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
AzithromycinN/AMylanTablet250mg• Microcyrstalline cellulose
• pregelatinised starch
• sodium starch glycolate
• *individual amount of excipients undisclosed
• 127.04mg /tablet
ClarithromycinKlaricidAbbott healthcareSuspension125mg/5ml • Sucrose - 2.4g/5ml
• Maltodextrin - 285.7mg/5ml
• Hypromellose phthlate - 152.1mg/5ml
• 2837mg/5ml
ClarithromycinKlaricidAbbott healthcareSuspension250mg/5ml• Sucrose - 4.82mg/5ml
• Maltodextrin - 238.1mg/5ml
• Hypromellose phthalate - 304.2mg/5ml
• 5124mg/5ml
Co-amoxiclavAugmentin DuoGSKPowder for
oral suspension
400/57mg In 5ml• Carmellose sodium - 43.32mg/5ml
• Maltodextrin base - 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 - 3g/5ml
• Sucrose - 3g/5ml
• 3g/5ml
• 3g/5ml
FluconazoleN/AWockhardt UK LtdCapsules50mg• Lactose - 16.6mg
• Maize starch (pregelatinised) - 32mg
• 48.6mg/capsule
MiconazoleDaktarin Oral GelJohnson & JohnsonGel20mg/g• Pregelatinised potato starch - 60.0mg/g
• Alcohol - 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 - 100mg/ml

• Sucrose - 200mg/ml
• 1000mg/5ml
Phenoxymethyl penicillinN/AKent PharmaceuticalsOral solution125mg/5ml 250mg/5ml• Sorbitol - 792.93mg
• Sorbitol - 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: 303.7mg/tab
• Sorbitol: 607.4mg/tab
• Sorbitol: 70% solution
1250mg/5ml
• 303.7mg/tab
• 607.4mg/tab
• 1250mg/ml
ClobazamFrisiumSanofiTablet10mg• Lactose monohydrate: 72.3mg/tab
• Starch: 33mg/tab
• 105.3mg/tab
ClonazepamN/AAuden MckenzieTablet0.5mg• Lactose monohydrate: 143.5mg/tab
• Sodium starch glycollate: 5mg/tab
• 143.5mg/tab
ClonazepamRosemontSolution2mg/5ml• Ethanol: 100mg/ml • Undisclosed
ClonazepamRivotril Tablet500mcg• Lactose: 40mg/tb
• Maize starch (pregelatinised): 5mg/tab
• Maize starch: 103.883mg/tab
• 149mg/tab
GabapentinNeurontinPfizerHard capsules





Tablet
100mg

300mg

400mg

800mg
• Lactose : 13mg/cap
• Corn starch: 10mg/cap
• Lactose: 41mg/cap
• Corn starch: 30mg/cap
• Lactose: 57 mg/tab
• Corn Starch: 40mg/cap
• Maize starch: 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: 300mg/ml
• Maltitol: 300mg/ml
• 600mg/ml
Levetiracetam ActavisOral solution100mg/ml• Maltitol: 290mg
• Glycerol: 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

Pfizer
Capsules

Oral suspension
25mg,
50mg,
100mg,
300mg

30mg/5ml
• Lactose




• Sucrose 1044mg/5ml, glycerol 388mg/5ml
• 66.86 mg
• 90.71 mg
• 96.15 mg
• 61.88 mg

• 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
Syrup
200mg/5ml 200mg/5ml• Sorbitol: 647.5mg/5ml
• Sorbitol: 647.5mg/5ml
• Sucrose: 3.575mg/5ml
• 647.5mg/5ml
• 4222mg/5ml
Sodium ValproateEpilim ChronoSanofiTablet100mg

300mg

500mg
• Hypromellose: 72.4mg
• Ethylcellulose: 4.8mg
• Hypromellose: 105.6mg
• Ethylcellulose: 7.2mg
• Hypromellose: 176.0mg
• Ethylcellulose: 12.0mg
• 77.2mg
• 112.8mg
• 188mg
Sodium ValproateEpisentaDesitinProlonged release
capsule
150mg
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: 2g/5ml
• Propylene glycol: 150mg/5ml
• 2150mg/5ml
Cetirizine dihydrochlorideBenadryl allergy ChildrenJohnson & Johnson LtdOral solution1mg/1ml• Sorbitol (70%): 2.5gm
• Glycerol: 1.176gm
• Propylene glycol: 250mg
• 3.926g/ml
Docusate sodiumDocusol paediatric solutionTypharmOral solution12.5mg/5ml• Sorbitol: 903mg/5ml
• Glycerol: 0.628mg/5ml
1.53g/5ml
Domperidone WockhardtTablet10mg• Lactose: 79.3mg/tab
• Pre-gelatinised maize starch: 2mg/tab
81.3mg/tab
EsomeprazoleNexiumAstraZeneca UK LtdSachet10mg• Glucose2.8g
Folic Acid CP PharmaceuticalsTablet20mg• Lactose: 50mg/tablet
• Maize starch: 6.93mg/tablet
• Pre-gelatinised maize starch: 2.67mg/tablet
59.6mg/tablet
Glycopyrronium BromideN/AColonis PharmaOral Solution1mg/5ml• Lactose monohydrate: 100mg
• Sodium starch: 8.5mg
108.5mg
Glycopyrronium BromideN/AColonis PharmaOral Solution2mg• Lactose monohydrate: 200mg
• Sodium starch: 17mg
217mg
Glycopyrronium BromideSialanarProvecaOral solution1mg/1mlMinimal excipients1mg/ml
Hyoscine butylbromideBuscopanSanofiTablet10mg• 41.8 mg/tablet
• Maize starch: 30mg/tablet
• Starch: 2mg/tablet
73.182mg/tablet
IbuprofenBrufenAbbottSyrup100mg/5ml• Sorbitol: 0.5g/5ml
• Sugar: 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
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: 2.2g/5ml
• Sorbitol
• Glycerol
• 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: 800mg/10ml
• Sorbitol: 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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