there. If you don't check yourself, you won't know. I have spent all of my breaks today calling people to find out about my medications. While we're on the subject I would like to also share that:

As of today, Zyrtec has apparently changed their stance and are now saying they don't know what might be in their ingredients and aren't making any claims.

Nasonex has said pretty much the exact same thing.

So thanks guys, I've only been taking them for a year based on a phone call I made in January to you.

In addition, TriNessa has given me the same run around as the first Prednisone company(same company, Watson). I'm going with it's probably safe since I've been taking it for years, but I'm thinking about switching to Ortho Tri Cyclen (the brand name).

Ortho Tri Cyclen was willing to state that their ingredients do not contain gluten, but that they do not test and so will not confirm it as gluten free.

So basically I am stuck right now with swollen knees and thumbs and aching all over unable to take the medication prescribed to me.

The company Lannett told me that my Levothyroxine is gluten-free, so I may call them back and ask if they offer any of these missing medicines.

Claritin doesn't work great for me, but since both the allergy medicines I was using seem to have retreated into the no zone I'm going to have to make do.

At this point, I'm so tired, frustrated and upset, I might just give up and hope the whole random swelling knee thing goes away, since my doctor seems unable to prescribe anything safe for me to take.

T.T


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Dada2hapas Rookie
At this point, I'm so tired, frustrated and upset, I might just give up and hope the whole random swelling knee thing goes away, since my doctor seems unable to prescribe anything safe for me to take.

T.T

I'm really sorry about that. That is unacceptable imho. The scientists and R&D folks responsible for formulating the products most certainly have this information. My opinion is that folks on the front end of pharmaceutical companies that interface with the public are not the ones knowledgable and are just given a script to read, based on company policy. This is wrong, denying celiacs this info.

It is a fact that these companies stand to lose profit when they acknowledge "celiac disease" may be the cause for so many symptoms for unsuspecting patients, who use various medications (that they mfr) to treat symptoms caused by undiagnosed celiac disease. IBS, Fibromyalgia, acid reflux, etc, etc...

I believe in free enterprise, but our health system is such a tangled mess, where the impetus for medical research, science, and R&D is largely fueled by money from the pharmaceutical industry. It is frustrating beyond words, being a "patient" with celiac.

So, to think of a positive solution... Keep trying. Try to see if you can speak with someone up the chain, or perhaps have your health care provider (who writes Rx's & is knowledgable with Celiac disease) call the pharmaceutical company directly. These companies will respond to pressure from prescribing physicians, once they're all educated on our condition. 2 cents.

Change will happen & is happening, but often it seems so slow. Keep your chin up, and best of luck to you Beloved! :D

ravenwoodglass Mentor
The first company was Watson, they simply stated that they believed the main issues were with starch, and their starch was corn but they didn't know anything else.

At this point, I'm so tired, frustrated and upset, I might just give up and hope the whole random swelling knee thing goes away, since my doctor seems unable to prescribe anything safe for me to take.

T.T

I would take the Watson brand. The filler, or starch, is what you are concerned with and in this case the company uses corn starch. Your pharmacist should be checking these items. They would be able to get the info and if they refuse to check switch pharmacies. The pharmacist can also contact the doctor and reccommend a safe substitute if the prescribed drug is not gluten free. I usually double check when I get the script home but the first line of defense for us is a good pharmacy.

We need to contact the FDA often, write them of your frustrations and also report adverse effects from medications that contain gluten. You can do that with this link so you may want to save it to your favorites-

Open Original Shared Link

Maybe someday if we get vocal enough they will wake up and stop using wheat based fillers in the meds in this country.

lovegrov Collaborator

"Ortho Tri Cyclen was willing to state that their ingredients do not contain gluten, but that they do not test and so will not confirm it as gluten free."

I would take this without hesitation.

Beloved Apprentice

Thanks guys, I have been checking over all of my medication because of the weird knee/thumb swelling issue (I have posted about in another thread).

I'm going to make an appointment with my GI, he seems concerned I might be getting gluten, although I don't think so. I already badgered my GP into retesting my Thyroid & my Celiac and both came back fine (when I was originally diagnosed with celiac I had a positive blood test with very high lvls of anti bodies).

I basically discovered all this while trying to find any possible source of gluten in my diet (I have been gluten-free since 2007, and generally when I get glutened it's pretty obvious to me).

  • 2 weeks later...
Beloved Apprentice

Update: found a Gluten Free Nasal spray!

I called Astelin today and they confirmed it's Gluten free. Hopefully it will work better than Claritin for me. :)

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    • marion wheaton
      Thanks for responding. I researched further and Lindt Lindor chocolate balls do contain barely malt powder which contains gluten. I was surprised at all of the conflicting information I found when I checked online.
    • trents
      @BlessedinBoston, it is possible that in Canada the product in question is formulated differently than in the USA or at least processed in in a facility that precludes cross contamination. I assume from your user name that you are in the USA. And it is also possible that the product meets the FDA requirement of not more than 20ppm of gluten but you are a super sensitive celiac for whom that standard is insufficient. 
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      No,Lindt is not gluten free no matter what they say on their website. I found out the hard way when I was newly diagnosed in 2000. At that time the Lindt truffles were just becoming popular and were only sold in small specialty shops at the mall. You couldn't buy them in any stores like today and I was obsessed with them 😁. Took me a while to get around to checking them and was heartbroken when I saw they were absolutely not gluten free 😔. Felt the same when I realized Twizzlers weren't either. Took me a while to get my diet on order after being diagnosed. I was diagnosed with small bowel non Hodgkins lymphoma at the same time. So it was a very stressful time to say the least. Hope this helps 😁.
    • knitty kitty
      @Jmartes71, I understand your frustration and anger.  I've been in a similar situation where no doctor took me seriously, accused me of making things up, and eventually sent me home to suffer alone.   My doctors did not recognize nutritional deficiencies.  Doctors are trained in medical learning institutions that are funded by pharmaceutical companies.  They are taught which medications cover up which symptoms.  Doctors are required to take twenty  hours of nutritional education in seven years of medical training.  (They can earn nine hours in Nutrition by taking a three day weekend seminar.)  They are taught nutritional deficiencies are passe' and don't happen in our well fed Western society any more.  In Celiac Disease, the autoimmune response and inflammation affects the absorption of ALL the essential vitamins and minerals.  Correcting nutritional deficiencies caused by malabsorption is essential!  I begged my doctor to check my Vitamin D level, which he did only after making sure my insurance would cover it.  When my Vitamin D came back extremely low, my doctor was very surprised, but refused to test for further nutritional deficiencies because he "couldn't make money prescribing vitamins.". I believe it was beyond his knowledge, so he blamed me for making stuff up, and stormed out of the exam room.  I had studied Nutrition before earning a degree in Microbiology.  I switched because I was curious what vitamins from our food were doing in our bodies.  Vitamins are substances that our bodies cannot manufacture, so we must ingest them every day.  Without them, our bodies cannot manufacture life sustaining enzymes and we sicken and die.   At home alone, I could feel myself dying.  It's an unnerving feeling, to say the least, and, so, with nothing left to lose, I relied in my education in nutrition.  My symptoms of Thiamine deficiency were the worst, so I began taking high dose Thiamine.  I had health improvement within an hour.  It was magical.  I continued taking high dose thiamine with a B Complex, magnesium. and other essential nutrients.  The health improvements continued for months.  High doses of thiamine are required to correct a thiamine deficiency because thiamine affects every cell and mitochondria in our bodies.    A twenty percent increase in dietary thiamine causes an eighty percent increase in brain function.  The cerebellum of the brain is most affected.  The cerebellum controls things we don't have to consciously have to think about, like digestion, balance, breathing, blood pressure, heart rate, hormone regulation, and many more.  Thiamine is absorbed from the digestive tract and sent to the most important organs like the brain and the heart.  This leaves the digestive tract depleted of Thiamine and symptoms of Gastrointestinal Beriberi, a thiamine deficiency localized in the digestive system, begin to appear.  Symptoms of Gastrointestinal Beriberi include anxiety, depression, chronic fatigue, headaches, Gerd, acid reflux, gas, slow stomach emptying, gastroparesis, bloating, diarrhea and/or constipation, incontinence, abdominal pain, IBS,  SIBO, POTS, high blood pressure, heart rate changes like tachycardia, difficulty swallowing, Barrett's Esophagus, peripheral neuropathy, and more. Doctors are only taught about thiamine deficiency in alcoholism and look for the classic triad of symptoms (changes in gait, mental function, and nystagmus) but fail to realize that gastrointestinal symptoms can precede these symptoms by months.  All three classic triad of symptoms only appear in fifteen percent of patients, with most patients being diagnosed with thiamine deficiency post mortem.  I had all three but swore I didn't drink, so I was dismissed as "crazy" and sent home to die basically.   Yes, I understand how frustrating no answers from doctors can be.  I took OTC Thiamine Hydrochloride, and later thiamine in the forms TTFD (tetrahydrofurfuryl disulfide) and Benfotiamine to correct my thiamine deficiency.  I also took magnesium, needed by thiamine to make those life sustaining enzymes.  Thiamine interacts with each of the other B vitamins, so the other B vitamins must be supplemented as well.  Thiamine is safe and nontoxic even in high doses.   A doctor can administer high dose thiamine by IV along with the other B vitamins.  Again, Thiamine is safe and nontoxic even in high doses.  Thiamine should be given if only to rule Gastrointestinal Beriberi out as a cause of your symptoms.  If no improvement, no harm is done. Share the following link with your doctors.  Section Three is especially informative.  They need to be expand their knowledge about Thiamine and nutrition in Celiac Disease.  Ask for an Erythrocyte Transketolace Activity test for thiamine deficiency.  This test is more reliable than a blood test. Thiamine, gastrointestinal beriberi and acetylcholine signaling.  https://pmc.ncbi.nlm.nih.gov/articles/PMC12014454/ Best wishes!
    • Jmartes71
      I have been diagnosed with celiac in 1994, in remission not eating wheat and other foods not to consume  my household eats wheat.I have diagnosed sibo, hernia ibs, high blood pressure, menopause, chronic fatigue just to name a few oh yes and Barrett's esophagus which i forgot, I currently have bumps in back of my throat, one Dr stated we all have bumps in the back of our throat.Im in pain.Standford specialist really dismissed me and now im really in limbo and trying to get properly cared for.I found a new gi and new pcp but its still a mess and medical is making it look like im a disability chaser when Im actively not well I look and feel horrible and its adding anxiety and depression more so.Im angery my condition is affecting me and its being down played 
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