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Potential food allergens in medications
1Division of Allergy, Asthma and Immunology, Scripps Clinic, San Diego, Calif.
The Journal of Allergy and Clinical Immunology
|June 1, 2014
Summary
Pharmaceutical excipients derived from food rarely cause allergic reactions in patients with food allergies. Most patients tolerate these medications well, but individual reactions warrant investigation of potential food component allergies.
Area of Science:
- Pharmaceutical Science
- Allergy and Immunology
Background:
- Excipients are non-active pharmaceutical ingredients.
- Some excipients are derived from food sources.
- This raises concerns for patients with food allergies.
Purpose of the Study:
- To identify food-derived pharmaceutical excipients.
- To review medications containing these excipients.
- To assess the safety of these medications for allergic individuals.
Main Methods:
- Literature review of food-derived excipients in medications.
- Analysis of published data on allergic reactions to these medications.
- Evaluation of the quantity of food protein in pharmaceutical formulations.
Main Results:
- Food-derived excipients are present in various medications.
- Allergic reactions are rare due to low quantities of food protein.
- Unintentional contaminants may cause variable reactions.
Conclusions:
- Most patients with food allergies can safely take medications containing food-derived excipients.
- Routine withholding of these medications is generally not recommended.
- Investigate food component allergy if a patient experiences an adverse reaction.
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