There may enough gluten in a medication to cause problems for a patient with celiac disease. Some pharmaceutical companies make gluten-free products, while a compounding pharmacist may be able to provide a noncommercial formulation.

Sources of gluten used in drug formulations:

(1) starch prepared from grain or its derivatives (polymer, etc)

(2) dusting powder

(3) caramel coloring

(4) contamination of other inactive ingredients


Risk factors for a reaction to gluten in a medication:

(1) high level gluten sensitivity

(2) high amount of gluten in the pharmaceutical preparation

(3) frequent drug dosing

To read more or access our algorithms and calculators, please log in or register.