COVID-19 AND ALPHA-GAL RESOURCES

COVID-19 PRECAUTIONS FOR ALPHA-GAL SYNDROME PATIENTS FROM AGS HEALTHCARE EXPERTS

***All medical decisions should be made on an individual basis in conjunction with the patient’s treating physician.***

April 10, 2020

 

The Alpha-gal Syndrome Survey Needs You. Take It Now!

 

Make your voice heard. By sharing your experiences as an Alpha-gal Syndrome patient, you’re contributing to research that can help thousands of others. Your input is completely anonymous.

Alpha-gal Syndrome and COVID-19 Webcast

 

Recorded April 5, 2020 during our Facebook Live Community Q&A Session. Hosted by TBC United Cofounders Dr. Jennifer Platt, Beth Carrison, INHC, and TBC United Board Chairperson Dr. Tina Merritt.

Alpha-gal Syndrome and COVID-19 Brochure

 

Get expert-led guidance on Alpha-gal Syndrome and COVID-19 medications. Includes all medications listed on this page. Download it. Print it. Bring it with you to your medical provider.

BACKGROUND

What is Alpha-gal?

● Alpha-gal (galactose-α-1,3-galactose) is a sugar molecule found in most mammals (except in humans and great apes).

● Alpha-gal is found in “red meat” such as beef, lamb, pork, venison, rabbit, squirrel. It is not found in fish, reptiles, or birds.

● Alpha-gal can be found in products that contain mammal ingredients (including some medications, cosmetics, vaccines, gelatin, and milk products). Carrageenan (extracted from red edible seaweeds) may also contain the alpha-gal epitope.

What is Alpha-gal Syndrome?

Alpha-gal Syndrome (AGS), also referred to as alpha-gal allergy or red meat allergy , is an allergic reaction to the alpha-gal sugar molecule . Reactions occur between zero and ten hours after people eat meat from mammals or are exposed to products that contain mammal ingredients , including medications, cosmetics, vaccines, gelatin, and milk products. No ICD diagnosis code exists for AGS at this time.

Treatment

Allergen avoidance along with rescue medication(s), when needed . No U.S. FDA-approved medications exist for food allergies in general, including AGS (Renz et al., 2018).

For complete definition and background, please visit the U.S. Department of Health and Human Services Tick-borne Disease Working Group, Alpha-gal Syndrome Subcommittee Report

MEDICATIONS

Medications known to have some risk to some AGS patients are those made with gelatin or gelatin capsules.

Many AGS patients can consume gelatin and gelatin capsules without side effects. Some patients report problems with additives such as magnesium stearate, and other common ingredients found in medications.

The following medications are being tested for treatment of COVID-19 in multiple countries.

Most care is supportive and many of the inactive ingredients (that could be derived from mammal sources) may occur in such small quantities that risk for an AG-based reaction would be quite low. If potential risk exists based on prior experience, premedication with liquid steroid or Benadryl is an option. 

Arbidol – also known as umifenovir.

Azithromycin – Liquid form is mammal free as of this writing.

Linezolid – broad-spectrum antibiotic; available in IV, oral suspension and tablet forms.

Lopinavir / ritonavir – HIV protease inhibitor +/- interferon beta .

Nemonoxacin

Plaquenil (hydroxychloroquine)Review potential interactions at https://www.drugs.com/drug-interactions/hydroxychloroquine,plaquenil.html

Remdesivir

Abbreviated References (see TBCUnited.org/covid19-alpha-gal-syndrome for full list)

https://www.thelancet.com/pdfs/journals/lanres/PIIS2213-2600(20)30071-0.pdf

***All medical decisions should be made on an individual basis in conjunction with the patient’s treating physician.***

COVID-19 GUIDELINES

REFERENCES

Page contributors include the following healthcare professionals, with much gratitude for their work: Jennifer Platt, DrPH, Tina Merritt MD, Jeffrey Wilson MD.

Alpha-Gal Syndrome Subcommittee Report to the Tick-Borne Disease Working Group

Commins, S. P., James, H. R., Stevens, W., Pochan, S. L., Land, M. H., King, C., . . . Platts-Mills, T. A. (2014). Delayed clinical and ex vivo response to mammalian meat in patients with IgE to galactose-alpha-1,3-galactose. J Allergy Clin Immunol, 134(1), 108-115. doi:10.1016/j.jaci.2014.01.024

Commins, S. P. (2016). Invited Commentary: Alpha-Gal Allergy: Tip of the Iceberg to a Pivotal Immune Response. Curr Allergy Asthma Rep, 16(9), 61. doi:10.1007/s11882-016-0641-6

Fischer, J., Eberlein, B., Hilger, C., Eyer, F., Eyerich, S., Ollert, M., & Biedermann, T. (2017). Alpha-gal is a possible target of IgE-mediated reactivity to antivenom. Allergy, 72(5), 764-771. doi:10.1111/all.13073

Flaherty, M. G., Kaplan, S. J., & Jerath, M. R. (2017). Diagnosis of Life-Threatening Alpha-Gal Food Allergy Appears to Be Patient Driven. J Prim Care Community Health, 8(4), 345-348. doi:10.1177/2150131917705714

Hawkins, R. B., Frischtak, H. L., Kron, I. L., & Ghanta, R. K. (2016). Premature Bioprosthetic Aortic Valve Degeneration Associated with Allergy to Galactose-Alpha-1,3-Galactose. J Card Surg, 31(7), 446-448. doi:10.1111/jocs.12764

Levin, M., Apostolovic, D., Biedermann, T., Commins, S. P., Iweala, O. I., Platts-Mills, T. A. E., . . . Wilson, J. M. (2019). Galactose alpha-1,3-galactose phenotypes: Lessons from various patient populations. Ann Allergy Asthma Immunol, 122(6), 598-602. doi:10.1016/j.anai.2019.03.021

 

This material is compiled from multiple respected sources, from TBC United research, and from the experiences of TBC United community members. While we work hard to ensure relevancy and currency, we cannot guarantee the accuracy of all information presented on this or associated (linked) web sites. The content is offered to provide practical and useful information on the subject matters covered. It is being presented with the understanding that TBC United is not engaged in rendering medical or other professional services. If medical or other expert assistance is required, the services of a licensed physician should be sought. If you choose to use preventive products on yourself, your loved ones, or your pets, carefully read and follow your medical professional and manufacturers’ recommendations.

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