1 0 obj %PDF-1.5 The Do Not Crush list from the Institute for Safe Medication Practices (ISMP) is referenced by thousands of health care professionals a day. Table 1 provides a summary list of drug products based on nanocrystal or amorphous solid dispersion technologies that were approved by FDA as of December 31, 2019. 130 0 obj <>stream Do not crush as bisacodyl has an irritant effect on D 4. Some Important Reminders: -A- Buffets II Tabs Buffinol Tabs -E- Excedrin Tabs or Caps Advil Tabs/Suspension But-Tabs -F- Aleve Alka Seltzer Effervescent Tabs Results showed that 80.3% reported having split or crushed a tablet prior to administration, the main reason (49.8%) being to facilitate administration and swallowing, followed by an indication by the physician (20.0%), to adjust the dose (22.0%), to disguise a bad taste (7.2%), and 1.0% of the respondents mentioned another reason. Take larotrectinib exactly as directed. 91 0 obj <> endobj InnoPran XL (propranolol) Capsule. Do not crush slow-release tablets. 2.2 Opioid analgesics codeine Tablet: 30 mg (phosphate). Dispense medication Do not dispense medication Take appropriate action to safeguard client interest and ensure continued care; for example, follow up with prescriber NO YES NO NO YES YES Note: Document during and/or after dispensing medication, according to the … %���� {�|��~�ȸjl�K!��e��}+z���ZwkR�UE[�P���IyN鰨�I�&�Fj�=�����|�YW�M�7��栬��-[��n]k ��?��*��������|��_��Gd�i�گL�fZe�&yU�)����ù�T��^�B� V����y.�Lz�4�2�:�$Z��$ug��1�����j�tx)��9�� DONEPEZIL B Crush tablet before suspending in water Note: not scored; no studies available from company. E Tablets may be crushed. doctor or pharmacist to explain any part you do not understand. DO NOT CRUSH , CHEW , OR CUT LIST • Medications with two letters after the name indicate extended-action: XL (Procardia XL), CD, SR, SA, LA, CC, CR, TR , … Exceptions: Septra DS (double strength) may crush aspirin EC (enteric coated) may NOT crush Note : Plendil is ordered most often without the ending “SA” • Medications with the following included … Mistakes can occur when people have trouble swallowing a tablet or capsule and they try to chew, crush, break or mix the tablet or capsule in food or drink. endobj Intuniv (guanFACINE) Tablet. pregnant, should not handle crushed or broken tablets Proquin XR Tablet Slow-release Proscar Tablet Note: women who are, or may become, pregnant, should not handle crushed or broken tablets Protonix Tablet Slow-release Prozac Weekly Tablet Enteric-coated Pseudo CM … Print. may become, pregnant, should not handle crushed or broken tablets [l]) Janumet XR (combination) Tablet Slow-release Jentadueto XR (combination) Tablet Slow-release Kadian (morphine) Capsule Slow-release (a) (Note: do not give via NG tubes) Kaletra (combination) Tablet Film-coated Kaon-CL-10 (potassium) Tablet Slow-release (b) �@���v)���9�`&i���q}U+�@-��.�ݥ��V>�����ʣ�e5��+Q1h��@�qʓ�y=$q�)CYR���d��j����x��j�\���?�x��f�Ki�1M(Dch��Ea���B�6Q�R2b�ڣ�&-��-�19t����zca蒻c�u�^��:4V�q�d-,�Pa� 12 issues every year, with brief articles about new meds and hot topics; 300+ CE courses, including the popular CE-in-the-Letter; Quick reference drug comparison charts Pharmacist's Letter includes:. May disperse (tablets will disperse within 2-5 min)4 Doxylin-100 ENALAPRIL TabletEthics Enalapril 3Do not divide ENTACAPONE TabletEntapone Film coated3 No information ERYTHROMYCIN Alternative route available E-Mycin Tablet Film coated3,4 endstream endobj startxref endstream endobj 96 0 obj <>stream ����Ha�-�� 31–May–2019 (updated 27–Sep–2019) Official Date 01–Dec–2019 Expert Committee Compounding Reason for Revision ... • Drugs on the NIOSH list that do not have to follow all the containment requirements of this chapter if an assessment of risk is performed and implement- B Suppositories are also available. The 2004 list was updated in 2010, 2012, and 2014. See full prescribing information for CORLANOR. Slow-release. By default, do not crush also means that the drug is NOT to be halved, unless stated otherwise. DOCUSATE SODIUM C DOMPERIDONE 1. *NEW* "The Australian Don't Rush to Crush Handbook - options for people unable to swallow solid oral medicines." The list was compiled from information provided by four institutions that had generated lists of haz-ardous drugs for their respective institutions, as well as a list from the Pharmaceutical Re-search and Manufacturers of America (PhRMA). �k2L�d���Q�������j߻�BK�s�E�1X`R�(�1=?9/C��6T�������������[�H]N%�^�cQvEtJvl/7,NM��,�ip��_ż�,|Z${���4��pc�"��q�E�g�9�v��T��pH��ଽ�7�#5U�\�v����>$|��A�u������;z8��/��jW|�e����w�v�P�F�JZS�V�E"J!�'@Bً��ӮB����Y|�7:+�reW8uW"s��3��#�_*��y$�s �Ή����2��K� A common reason for crushing a tablet or capsule is for use by a hospitalized patient with an enteral feeding tube. Swallow the capsules whole with water; do not chew or crush them. !��=�]i���O+ M�� &��ct����z0���+vV`��\y�9���z�n��U-�NL��4{KY%+�r�� ' �R ����7�aq�. DO NOT CRUSH MEDICATIONS at SFGH Active Ingredient Drug Product Dosage Form Reasons/ Comments Acitretin Soriatane Capsule Teratogenj Alendronate Fosamax Tablet Mucous membrane irritant Aspirin EC h Bayer EC, Ecotrin Tablet/ Caplet Enteric coated, non EC tabs available Aspirin/dipyridamole Aggrenox Capsule Slow-release Do not crush granules. Intelence (etravirine) Tablet. n:\lchc_pharm\formulary management\formulary of drugs book\2019\7. BISACODYL Change to suppositories. a Not in children less than 3 months. ]FA��Ǔ"�ȥ�K�v�{��)/P -316/R 3/U(�"�\r����djO�24 )/V 2>> endobj 93 0 obj <> endobj 94 0 obj <> endobj 95 0 obj <>stream Nurses, patients, and others may not be aware that the dabigatran package insert states, “The oral bioavailability of dabigatran etexilate (PRADAXA) increases by 75% when the pellets are taken without the capsule shell compared to the intact capsule formulation. Sun Pharma is committed to providing a portfolio of alternative-formulation products designed to address the unmet needs of LTC residents who cannot or will not swallow solid medication forms. pregnant, should not handle crushed or broken tablets Proquin XR (ciprofloxicin) Tablet Slow-release Proscar Tablet Note: women who are, or may become, finasteride pregnant, should not handle crushed or broken tablets Protonix (pantoprazole) Tablet Slow-release … B 3. ... applicants who have applied for the central government’s ambitious housing scheme named pradhan mantri awas yojana list 2018 2019 can check for their name in pradhan mantri awas yojana list via online mode check line pradhan. DO NOT CRUSH LIST - (* Discontinued - this list is no longer being updated *) Contains a comprehensive list of medications that should not be crushed, the methods of administration of non crushable medications where possible as well as a list of suitable alternatives. Paroxetine is the most anticholinergic SSRI. This page consolidates the list of medications which are not to be crushed, but it is NOT exhaustive. medication-related falls • Principles of medication use in geriatrics 1. 4 0 obj Chronically catheterized residents in long-term care will always grow bacteria in their urine if you culture it (& this doesn’t necessarily mean an infection!) “Can I crush my drugs and put them in applesauce?” seems to be a common question for the community pharmacist. BEZAFIBRATE B Do not crush MR forms (Bezalip Mono™), change to equivalent dose of normal release tablet and crush (bezafibrate MR 400mg OD equivalent to bezafibrate 200mg TDS). H�z���a`bdx c`���ϴ�@� �b Invega (paliperidone) Tablet Tools/Toolkit. <> Do Not Open Pradaxa Capsules. Look for an updated list of medications that shouldn't be crushed at the Institute for Safe Medication Practices Web site: http://www.ismp.org/Tools/DoNotCrush.pdf. C 2. �ަ�z��E:�Y+S�z�l�E��;l�V�K_����e��o�,\׉ 8����Ɂ�.�kw�_������| �B@�FL��7��������"��1���=9!�J@6�0؁ɂ��,�!�f�X��EX{s�Jx�g�� . fentanyl* Transdermal patch: 12 micrograms/hr; 25 micrograms/hr; 50 q���2-{���wc¢�Xe���b? 1. �N���uH4�;>"�F�!�X���jH�" Sm�I.-�|C�����_��S��C���DC��a��c�~�l�ke�>��D=��?�`�� �����\9�fX���vSV5� �h���\^t��;�z{,�Ac� %PDF-1.6 %���� Slow-release. Note: tablet should be swallowed whole and not crushed; tablet may be dispersed in water. Inlyta (axitinib) Tablet. 3. Antineoplastic. A recent review in the American Journal of Health-System Pharmacy provides more details about administering medications in patients with enteral feeding tubes.2 <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 792 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> DIPYRIDAMOLE 1. �'�y��c�C۷;p�=�����Ʒ^��V��U7R�M��!IYr9��8*�+�=%J{��D��j��9+Os`�[*1e����T������2)�a!��"�¹�0i]6�;_�(�x�#��Q��U���r�`)��+�1��H��|�X_w0m� �f���[��^��>�yu� ��uʷ�rp%�i�s|k.^�HɄ�3A�*Q7�"рs�0�I�7�:������� S��R� S��q���5��F�z�[S����Q����_�EHC}����9~��dbB$��re�G!��� =uh 3u�e� )D�_gH�����6$%逑����(�W�h��U+U��W�/�;�E͓2�� C� �i�Jq����]�ǔ�ȟ�ϕX�SgsIjE�z�')�$�$q�.ɀ,q���͵e�h�@���i�$2�&�jE�Ӫ��~r|#��~ܪ�����Ot�^ who are, or may become, pregnant, should not handle crushed or broken tablets Kapidex dexlansoprazole Capsule Delayed‐release (a) Kapvay cloNIDine Tablet Extended‐release Kazano alogliptin / metFORMIN Tablet Note: not scored; no studies available from company endobj Its creator received a 2007 ISMP Cheers award. Slow-release capsules may be opened and granules dispersed in water. endobj The reason is certain medications have a special release mechanism designed to slowly release a certain amount of medication … <> Do not crush the pellets. 114 0 obj <>/Encrypt 92 0 R/Filter/FlateDecode/ID[<9C316512FA01DB64926B07496F4C98EF>]/Index[91 40]/Info 90 0 R/Length 105/Prev 229364/Root 93 0 R/Size 131/Type/XRef/W[1 2 1]>>stream stream �x@�ˈ�^���dž�$�D��"r���Qe�I4^��c 2 0 obj C 2. Do NOT crush these medications when crushing pills for medication administration. 3 0 obj Ismp Do Not Crush List 2019 Printable. Slow-release. 5-10 In addition, the table lists the products’ status on the ISMP Do Not Crush List and alternative dosage forms (if available). h�bbd``b`�@�1��$X׃�� BH�$��%�m�D���7 ���b�\� ma@�`��24 %%EOF To ensure that certain medications are used safely, this updated list includes oral medications that should not be crushed and specifies why. Use an … Doxy-50 Do not crush; contents are irritant to mucous membranes and may cause oesophageal ulceration if crushed. CORLANOR ® (ivabradine) tablets, for oral use CORLANOR ® (ivabradine) oral solution Initial U.S. Approval: 2015 -----­ •Indications and Usage (1.2) 04/2019 •Dosage and Administration (2.2) 04/2019 +�68G��G?�r��A.J�/�"$� - Do not crush (risk of sensitization, and taste is unacceptable for oral administration) cinacalcet Sensipar Tablet Note: tablets are not scored and cutting may cause variable dosage accuracy cloNIDine Kapvay Tablet Slow-release - Do not crush sustained-release product - Immediate-release tablet may disperse To evaluate the knowledge about medications that could or could not be crushed or split among a group of patients in the Monterrey metropolitan area, and make a list … !m�&;-}��zQA�ߏ�λ�_0'Z܃�H���x�`$�����{�m�ax����p~�j�/Ȍ|"KW�)����d1\ِ�}5���->�|H�,#�?��*_�d�:����z��Ѡ�_z2gV6��]1��p-�,a��'� �2�L]B� ��q��X?ߦsCBm6��U Inderal LA (propranolol) Capsule. x��]m�۶����:9� ��3���8M�i�=mg���%�|���Eҥq?��'�\�(]���NZb���`�����c�9f_~����|�m��^�������݋����x�ݿx����e�nw�W���_��^����[��,{���3��?����9�8+s"���r߾�����"�V��o�?�i��������g���T[���f�|�&{1Q������M��m�u�ZEQ�I�yQ2����]��ͧ5��U k�"�K3�_�*'Â|��>vU��_Y�����2є�9c�~��ٿ���?V�L�rQfe�s^)���6`�����]�}�e�g쒽�,����Ί��ʌ�.+i��:��?�?�����\�R���!{+e������G���6���;f����. �:��D�ͧJ�k��euH�#iY�@1R[�W94=si� �y]��p*A/N����Τd������.�l�� "B��@�+��Lg�a�=iun�vxe?�I_݆��[����Y��h��@�j���?��4d3�Rb@����H�u��o�����Ή=N���i�LC��|־yBz5v\��te�^T��n��(h�/��� �P��|� ptʭ��h�����I�M�ÇuC/ ȇ2֊NFS����@�?VΈ�SYS:��3������\[�Ă-�>��l�rE%B�'z�G�+1Z��r5������2d�s�WM^4H{�CLN��7?��ys����_�L�e��";�h��jG�e��}��G�^����A��d TW�7q��,y��A�Ó'u#�"���l�s����^]\�a2cE�ȼ��j��/��z|��i_�șZ. Do not take more or less of it or take it more often than prescribed by your doctor. Medications not to be crushed solely because of poor palatability have been excluded. paracetamol* Oral liquid: 120 mg/5 mL; 125 mg/5 mL. "���%ه���Yx���#�F�Ʃ� 2�b��Q���yO[���[2�/S(��HrKp/���hJ��U�s��Y/������P�"�x���^w�s{�WPش���T��y(3%���K*�_��0�9`���g��?�u�2�Ŗ:.�� �����ɨ����1�J�9k�~����8_֜f�����騱h��OI���p:�\�tHTb����5�z��rJ�-*��3�.�A�D��$!�2Z�?��~�w�ָ-*K�������&�gF[�&�+�6B�aW'�ޮ�(�nܕ��:���yg� z���ѷ��3�z�law�$��7��z�Z����\����� �Ew�9� Indomethacin is usually not preferred in older formulary of drugs (alph) pp6,31.docx Medication Brand Name Therapeutic Category Pharmacologic Category Package Size Preg Cat Safety in Lactation Crush/ Split Beers List Dose Adjust K=Kidney L=Liver Acetaminophen/Codeine Tab 300mg/30mg Tylenol With Codeine #3 ANALGESICS AND BICALUTAMIDE Tablets can be crushed, but are practically insoluble in water. may become, pregnant, should not handle crushed or broken tablets [l]) Janumet XR (combination) Tablet Slow-release Jentadueto XR (combination) Tablet Slow-release Kadian (morphine) Capsule Slow-release (a) (Note: do not give via NG tubes) Kaletra (combination) Tablet Film-coated Kaon-CL-10 (potassium) Tablet Slow-release (b) 2. }�j�W��InOVx�Kh5���9�?�^OR[�08�z;2`�Z. Take this quiz to test your knowledge of medication administration. <>>> These highlights do not include all the information needed to use CORLANOR safely and effectively. 0 Free full text (PDF) Related Resources. Approximately 40% of American adults cannot or will not swallow solid forms of medication. Suppository: 100 mg. Tablet: 100 mg to 500 mg. * Not recommended for anti-inflammatory use due to lack of proven benefit to that effect. THE FOLLOWING IS A LIST OF PRESCRIPTION AND NON-PRESCRIPTION DRUGS CONTAINING ASPIRIN, SALICYLATES AND/OR SALICYLAMIDES AND NON-STEROIDAL, ANTI-INFLAMMATORY AGENTS.