Understanding Medications for Celiac Disease Management

Introduction

While the primary treatment for celiac disease is a strict gluten-free diet, certain medications may be necessary to manage symptoms and complications.

Common Medications

1. Supplements

• Vitamin D and Calcium
  • Essential for bone health
  • Often deficient in newly diagnosed patients
• Iron supplements
  • Treats anemia common in celiac disease
  • Usually prescribed as ferrous sulfate
• B-complex vitamins
  • Particularly B12 and folate
  • Supports nerve function and blood cell formation

2. Symptom Management

• Anti-inflammatory medications
  • Helps with intestinal inflammation
  • Short-term use only
• Anti-diarrheal medicines
  • For acute symptom management
  • Not for long-term use

3. Steroids

• Budesonide
  • For refractory celiac disease
  • Limited course treatment
• Prednisone
  • Severe cases only
  • Carefully monitored use

Important Considerations

Medication Safety

• Always check medications for gluten-free status
• Inform pharmacist about celiac disease
• Review inactive ingredients

Follow-up Care

• Regular monitoring of vitamin levels
• Periodic review of medication needs
• Adjustment of dosages as healing occurs

When to Contact Your Healthcare Provider

• Persistent symptoms despite medication
• Side effects from supplements
• New symptoms development