Is alprazolam gluten-free?
Confirmed gluten-free by at least one manufacturer. At least one manufacturer has formally attested their formulation contains no gluten. Of 12 labels we checked, 2 are confirmed by the maker and 10 show nothing flagged. Confirm the brand or generic on your bottle matches one of the attesting manufacturers below.
Drug context
About alprazolam
Alprazolam is a short-acting benzodiazepine used for anxiety and panic disorder, sold under brand names including Xanax.
Why this matters
Different manufacturers, different ingredients
Generics of alprazolam use the same active ingredient, but they aren't required to use the same inactive ingredients. Your pharmacy may switch which manufacturer they dispense between fills, sometimes without telling you. The list below shows each manufacturer's product label as a separate entry, because that's the granularity that actually matters when you're celiac.
The labels
The 12 we checked
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01Geneva manufacturer-attested gluten-free
Listed gluten-free in Plogsted Alpha List (2017-04-28)
View source label → -
02Geneva manufacturer-attested gluten-free
Listed gluten-free in Plogsted Alpha List (2017-04-28)
View source label → -
03Coupler LLC nothing flagged on the label
Inactive ingredients DOCUSATE SODIUM · FD&C BLUE NO. 2 · LACTOSE MONOHYDRATE · MAGNESIUM STEARATE · MICROCRYSTALLINE CELLULOSE · SILICON DIOXIDE · SODIUM BENZOATE · STARCH, CORN
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04ASCLEMED USA INC. nothing flagged on the label
Inactive ingredients DOCUSATE SODIUM · FD&C BLUE NO. 2 · FD&C YELLOW NO. 6 · LACTOSE MONOHYDRATE · MAGNESIUM STEARATE · MICROCRYSTALLINE CELLULOSE · SILICON DIOXIDE · SODIUM BENZOATE · STARCH, CORN
View source label → -
05Coupler LLC nothing flagged on the label
Inactive ingredients DOCUSATE SODIUM · FD&C YELLOW NO. 6 · LACTOSE MONOHYDRATE · MAGNESIUM STEARATE · MICROCRYSTALLINE CELLULOSE · SILICON DIOXIDE · SODIUM BENZOATE · STARCH, CORN
View source label → -
06Par Health USA, LLC nothing flagged on the label
Inactive ingredients ASPARTAME · CROSPOVIDONE (15 MPA.S AT 5%) · MAGNESIUM STEARATE · MANNITOL · METHACRYLIC ACID - METHYL METHACRYLATE COPOLYMER (1:1) · PEPPERMINT · SILICON DIOXIDE · SORBITOL · TALC · VANILLIN · XYLITOL
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07Direct_Rx nothing flagged on the label
Inactive ingredients ASPARTAME · CROSPOVIDONE (15 MPA.S AT 5%) · MAGNESIUM STEARATE · MANNITOL · METHACRYLIC ACID - METHYL METHACRYLATE COPOLYMER (1:1) · PEPPERMINT · SILICON DIOXIDE · SORBITOL · TALC · VANILLIN · XYLITOL
View source label → -
08Direct_Rx nothing flagged on the label
Inactive ingredients DOCUSATE SODIUM · FD&C BLUE NO. 2 · LACTOSE MONOHYDRATE · MAGNESIUM STEARATE · MICROCRYSTALLINE CELLULOSE · SILICON DIOXIDE · SODIUM BENZOATE · STARCH, CORN
View source label → -
09PHARMACIA & UPJOHN COMPANY LLC nothing flagged on the label
Inactive ingredients DOCUSATE SODIUM · FD&C BLUE NO. 2 · FD&C YELLOW NO. 6 · LACTOSE, UNSPECIFIED FORM · MAGNESIUM STEARATE · POWDERED CELLULOSE · SILICON DIOXIDE · SODIUM BENZOATE · STARCH, CORN
View source label → -
10PreferredPharmaceuticals Inc. nothing flagged on the label
Inactive ingredients DOCUSATE SODIUM · FD&C BLUE NO. 2 · LACTOSE MONOHYDRATE · MAGNESIUM STEARATE · MICROCRYSTALLINE CELLULOSE · SILICON DIOXIDE · SODIUM BENZOATE · STARCH, CORN
View source label → -
11Natco Pharma USA LLC nothing flagged on the label
Inactive ingredients CELLULOSE, MICROCRYSTALLINE · FD&C BLUE NO. 2 · FD&C YELLOW NO. 6 · LACTOSE MONOHYDRATE · MAGNESIUM STEARATE · POVIDONE K30 · SILICON DIOXIDE
View source label → -
12Northwind Health Company, LLC nothing flagged on the label
Inactive ingredients DOCUSATE SODIUM · LACTOSE MONOHYDRATE · MAGNESIUM STEARATE · MICROCRYSTALLINE CELLULOSE · SILICON DIOXIDE · SODIUM BENZOATE · STARCH, CORN
View source label →
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Background
What “gluten in a medication” actually means
Gluten enters drugs through their excipients — the inactive ingredients used to bind, coat, fill, or stabilize the dose. The main concern is wheat starch as a filler. Source-ambiguous starches (plain “starch”, pregelatinized starch, sodium starch glycolate, modified starch) get flagged for verification because their botanical origin isn't always disclosed on the label.
The 2024 Mangione et al. pediatric NDC analysis (689 NDCs across the top 100 pediatric medications) found 1.5% contained gluten outright; another 25.7% couldn't be confirmed either way. Liquid and oral-suspension formulations carry disproportionate risk because wheat starch is a common thickener. Full methodology →
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