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Safe Medication Management for Patients with Medication Excipient Allergies and Intolerances

Broadcast Date: May 11, 2022


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Medication excipients (often-referred to as inactive ingredients) provide several functions, such as serving as binders, disintegrants, solubilizers, preservatives, and/or assisting with pH adjustment. However, medication excipients may cause adverse events or allergic reactions in some patients. Several regulatory and technological gaps exist that hinder practitioners from preventing adverse events and allergic reactions related to these excipients.

This podcast is intended to bring awareness to current regulatory and technological gaps associated with managing medication excipient allergies and intolerances, highlight common operational challenges involved with identifying and preventing medication excipient allergic reactions, and provide current “best practices” to address these issues.


Rosemary DuncanRosemary Duncan, PharmD, BCPA, is a medication safety officer at the Johns Hopkins Hospital. She is also the residency program director for the PGY2 Medication-Use Safety and Policy residency program. Her work involves investigating medication-related events and helping develop system changes that promote the safe use of medications within the hospital and health-system. She is the immediate past chair of the Maryland Society of Health System Pharmacy (MSHP) Medication Safety Subcommittee and an active member of the ASHP Medication Safety Section Advisory Group.

Rita JewRita K. Jew, PharmD, MBA, BCPPS, FASHP, is Vice President of Operations at the Institute for Safe Medication Practice (ISMP). Prior to ISMP, Dr. Jew had her own consulting business where she provided pharmacy consultative services, conducted leadership training programs and advised technology startup companies. She has also held various leadership positions at children’s hospitals and health-system pharmacy. Her 25 plus-year tenure in hospital pharmacies encompassed broad experiences in pharmacy leadership, clinical pharmacy services, and more.

Katayoon Kathy GhomeshiKatayoon Kathy Ghomeshi, PharmD, MBA, BCPS, CPPS, is a Medication Safety Officer at UCSF Health and Assistant Clinical Professor with UCSF School of Pharmacy. She is past Chair of the ASHP SICP Advisory Group on Medication Safety. She serves on the Board of Directors for the California Society of Health-System Pharmacists. She is an appointed member of the California Hospital Association Medication Safety Committee and of the Specialty Council member for the Board of Pharmacy Specialties.


The information presented during the podcast reflects solely the opinions of the presenter. The information and materials are not, and are not intended as, a comprehensive source of drug information on this topic. The contents of the podcast have not been reviewed by ASHP, and should neither be interpreted as the official policies of ASHP, nor an endorsement of any product(s), nor should they be considered as a substitute for the professional judgment of the pharmacist or physician.