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According to the Food Allergy and Anaphylaxis Network, the eight most common food allergies, which account for 90% of the food allergies in the U.S., are: dairy, soy, wheat, shellfish, fish, peanut, tree nut, and egg.
Several medications are formulated with these ingredients and should be avoided in patients with reported allergies.
- Propofol is a lipid emulsion that contains egg. Avoid in patient with hypersensitivity to eggs, egg products, soybeans, or soy products.
- Ipratropium ± albuterol (Atrovent, Combvient®) inhalers may contain soy lecithin. This can cause allergic reactions in patients with allergy to soy lecithin or related food products (e.g., soybean and peanut). Nebulizer solutions (e.g., Duoneb®) seem to be free from this issue.
- Progesterone (Prometrium®) capsules contain peanut oil.