Understanding the 'Gluten-Free' Label for Strepsils
The most important piece of information for many is the official stance from the manufacturer. On several regional Strepsils FAQ pages, including those for Ireland and Australia, it is explicitly stated that all Strepsils lozenges are gluten-free. However, a deeper dive into the ingredients reveals a more nuanced picture that is crucial for those with specific sensitivities.
The Role of Wheat Starch in Strepsils
Product information leaflets for Strepsils Honey and Lemon, available on medical information sites, clarify that the lozenges contain liquid glucose which is derived from wheat starch. This might immediately cause alarm for someone on a gluten-free diet. The key, however, lies in the level of processing.
The manufacturing process of liquid glucose from wheat starch involves extensive purification. This results in the final product containing only trace amounts of gluten. The European Medicines Agency (eMC) specifies that the amount of gluten from wheat starch in one lozenge is very low, measuring no more than 19.52 micrograms.
Comparing Coeliac Disease and Wheat Allergy
This small amount of residual gluten is what differentiates the product's safety for individuals with coeliac disease versus a wheat allergy. The following table outlines the key differences:
| Consideration | Coeliac Disease | Wheat Allergy | 
|---|---|---|
| Immune Response | Autoimmune disease where gluten causes intestinal damage. | Allergic reaction to proteins in wheat, not just gluten. | 
| Reaction Threshold | Reacts to gluten in varying amounts, but below 20 parts per million is generally safe. | Can react to other wheat proteins, even in small, trace amounts. | 
| Strepsils Safety | Considered 'gluten-free' and very unlikely to cause a problem. | Not considered safe; should be avoided entirely. | 
| Risk of Reaction | Extremely low risk due to minuscule gluten levels. | High risk, as other wheat proteins could trigger a severe allergic reaction. | 
| Key Takeaway | Generally safe, but vigilance is still important. | Unsafe; avoid this product completely. | 
Navigating Other Strepsils Varieties and Alternative Lozenges
While the Honey and Lemon flavor is officially considered gluten-free for coeliac patients, some people prefer to avoid even trace elements of gluten. It's always best to check the specific product label, as formulations can change over time or vary by region.
- Other Strepsils variants: Many other Strepsils varieties, such as the Original or Sore Throat & Cough, are also labeled gluten-free, often with the same caveat about wheat starch. However, always check the packaging of the specific flavor you are considering.
- Sugar-free options: For those with diabetes or who prefer a sugar-free alternative, Strepsils Strawberry Sugar-Free lozenges are also available. As with all lozenges, check the label to ensure suitability for your specific dietary needs. Note that in some countries, like Ireland, all Strepsils are marketed as gluten-free, but in others, the Strawberry Sugar-Free may be the only officially certified gluten-free option without wheat starch.
- Gluten-free alternative brands: If you are highly sensitive or have a wheat allergy, there are numerous other brands of throat lozenges that are certified gluten-free and do not contain wheat-derived ingredients. Always read the ingredient list carefully and look for third-party certifications, such as the Crossed Grain symbol.
The Bottom Line for Consumers
In summary, for most people with coeliac disease, Strepsils Honey and Lemon lozenges are safe to consume due to their negligible gluten content. The small amount of gluten-containing wheat starch used to produce the liquid glucose is well below the internationally recognized threshold for a 'gluten-free' product (less than 20 parts per million). The manufacturer, Reckitt Benckiser, explicitly states that all lozenges are gluten-free.
For those with a distinct wheat allergy, the presence of wheat starch, even in minute quantities, means these lozenges are not suitable and should be avoided. Always check the ingredient list and any accompanying patient information leaflets for the most accurate and up-to-date information before purchasing.
Conclusion
To be certain about the gluten-free status of Strepsils Honey and Lemon lozenges, it's essential to understand the distinction between coeliac disease and wheat allergy. While the lozenges are technically 'gluten-free' due to extremely low gluten levels from wheat starch, they are not wheat-free. For the majority with coeliac disease, they are safe, but for those with a wheat allergy, they are not. Always verify the most current ingredient information and consult a healthcare professional with any concerns. For absolute certainty, exploring lozenges from other brands certified as completely wheat-free is the safest option for those with severe sensitivities or allergies. For additional information, consider consulting resources like the Coeliac UK website.