Hospital Safety With A Corn Allergy

Safety at the hospital is a big topic, and I am not yet an authority, but I feel like I should write down what I know.

Corn is ubiquitous in medical supplies. Between detergents, sanitizers, starch on gauze and other disposable products, and the derivatives found in actual injected, topical, and ingested medications, there really is no such thing as a corn free hospital visit. But hospitals are where you go when you need urgent medical care, so sometimes you just have to do your best to stay safe.

The most important thing to remember is SALINE IV ONLY. Lactated ringers have derivatives that are likely corny, and additionally dextrose from corn is often added to the ringers.

Here is the thing I repeat to anyone who is on their way to the ER to be treated for an acute allergic reaction:

Saline IV only, diphenhydramine (benadryl) and ranitidine (zantac) injections are okay but watch out with everything else. Hospira brand diphenhydramine is well tolerated. Not sure on ranitidine brands.

Prednisone needs to be either compounded if a pill, or  “SOLU-MEDROL- methylprednisolone sodium succinate injection, powder, for solution”  *preservative free*. No lactose, no benzyl alcohol.  More notes on prednisone below.

Nebulizer should be okay if you are having asthma. Check inactive ingredients.

Use the corn-derived ingredients list for deciding on whether a medication may be safe: http://www.cornallergens.com/list/corn-allergen-list.php

That’s not even close to the sum total of what you need to know, but it’s all I really know right now.

ER Safety With A Corn Allergy

More Notes on Prednisone/Prednisolone

Prednisone or prednisolone typically prescribed as after-care for a severe allergic reaction. Sometimes it will be prescribed in the hospital to prevent reactions to any procedures or meds that need to be used. If a prednisone pill is prescribed, it can be compounded corn free, but I have not seen a premade pill that is corn free yet.

If you need prednisone sooner than a compound can be made, an injection may be safer. I have not personally used this, but it appears that *most* of the “SOLU-MEDROL- methylprednisolone sodium succinate injection, powder, for solution” versions are corn free or corn lite (benzyl alchol and lactose sometimes.) Methylprednisolone acetate (Depo-medrol) is VERY corny, avoid.

 
Brands that look corn free are: A-S Medication Solutions, US Medsource, AuroMedics Pharma LLC, ONE of three varieties of Cardinal Health.
 
All of the versions have the worst ingredients as lactose and benzyl alcohol which in a steroid I would be willing to risk if the other option is no steroids before a potentially reaction-causing but necessary procedure or medication.
 

 

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