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Some gluten free products can be prescribed on an FP10 for gluten-sensitive enteropathies including steatorrhoea due to gluten-sensitivity, coeliac disease and dermatitis herpetiformis. Prescriptions must be endorsed ACBS.
The diagnosis of coeliac disease is increasing. The gold standard for making the diagnosis is duodenal biopsy as blood tests may give false positives. However, false negatives are rare so blood tests may be a useful screening test. Gluten should not be withdrawn prior to a biopsy or blood test. Refer to gastroenterologist or specialist dietician led coeliac clinic for further advice.
The availability and prescribing of gluten free foods has risen steadily with some patients requesting more than others. To date there has been no real guidance on maximum quantities permissible on prescription. However Coeliac UK (www.coeliac.org.uk) has recently issued guidance for healthcare professionals in response to the growing cost pressures of these products and includes the following:
The Formulary does not therefore support the prescribing of 'luxury' items on the grounds that in addition to the notes above it does not support healthy eating.
Patient information leaflet: Gluten free diet
Child 1-3 years: 10 units
Child 4-6 years: 11 units
Child 7-10: 13 units
Child 11-14 years: 15 units
Child 15-18 years or Male 19-59 years: 18 units
Male 60-74 years: 16 units
Male 75+ years or Female 19-74 years: 14 units
Female 75+: 12 units
Please refer to the Coeliac Society UK: Gluten-free foods: a revised prescribing guide