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Author: Admin | 2025-04-28
Thyroid hormone replacement therapy without meat by-products. However, contacting the manufacturers did not reveal sufficient information to make a decision, leading the authors to prescribe pure, pharmaceutical-grade levothyroxine with plant-based filler, capsule, and magnesium stearate. [3] Literature Review A search of the published medical literature revealed 4 studies investigating the researchable question: What medications are contraindicated with an alpha-gal allergy? What mammal by-products could be listed as inactive ingredients on the package insert (i.e. magnesium stearate, gelatin)? Please see Tables 1-4 for your response. Table 1 Alpha-gal Content for Select Medications Per Manufacturer (Updated 2019)*Drug NameManufacturerOK to Use?NotesAcetaminophen 325 mg tabletMcNeill, McKessonNoContains magnesium stearate and gelatinAcetaminophen 160 mg/5 mL liquidPharmaceutical AssociatesNoContains glycerinAcetaminophen suppositoryG&W, PerrigoNo- Acetaminophen-butalbital-caffeine (Fioricet) tabletAmerican HealthNo- Acetaminophen-codeine 300mg-30mg tabletMallinckrodtNo- Acetaminophen-codeine 120mg-12mg elixirPharmaceutical AssociatesNoContains glycerinAlprazolam tablet (all strengths)Major, Mylan, MckessonNo-Alvimopan 12 mg capsuleCubistNoContains gelatin (bovine and porcine)Aminocaproic acid 500 mg tablet HospiraNo Contains magnesium stearate and stearic acidAprepitant 40 mg capsuleMerck, SandozNo Contains gelatin (bovine and porcine)Armour thyroidTMAllerganUnknownAnimal thyroid extractAspirin 81 mg EC tabletGeriCareNo -Aspirin 325 mg EC tabletMcKessonNo Contains anhydrous lactose (Phone: 855-625-4677)Bacitracin 50,000 unit injectionX-GenNo May contain milk and milk-derivatives (bovine)Baclofen 10 mg tabletMcKesson & American HealthNo Contains magnesium stearateBisacodyl 5 mg tabletMajor, RugbyNo -Bupivacaine liposome injection (Exparel)PaciraNo Glycerol is of animal origin (could not specify bovine or porcine)Carbidopa-levodopa 25mg-100mg tabletMcKessonNoContains magnesium stearateCarbidopa-levodopa 25mg-100mg ER tabletMylanNoContains magnesium stearateCarisoprodol 350mg tabletAmerican HealthNo- Celecoxib 100 mg, 200 mg capsuleMylan, MajorNo Contains gelatin (bovine and porcine)Clindamycin injectionHospiraUnknownProduct divestedClonazepam tabletMckessonNo- Clonidine 0.1mg tabletMylanNo - Cyclobenzaprine tablet-McKesson, Major, MylanNo - Cyclosporine 25mg, 100mg capsuleNovartisNo Contains gelatinCytomelTMPfizerUnknownGelatinDiazepam 5 mg, 10 mg tabletMcKesson, MylanNo -Diphenhydramine tabletContract Pharm & MajorNo Need specific lot number; ingredient sources lot-specific (Lactose, Mg stearate, gelatin listed)EuthyroxTMProvell PharmaceuticalsUnknownMagensium stearate, gelatinEzetimibe 10 mg tabletSun Pharma, AvkareNo -Floseal hemostatic matrixBaxterNo Bovine gelatinFurosemide 20 mg tabletSandozNo - Gabapentin capsule (all strengths)Amneal & McKessonNo Contains gelatin (bovine and porcine)Gabapentin capsule (all strengths)AvKARENoContains gelatin (bovine, porcine) & gluten (not gliaden gluten - type responsible for celiac sprue)Gabapentin capsule (all strengths) Mylan & American HealthNo Contains gelatin (bovine and porcine)Gabapentin capsule (all strengths) AscendNo Gelatin - bovineGabapentin capsule (all strengths) PfizerNo GelatinGabapentin (Neurontin) 250 mg/5 mL oral solutionPfizer No -Gabapentin 250 mg/5 mL oral solutionGreenstoneNo Animal source gelatinGelflim 25 mm-50 mm/125 mm-100 mmPfizerNo Contains porcine gelatinGlucagon injectionBedfordNo Contains lactose monohydrate (maybe animal-derived)Haloperidol 5 mg/mL injectionFresenius KabiNoLactic Acid may be animal-derivedHeparinAll (porcine)No Porcine derivedHydrocodone-acetaminophen tabletMallinckrodtNo Magnesium stearate; typically gluten-free, but due to sourcing there may be cross-contamination.
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