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Chuck Fulmer, R.Ph., FIACP 672 Lanier Park Dr. Gainesville, GA 30501
770-536-CARE (2273) Fax: 770-536-2635
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Celiac Disease - The Value of Gluten Free Meds and Treatment for Skin Discoloration
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Celiac Disease (CD), also called celiac sprue or gluten-induced enteropathy, is a type of inherited malabsorption syndrome characterized by weight loss, lactose intolerance, diarrhea, excessive flatulence (passing gas), abdominal distention and bloating, fatty stools, and abnormal tests of absorptive function. CD affects 1 in every 100 Americans and can seriously damage the small intestine. CD is often undiagnosed or misdiagnosed, as signs and symptoms can resemble Irritable Bowel Syndrome, Crohn's disease, Addison's disease, lupus erythematosus, juvenile rheumatoid arthritis, lactose intolerance, herpes zoster, psychogenic disorder (depression), fibromyalgia, complex regional pain syndrome, hyperthyroidism, anemia, and type I diabetes. 80% of people with CD are sensitive to gluten, a mixture of proteins from wheat and other grains such as rye, oats and barley. Gluten is also found in many medications, vitamins, processed foods and alcoholic beverages. Gluten consumption can damage villi (tiny protrusions in the small intestine that absorb nutrients), leading to malabsorption of nutrients with increased risk of immune and nervous system disorders. Ingestion of gluten by celiac patients may induce nausea, vomiting, diarrhea or constipation, and a general failure to thrive. It is important that people with Celiac Disease avoid gluten in all forms, including food, vitamins, medications and even topically applied preparations. A gluten-free diet can improve the quality of life for many people with CD. Patients with other diseases - including autism and immunologic disorders such as fibromyalgia and chronic fatigue syndrome - have also been reported to benefit from a gluten-free diet.
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Gluten-Free Medications and Vitamins
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We can compound most oral and topical medications as gluten-free preparations to meet the needs of sensitive individuals. Please call for more information.
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Treatment for Skin Discoloration
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Increases or decreases in skin pigmentation can be due to many conditions (such as acne, pregnancy, cirrhosis, chronic renal failure, celiac disease) or use of medication. Most types of skin discoloration are harmless from a medical viewpoint, but they may be cosmetically unacceptable. The goal of therapy in hyperpigmentation disorders is to lighten the skin so it blends into the surrounding normal skin. Most preparations that are used to lighten the skin contain the drug hydroquinone. Other commonly used medications include azelaic acid, glycolic acid, hydrocortisone, kojic acid, and tretinoin. Our compounding pharmacy can prepare customized dermatologics to meet each person's specific needs. It may take three to six months of therapy before improvements in pigmentation are noticed. These preparations may increase sensitivity to the sun, so ask our pharmacist about an effective sunscreen.
References: International Journal of Pharmaceutical Compounding. 8(5); Sep/Oct 2005: 376-380 Journal of Athletic Training 2005; 40(4):365-369.
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