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Risks of dairy derived excipients in medications for lactose intolerant and cow milk protein allergic patients

dc.contributor.authorFigueiredo, Alexandra
dc.contributor.authorAuxtero, Maria Deolinda
dc.contributor.authorSanto, Maria
dc.contributor.authorCasimiro, Andreia
dc.contributor.authorCosta, Isabel Margarida
dc.date.accessioned2024-08-19T13:08:14Z
dc.date.available2024-08-19T13:08:14Z
dc.date.issued2024-07
dc.description.abstractThe use of lactose and cow milk protein (CMP) as potential allergens in pharmaceuticals and their ability to cause allergic reactions remains a significant concern in medicine. Lactose, a common pharmaceutical excipient due to its inert, inexpensive, and stable properties, is found in many prescription-only and over-the-counter medications. However, despite their widespread use, individuals with lactose intolerance (LI) or cow milk protein allergy (CMPA) may experience adverse reactions to these excipients. This study investigated the prevalence of lactose and other dairy-derived ingredients in pharmaceuticals marketed in Portugal. Using the Summary of Product Characteristics (SmPC) from the INFOMED database, various medications, including analgesics, antipyretics, non-steroidal anti-inflammatory drugs (NSAIDs), and antiasthmatics, were analyzed. Results showed a high prevalence of dairy-derived excipients, particularly in antiasthmatic drugs (62.6%) and NSAIDs (39%). Although CMP are not explicitly mentioned in SmPCs, the presence of lactose as an ingredient poses a risk of cross-contamination. The findings emphasize the need for healthcare professionals to be aware of potential allergens in medications and the importance of developing lactose-free alternatives to ensure the safety of patients with LI and CMPA. Further research is required to assess the safety and implications of lactose in medicines for these populations.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationFigueiredo, A., Auxtero, M.D., Santo, M. et al. Risks of dairy derived excipients in medications for lactose intolerant and cow milk protein allergic patients. Sci Rep 14, 15631 (2024). https://doi.org/10.1038/s41598-024-66380-8pt_PT
dc.identifier.doi10.1038/s41598-024-66380-8pt_PT
dc.identifier.issn2045-2322
dc.identifier.urihttp://hdl.handle.net/10400.26/51719
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringer Naturept_PT
dc.relation.publisherversionhttps://doi.org/10.1038/s41598-024-66380-8pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectPharmaceutical excipientspt_PT
dc.subjectLactose intolerancept_PT
dc.subjectCow milk protein allergypt_PT
dc.subjectDairy-derived ingredientspt_PT
dc.subjectCross-contamination riskpt_PT
dc.titleRisks of dairy derived excipients in medications for lactose intolerant and cow milk protein allergic patientspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.startPage15631pt_PT
oaire.citation.titleScientific Reportspt_PT
oaire.citation.volume14pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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