{"id":5834,"date":"2019-09-13T09:00:30","date_gmt":"2019-09-13T13:00:30","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=5834"},"modified":"2021-04-16T15:07:01","modified_gmt":"2021-04-16T19:07:01","slug":"how-to-identify-gluten-free-drugs","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/how-to-identify-gluten-free-drugs\/","title":{"rendered":"How to identify gluten-free drugs"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Celiac disease is a serious genetic illness. It is an autoimmune disease triggered when a patient consumes gluten, a protein found in wheat, barley, and rye. When a person with celiac disease consumes a product containing gluten, it causes damage to the small intestine, leading to poor absorption of nutrients from food and intense pain.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Because of these problems, people with celiac disease have to be very careful about the things they eat and drink (and sometimes even put on their body). The FDA regulates <\/span><a href=\"https:\/\/www.fda.gov\/food\/food-labeling-nutrition\/questions-and-answers-gluten-free-food-labeling-final-rule\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">gluten-free claims<\/span><\/a><span style=\"font-weight: 400;\"> on food labels and requires manufacturers to call out allergen ingredients on packaged foods. But there is no similar law or regulation that requires drug manufacturers to label gluten-containing versus <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/donate-prescription-drugs\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">gluten-free drugs<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For this reason, it can be difficult for people with <\/span><a href=\"https:\/\/www.niddk.nih.gov\/health-information\/digestive-diseases\/celiac-disease\/definition-facts\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">celiac disease<\/span><\/a><span style=\"font-weight: 400;\"> to know whether or not a medicine is safe for them to take. We checked in with some experts to find out how you can tell if there is gluten in medications.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Is my medication gluten-free?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The good news is: Most medications do not contain gluten.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cIt has been demonstrated that the chances of a medication containing an amount of gluten that would be considered harmful or would cause a reaction in a highly sensitive patient is extremely unlikely,\u201d says Dr. Steve Plogsted, Pharm.D., a clinical pharmacist who maintains the website GlutenFreeDrugs.com.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In fact, the FDA reports that the <\/span><a href=\"https:\/\/www.fda.gov\/drugs\/ensuring-safe-use-medicine\/medications-and-gluten\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">vast majority of drugs contain no gluten<\/span><\/a><span style=\"font-weight: 400;\"> or not enough gluten to be harmful to patients with celiac disease.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">But even though gluten in medications is not a common problem, it can be a serious one. That is why it is important to check each medication carefully to see if it includes any gluten-containing ingredients.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Here are a few guidelines for determining if you have gluten-free drugs:<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">1. What does the medication look like?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">According to Dr. Plogsted, if your medication is a clear liquid, it is probably safe. \u201cAll translucent liquids are free of starches,\u201d he says. If your medication is a pill, capsule, or non-translucent liquid, there\u2019s still a good chance that it is gluten-free, but you\u2019ll have to do a little more digging.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">2. Read the ingredients label.<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Remember, many medications contain the same active ingredients. But if they are made by different manufacturers, they might contain different inactive ingredients. That\u2019s where you might find gluten. Certain starches, such as corn, do not contain gluten. But a wheat starch on the label means that the medication is not safe for people with celiac disease.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Sometimes, your pharmacy may give you your prescription drugs in a vial with no documents from the manufacturer. If this happens, ask your pharmacist to give you the package insert. Alternatively, you can search for the drug name at <\/span><a href=\"https:\/\/dailymed.nlm.nih.gov\/dailymed\/index.cfm\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">DailyMed<\/span><\/a><span style=\"font-weight: 400;\">, a service of the National Institutes of Health (NIH) that maintains a searchable database of package inserts. The materials on the website can be a little jargon-y, so you might want to skip to the section of the package insert titled &#8220;Description.&#8221; This is where you\u2019ll find the list of inactive ingredients.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Here is a list of gluten-containing ingredients to look for, according to <\/span><a href=\"https:\/\/www.beyondceliac.org\/living-with-celiac-disease\/gluten-in-medication\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Beyond Celiac<\/span><\/a><span style=\"font-weight: 400;\">:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Wheat<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Modified starch (if source is not specified)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Pregelatinized starch (if source is not specified)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Pregelatinized modified starch (if source is not specified)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Dextrates (if source is not specified)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Dextrin (if source is not specified; the source is usually corn or potato, which is acceptable)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Dextrimaltose (when barley malt is used)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Caramel coloring (when barley malt is used)<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">3. Check online resources.<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">There are also a few online resources that can help you research a medication\u2019s gluten content. \u201cThe [sites] won&#8217;t tell you if the product contains gluten, but it will tell you the specific starch source if it is not marked in the package insert or other reference,\u201d says Dr. Plogsted.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Check out:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/pillbox.nlm.nih.gov\/pillimage\/search.php\"><span style=\"font-weight: 400;\">Pillbox<\/span><\/a><span style=\"font-weight: 400;\"> (National Institutes of Health)<\/span><\/li>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/dailymed.nlm.nih.gov\/dailymed\/index.cfm\"><span style=\"font-weight: 400;\">DailyMed<\/span><\/a><span style=\"font-weight: 400;\"> (National Library of Medicine)<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">4. Contact the manufacturer.<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">If you don\u2019t find help online and the ingredients list of your medication doesn\u2019t name any of the above ingredients, the medication is almost certainly safe. But Dr. Plogsted tells us that since drug labeling isn\u2019t regulated in the same way as food labeling is, you might have to contact the manufacturer to be <\/span><i><span style=\"font-weight: 400;\">absolutely sure<\/span><\/i><span style=\"font-weight: 400;\"> it doesn\u2019t contain gluten. You can find the drug manufacturer\u2019s name and contact information on the label or package insert.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">People with celiac disease have to be very careful about the products they consume, including medications. We hope these tips help you to determine whether or not the medications you take contain gluten. Still confused? You can always ask your pharmacists for help identifying gluten-free drugs. If they don\u2019t know the answer, they should be able to point you to a good resource.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Celiac disease is a serious genetic illness. It is an autoimmune disease triggered when a patient consumes gluten, a protein found in wheat, barley, and rye. When a person with celiac disease consumes a product containing gluten, it causes damage to the small intestine, leading to poor absorption of nutrients from food and intense pain. [&hellip;]<\/p>\n","protected":false},"author":85,"featured_media":11745,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8029],"tags":[788],"coauthors":[8859],"class_list":["post-5834","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-education","tag-drug-safety","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>How to identify gluten free drugs (and medications that aren&#039;t)<\/title>\n<meta name=\"description\" content=\"Have celiac disease? On a gluten-free diet? Some medications might be dangerous for you. 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