Pain reliever and histamine intolerance

A guest contribution by Maximilian Wilke, pharmacist from Berlin and founder of the "Whatsin" app

Almost everyone has already taken ibuprofen, paracetamol or aspirin. No wonder, because pain relievers are among the best -selling medication in Germany. However, not all funds for all patients are equally compatible. Caution should be exercised in particular in the case of histamine intolerance. And that when choosing the right active ingredient - and the right auxiliary substances. 

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In addition a small digression into the pharmacy. Medications always consist of one or more active ingredients and so -called auxiliary substances. The former are important for the pharmacological effect. The latter so that a tablet holds together as a tablet, or a juice does not taste so bitter. 

Why is this important for patients? Both groups of fabric- i.e. effects and aids- can have an impact on the tolerance in the case of histamine intolerance. Auxiliary substances were considered medically ineffective for a long time and only active ingredients have been attributed to possible side effects. In the meantime, however, the auxiliary substances have also been brought into the focus of investigations. And especially with histamine intolerance, the list of incompatible auxiliary substances is long.

Which pain relievers are compatible with histamine intolerance?

So now to the first important question: Which pain reliever ingredients are well tolerated in histamine intolerance and which ones are not? There is quite a wide range of fabrics for painkillers. They are used for head and joint pain, back or regulation pain. But also as long -term medication for severe, chronic pain. The selection of the fabrics ranges from slight means without a prescription to highly effective prescription substances. For people with histamine intolerance, ibuprofen and paracatemol are particularly recommended among the active ingredients. In the case of strong, prescription active ingredients, tilidine is considered to be compatible.

Nachfolgend eine Auswahl der häufigsten Schmerzmittelwirkstoffe, jeweils mit dem Hinweis, ob eine Histaminwirkung zu erwarten ist:

Wirkstoff Rezeptfrei erhältlich Histaminwirkung
Acetylsalicylsäurejaja, Histaminliberator
Paracetamoljanein
Ibuprofenjanein
Diclofenacjaja, Histaminliberator
Naproxenjaja, Histaminliberator
Metamizol / Novaminsulfonneinja, DAO-Blocker
Tilidinneinnein
Indometacinneinja, Histaminliberator
Morphinneinja, Histaminliberator

Which auxiliary materials are compatible?

It becomes a little more complex when you look at the auxiliary substances of the medication. These substances are, as described above, e.g. B. used in tablet production as a binder, but also as a preservative or as a capsule cover. The tricky is that - also as a pharmacist - you usually have to study the package insert in order to find the fabrics at all. There are also hundreds of different aids, so that an overview is difficult for experts. But caution is always required. Because a whole series of fabrics can mess the histamine balance. And even if the active ingredient - such as ibuprofen - is compatible, it can cause incompatible auxiliary substances that the drug as a whole is not tolerated and you have to switch to another company.

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Hier eine Übersicht der gängigen Hilfsstoffe und deren Histaminwirkung.

Hilfsstoff Einsatz in ... Histaminwirkung
Alginsäure Tabletten (Bindemittel) ja
Benzoesäure Flüssigkeiten (Konservierung) ja
Citronensäure Flüssigkeiten (pH-Wert) ja
Gelatine Kapseln (Hülle), Bindemittel ja
Kalium sorbat Flüssigkeiten (Konservierung) ja
Laktose Tabletten (Bindemittel) nein
Parabene Flüssigkeiten (Konservierung) ja

Is there a list of compatible medication?

There are a number of corresponding lists on the net that deal with the tolerance of medication in histamine intolerance. However, activity and auxiliary substances are mostly considered in isolation. However, since both groups of fabric groups are always used next to each other in a medication, this does not help with the selection in everyday life. The app is therefore helpful Whatsinthat is available to everyone with histamine inlerance free of charge. It helps to find histamine -free pain relievers and other medication with just a few clicks. Both and auxiliary substances are considered. If an incompatible ingredient is recognized, you can also display compatible alternatives.

https://www.whatsinmymeds.de/author/max/

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Smartphone mit lilafarbener Startseite der App „whatsin“. In der Mitte steht der Schriftzug „whatsin®“, darunter der Text: „Arzneimittel ohne Zusatzstoffe? Sie suchen Medikamente ohne Inhaltsstoffe wie Lactose, Gelatine oder Penicillin? Dann sind Sie hier genau richtig.“ Smartphone mit Auswahlbildschirm der App „whatsin“. Überschrift: „Welche der folgenden Profile treffen auf Sie zu?“. Darunter Schieberegler für: Laktoseintoleranz, Fructoseintoleranz, Glutenunverträglichkeit, Histaminintoleranz, Sorbitintoleranz, ASS-Allergie, Hühnerei-Allergie und Nuss-Allergie. Drei Profile sind aktiviert. Smartphone mit Suchergebnis in der App „whatsin“ für den Begriff „Cetirizin“. Liste mit verschiedenen Medikamenten, jeweils mit grünem Haken oder rotem Kreuz und dem Hinweis, ob unerwünschte Inhaltsstoffe enthalten sind. Am unteren Rand befindet sich ein Scan-Button. Smartphone mit der aktiven App „whatsin“. Sichtbar sind erneut die Suchergebnisse zu „Cetirizin“, unterteilt in unterschiedliche Präparate mit Produktnamen, Verpackungsbildern und Inhaltsstoffbewertung in Form von grünen Haken oder roten Kreuzen.
Thomas und Michaela Zinser, Gründer von Histaminikus, sitzen lächelnd nebeneinander auf einer Steinstufe vor einer Backsteinmauer mit Blick auf eine Landschaft. Neben ihnen stehen mehrere Histaminikus-Produkte, darunter Gewürzdosen und Papiertüten.

From those affected for those affected

We are Thomas and Michaela Zinser, founder of Histaminikus.

Because of the own histamine intolerance of Michaela and our son, we founded Histaminikus. The frustration does not find any suitable histamine food has spurred us to develop low -histamine food.
We would like to give you back a piece of quality of life. Feel free to look around with us.

Kind regards
Thomas and Michaela

Histamine -free shopping