🌾 Wheat-Derived Ingredients (HIGH CONFIDENCE)
These are directly derived from wheat and should be flagged for both:
- Wheat allergy
- Gluten-related conditions
List:
- Wheat starch
- Pregelatinized wheat starch
- Wheat flour
- Whole wheat flour
- Enriched wheat flour
- Hydrolyzed wheat protein
- Wheat protein isolate
- Wheat germ
- Wheat bran
- Triticum (Latin name for wheat)
- Gluten (when wheat-derived)
- Vital wheat gluten
⚠️ Gluten-Containing Ingredients (MULTI-SOURCE)
These may come from wheat, barley, or rye and should be flagged for:
- Celiac disease
- Gluten sensitivity
List:
- Gluten
- Modified food starch (may be wheat-derived)
- Pregelatinized starch (source unknown)
- Dextrin (can be wheat-derived)
- Maltodextrin (rarely wheat in meds, but possible)
- Hydrolyzed vegetable protein (HVP)
- Textured vegetable protein (TVP)
- Starch (unspecified source)
⚠️ Barley/Rye Gluten Sources (NOT wheat, BUT gluten)
Important for gluten detection (not wheat allergy specifically):
- Malt
- Malt extract
- Malt syrup
- Barley extract
- Barley malt
- Secale cereale (rye)
- Hordeum vulgare (barley)
❓ Ambiguous / NEEDS VERIFICATION (CRITICAL FOR RXAS)
These are the ones that cause real-world problems because labeling doesn’t specify the source.
You should treat these as:
👉 “Potential wheat/gluten – verify source”
List:
- Starch
- Modified starch
- Food starch
- Dextrin
- Maltodextrin
- Caramel color (rarely wheat, but flagged in strict protocols)
- Natural flavors (very rare, but possible carrier source)
🚫 NOT WHEAT (SAFE BUT OFTEN CONFUSED)
These are commonly mistaken but are typically NOT wheat/gluten sources in medications:
- Corn starch
- Potato starch
- Rice starch
- Tapioca starch
- Microcrystalline cellulose
- Lactose
- Magnesium stearate (unless contaminated, but not wheat-derived)