Allergy/Asthma Information Association

Milk Proteins and Allergy Medications

Dr. Antony Ham Pong of Ottawa has compiled some information on milk allergy and asthma/allergy medications that have trace amounts of cow's milk protein. He recommends that his patients who have cow's milk allergy not use dry powder inhalers (DPIs) with lactose because of the risk of inhaling trace amounts of milk protein causing a severe asthma attack. There are alternatives which are lactose free. “Inhaling a trace amount of milk protein is likely far more dangerous to a milk allergic asthmatic person than ingesting the same trace amount.”

With respect to milk allergy and oral meds containing lactose, the risk is far lower because the trace amounts are unlikely to cause allergic reactions except in the most severely allergic cases. Therefore, only in cases of severe milk anaphylaxis does he recommend avoiding lactose containing oral meds. However, the specific advice is up to the allergist in a specific case.

Cow's milk Allergy & Lactose - Containing Medications

Lactose Containing Asthma/Allergy Meds

Lactose Containing Asthma Inhalers

Lactose containing dry powder inhalers Lactose-Free DPIs
Advair diskus Bricanyl
Flovent diskus Pulmicort
Foradil aerolizer capsules
Oxeze turbuhaler
Spiriva capsules
Symbicort turbuhaler
Ventolin diskhaler, diskus, rotacaps

All pressurized spray asthma inhalers (MDIs) are lactose free.

Lactose Intolerance & Asthma Meds

from Allergy & Asthma News, Issue 4 2006

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