KetoCollege

Day 3 – Talk 2 Handout 2 – Medications Helen Grossi RD

Carbohydrate Content of Commonly Used Medicines

Antibiotics & Antifungal & Antiviral

DrugBrand nameManufacturerFormStrengthExcipientsCarbohydrate content
AmoxicillinN/AKent pharmaceuticalsOral suspension sugar free125mg/5ml 250mg/5ml• Sorbitol
• Sorbitol
800mg/5ml 800mg/5ml• 800mg/5ml
• 800mg/5ml *contains trace
carbohydrate
AzithromycinN/AMylanTablet250mg• Microcyrstalline cellulose
• pregelatinised starch
• sodium starch glycolate
*individual amount of excipients undisclosed
• 127.04mg /tablet
ClarithromycinKlaricidAbbott healthcareSuspension125mg/5ml 250mg/5ml• Sucrose
• Maltodextrin
• Hypromellose phthlate
• Sucrose
• Maltodextrin
• Hypromellose phthalate
2.4g/5ml
285.7mg/5ml
152.1mg/5ml
4.82mg/5ml
238.1mg/5ml
304.2mg/5ml
• 2837mg/5ml
• 5124mg/5ml
Co-amoxiclavAugmentin DuoGSKPowder for oral suspension400/57mg In 5ml• Carmellose sodium
• Maltodextrin base
43.32mg/5ml
26.0mg/5ml
Est carb. content up to 64.92mg/5ml
(est. 82.5 % of flavours are carbohydrate)
Co-amoxiclavAugmentinGSKSuspension125/31mg in 5ml 250/62mg in 5ml• Maltodextrin/gum arabic base    72.5mg
• Methocel (plant derived starch)  150mg
• 222.5g/5ml
*carb content same even
for 312mg/5ml
Flucloxacillin Accord healthcareSugar-free powder for oral solution125mg/5ml• Undisclosed• 698mg/5ml
FlucloxacillinN/ACrescent pharmGranules for oral suspension125mg/5ml
250mg/5ml
• Sucrose:
• Sucrose:
3g/5ml
3g/5ml
• 3g/5ml
• 3g/5ml
FluconazoleN/AWockhardt UK LtdCapsules50mg• Lactose
• Maize starch (pregelatinised)
16.6mg
32mg
• 48.6mg/capsule
MiconazoleDaktarin Oral GelJohnson & JohnsonGel20mg/g• Pregelatinised potato starch
• Alcohol
60.0mg/g
7.59mg/g
• 60.0mg/g
NitrofurantoinN/AAdvanzOral suspension25mg/5ml*individual amount of excipients undisclosed, contains glycerol• 2.3 calories/5ml (= 575mg/5ml)
NystatinNystanE.R.SQUIBB & SonsOral suspension100,000units/ml• Glycerol:
• Sucrose:
100mg/ml
200mg/ml
• 1000mg/5ml
Phenoxymethyl penicillinN/AKent PharmaceuticalsOral solution125mg/5ml 250mg/5ml• Sorbitol:
• Sorbitol:
792.93mg
800mg/5ml
• 792.93mg/5ml
• 800mg/5ml

Antiepileptic

DrugBrand nameManufacturerFormStrengthExcipientsCarbohydrate content
CarbamazepineCarbagenMylanTablet200mg• Pregelatinised starch: 10mg
• Sodium starch glycollate, microcrystalline cellulose **individual amount undisclosed
• 10mg/tablet
(90mg/tablet *including microcrystalline cellulose &  sodium starch glycolate)
CarbamazepineTergretolNovartisTablet (chewable) Liquid100mg 200mg 100mg/5ml• Sorbitol:
• Sorbitol:
• Sorbitol:
303.7mg/tab 607.4mg/tab 70% solution 1250mg/5ml• 303.7mg/tab
• 607.4mg/tab
• 1250mg/ml
ClobazamFrisiumSanofiTablet10mg• Lactose monohydrate:
• Starch:
72.3mg/tab 33mg/tab• 105.3mg/tab
ClonazepamN/AAuden MckenzieTablet0.5mg• Lactose monohydrate:
• Sodium starch glycollate:
143.5mg/tab 5mg/tab• 143.5mg/tab
Clonazepam RosemontSolution2mg/5ml• Ethanol:100mg/ml• Undisclosed
ClonazepamRivotril Tablet500mcg• Lactose:
• Maize starch (pregelatinised):
• Maize starch:
40mg/tb
5mg/tab 103.883mg/tab
• 149mg/tab
GabapentinNeurontinPfizerHard capsules Tablet100mg

300mg

400mg

800mg
• Lactose :
• Corn starch:
• Lactose:
• Corn starch:
• Lactose:
• Corn Starch:
• Maize starch:
13mg/cap
10mg/cap
41mg/cap
30mg/cap
57 mg/tab
40mg/cap
65.6mg/tab
• 23mg/cap

• 71mg/cap

• 97mg/cap

• 65.6mg/tab
Gabapentin RosemontOral solution50mg/ml• Saccharin sodium
• Propylene glycol
• Carmellose sodium
• ?CHO Free
LamotrigineLamictalGSKTablet25mg
50mg
100mg
200mg
• Lactose• 23.5mg
• 46.8mg
• 93.9mg
• 109.9mg
LevetiracetamDesitrendDesitinCoated granules250mg
500mg
1000mg
• Cellulose• CHO free
N.B. Licensed for administration via feeding tube
LevetiracetamKeppraUCB pharmaceutical LTDOral solution100mg/ml• Glycerol:
• Maltitol:                                       
300mg/ml
300mg/ml
• 600mg/ml
Levetiracetam ActavisOral solution100mg/ml• Maltitol:
• Glycerol:
290mg
undisclosed
• 293.4mg/ml
(maltitol+ grape flavouring)
MidazolamBuccolamShireOromucosal solution2.5mg/0.5ml 5mg/1ml
7.5mg/1.5ml 10mg/2ml
• Sodium chloride• CHO free
MidazolamEpistatusVeriton PharmaOromucosal solution10mg/1ml*individual excipients undisclosed• 250mg/1ml (breakdown undisclosed)
Phenytoin Flynn
Capsules25mg,
50mg,
100mg,
300mg
• Lactose• 66.86 mg
• 90.71 mg
• 96.15 mg
• 61.88 mg
Phenytoin  Pfizer Oral suspension 30mg/5ml • Sucrose 1044mg/5ml, glycerol 388mg/5ml • 1582.84mg/5ml
PhenytoinLyricaPfizerCapsule100mg• Monohydrate, corn starch• 110mg/capsule
RufinamideInovelonEisai LTDOral solution40mg/ml• Sorbitol: 250mg/ml250mg/ml
RufinamideInovelonEisai LTDFilm-coated tablets100mg
200mg
400mg
• Lactose
• Cellulose
• Maize starch
• Hypromellose
• 20mg
• 40mg
• 80mg
Sodium Valproate Wockhardt UK LTDLiquid200mg/5ml• Maltitol syrup: 5mg/5ml5mg/5ml
Sodium ValproateEpilimSanofi-AventisLiquid Syrup200mg/5ml
200mg/5ml
• Sorbitol:
• Sorbitol:
• Sucrose:
647.5mg/5ml
647.5mg/5ml
3.575mg/5ml
• 647.5mg/5ml
• 4222mg/5ml
Sodium ValproateEpilim ChronoSanofiTablet100mg

300mg

500mg
• Hypromellose:
• Ethylcellulose: 
• Hypromellose:
• Ethylcellulose: 
• Hypromellose:
• Ethylcellulose: 
72.4mg
4.8mg
105.6mg
7.2mg
176.0mg
12.0mg
• 77.2mg
• 112.8mg
• 188mg
Sodium ValproateEpisentaDesitinProlonged release capsule150mg
500mg
1000mg
EthylcelluloseUndisclosed
StiripentolDiacomitBiocodexSachet

Capsule
250mg 500mg
250mg 500mg
None disclosed• At least 500mg
• At least 1000mg
• At least 3mg
• At least 6mg
TopiramateTopamaxJanssen-CilagFilm-coated tablet25mg
50mg
100mg
200mg
• Lactose:30.85 mg
61.70mg
123.40mg
43.50mg
• 30.85mg/tab
• 61.70mg/tab
• 123.40mg/tab
• 43.50mg/tab
TopiramateTopamax SprinkleJanssen-CilagHard capsules15mg
25mg
50mg
• Sucrose:28.1- 41.2mg
46.8-68.6mg
93.7-137.2mg
• 28.1 -41.2mg/tab
• 46.8-68.6mg/tab
• 93.7-137.2mg/tab

Miscellaneous

DrugBrand nameManufacturerFormStrengthExcipientsCarbohydrate content
BaclofenN/AFOCUSOral liquid5mg/5ml• Sorbitol:
• Propylene glycol:
2g/5ml
150mg/5ml
• 2150mg/5ml
Cetirizine dihydrochlorideBenadryl allergy ChildrenJohnson & Johnson LtdOral solution1mg/1ml• Sorbitol (70%):
• Glycerol:
• Propylene glycol:
2.5gm
1.176gm
250mg
• 3.926g/ml
Docusate sodiumDocusol paediatric solutionTypharmOral solution12.5mg/5ml• Sorbitol:
• Glycerol:
903mg/5ml 0.628mg/5ml1.53g/5ml
Domperidone WockhardtTablet10mg• Lactose:
• Pre-gelatinised maize starch:
79.3mg/tab
2mg/tab
81.3mg/tab
EsomeprazoleNexiumAstraZeneca UK LtdSachet10mg• Glucose2.8g
Folic Acid CP PharmaceuticalsTablet20mg• Lactose:
• Maize starch:
• Pre-gelatinised maize starch:
50mg/tablet 6.93mg/tablet 2.67mg/tablet59.6mg/tablet
Glycopyrronium BromideN/AColonis PharmaOral Solution1mg/5ml• Lactose monohydrate:
• Sodium starch:
100mg
8.5mg
108.5mg
    2mg• Lactose monohydrate:
• Sodium starch:
200mg
17mg
217mg
Glycopyrronium BromideSialanarProvecaOral solution2mg/5mlSucralose<1mg/ml
Hyoscine butylbromideBuscopanSanofiTablet10mg• 41.8 mg/tablet
• Maize starch:
• Starch:
30mg/tablet 2mg/tablet73.182mg/tablet
IbuprofenBrufenAbbottSyrup100mg/5ml• Sorbitol:
• Sugar:
0.5g/5ml
3.3g/5ml
3.8g/5ml
LactuloseLactugalIntrapharm Laboratories LtdSolution5g/5ml--
LaxidoLaxido OrangeGalenPowder for oral solution • Orange flavour
contains Maltodextrin (89%)
Propylene glycol(3-5%)
Orange flavour: 62.5mg/sachet
LevocarnitineCarnitorLogixx Pharma30% Paediatric Oral solution1gSorbitol solution 70% SaccharoseUndisclosed
LoratadineLoratadine 10mg Orodispersible tabletsSandozTablet10mg14.25mg Lactose <7mg Sorbitol• 21.25g per tablet
MorphineOramorphBoehringer IngelheimOral solution10mg/5ml• Sucrose :  1.5g/5ml

•Ethanol: *unable to calculate
• Corn syrup: 0.39g /5ml
• Estimated : average~ 1.9g/5ml
OmeprazoleLosec MUPSAstra ZenecaTablet10mg• 19-20mg/tab sucrose
• Glycerol monostearate 40-55
• Macrogol, polysorbate
• 225mg/tab(*excluding glycerol monostearate)
Paracetamol RosemontOral suspension250mg/5ml

125mg/5ml
• Sucrose: 3g/5ml
• Propylene glycol: 155.4mg/5ml
• Sorbitol: 974.3mg/5ml
• Propylene glycol: 155.45mg/5ml
• Sorbitol: 974.3mg/5ml
• Sucrose: 2.5g/5ml
• 4129.7mg/5ml

• 3629.7mg/5ml
ParacetamolCalpol six plus sugar freeMcNeil Products LtdSuspension • Maltitol
• Sorbitol
• Glycerol
• 3.8g/5ml
ParacetamolCalpol Six plus SuspensionMcNeil Products LtdSuspension • Sucrose
• Sorbitol
• 3.7g/5ml
ParacetamolCalpol Sugar free  InfantMcNeil Products LtdSuspension • Maltitol
• Sorbitol
• 3.8g/5ml
ParacetamolCalpol infant suspensionMcNeil Products LtdSuspension • Sucrose:
• Sorbitol
• Glycerol
2.2g/5ml• 3.9g/5ml
ParacetamolCalpol infant sugar free colour freeMcNeil Products LtdSuspension120mg/5ml• Maltitol
• Sorbitol
• Glycerol
• 3.8g/5ml
ParacetamolCalpol Six plus Fast MeltsMcNeil Products LtdTablet250mg• Strawberry flavouring• 0.4g/tab
Paracetamol CrescentCaplet500mgUndisclosed• 67.7mg
RanitidineZantacGSKSyrup150mg/10ml• Ethanol:
• Sorbitol:
800mg/10ml 700mg/1ml• 1500mg/10ml
SennaSenokotReckitt BenckiserSyrup7.5 mg /5ml• Maltitol liquid:1.5g•1.5g/5ml
Sodium FeredetateSytronKyona KirinLiquid27.5mg/5mlUnable to calculate EthanolUndisclosed
Sodium PicosulphatePicolaxFerring pharmOral solution10mg• Lactose:4.5 mg• 4.5mg/sachet
Sodium PicosulphateDulcolax pico perlesBohringer IngelheimLiquid2.5mg/5mlUnable to calculate EthanolUndisclosed
VSL#3 FerringSachetN/AMaltose• 3.4g / sachet

This information sheet was developed by Tracy Cameron, Paediatric Dietitian, Iain Hewitt, Specialist Pharmacist and Helen Grossi, Specialist Ketogenic Dietitian from Ninewells Hospital, Dundee.

It was updated by Chee Lim, 3rd Year Medical Student, Dundee University, School of Medicine. Ninewells Hospital, Dundee, Iain Hewitt and Helen Grossi RD

Many thanks to all of them for allowing Matthew’s Friends to use this information

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