Are you tampering with your medications? Read this first!
Author: Dr. Steven Shao (Pharm. D)
There are many different formulations drugs come in and with the magic of a compounding pharmacy, even more formulations exist to suit the unique need of a patient. There is always a reason why the drug comes in a certain formulation. Always follow the instruction on the label and do not tamper with the medication unless a healthcare professional instructs otherwise.
Here is some useful information for the most common drug formulations you may come across.
Tablets
If it has a score line, it is assumed it can be cut in half or in some cases, quarters.
e.g. Amlodipine 5mg with a score line
Swallow whole and do not crush if the the tablets are enteric coated or if the drug mentions the term delayed release, extended release, controlled release or sustained release
e.g. Divalproex 250mg that is enteric coated
Some tablets are sublingual or buccal. Sublingual means under the tongue and buccal means against the cheek. These tend to work faster, great for those with trouble swallowing, and can be taken without water. You may find the words ODT (orally disintegrating tablet) on the pharmacy label for sublingual tablets.
e.g. Lorazepam 1mg ODT
Capsules
Some can be opened and mixed with applesauce and etc
e.g. Amoxicillin 500mg capsule that can be sprinkled
UNLESS it’s extended release/controlled release/sustained release. These formulations control the rate and site of the active drug release. Commonly found in medications that control conditions such as acid reflux, seizure, and etc
e.g. Venlafaxine 75mg XR that is to be swallowed whole
It is very difficult to tell which one can be opened and which one needs to be swallowed whole, so check with your pharmacist!
Liquid
Some require to be put in the fridge, some do not. Check the pharmacy labels!
Always measure the exact amount needed with a syringe
If you are having trouble with a certain formulation of the drug, know that there could be another option that better suits you! Compounding pharmacies can compound medications in different formulations and even flavours. Avoid tampering with the medication yourself. Always check with a pharmacist or healthcare professional first!
Legal Disclaimer
These presentations are intended for general information purposes only. Audience are recommended to consult with qualified healthcare provider and obtain professional advice and subsequent management for your particular conditions. The views and opinions expressed by the speakers do not necessarily reflect the policy or position of Assisting in Medical Expectations.
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