Why Should Drugs Not Be Crushed?

What happens if you crush a pill that says do not crush?

Some tablets, pills and capsules don’t work properly or may be harmful if they’re crushed or opened.

They may need to be swallowed whole because: they’re designed to release medicine slowly into your body over time and crushing them could cause an overdose..

What to do if you can’t swallow pills?

Fill a plastic water or soda bottle with water. Put the tablet on your tongue and close your lips tightly around the bottle opening. Take a drink, keeping contact between the bottle and your lips and using a sucking motion to swallow the water and pill. Don’t let air get into the bottle.

Is it good practice to crush medication?

Crushing or opening modified or slow-release drug capsules will cause the drug to be released all at once and could cause side-effects. Cytotoxic drugs or hormones should never be crushed or the capsules opened as exposure to the powder can be harmful (BAPEN, 2004).

Is it OK to crush ibuprofen?

Swallow the tablet whole. Do not break, crush, divide, or chew it. This medicine contains ibuprofen.

Can you crush aspirin 81 mg?

Take with food if aspirin upsets your stomach. You must chew the chewable tablet before you swallow it. Do not crush, chew, break, or open an enteric-coated or delayed/extended-release pill. Swallow the pill whole.

Can you crush up acetaminophen?

Do not crush or chew extended-release tablets. Doing so can release all of the drug at once, increasing the risk of side effects. Also, do not split the tablets unless they have a score line and your doctor or pharmacist tells you to do so. Swallow the whole or split tablet without crushing or chewing.

What happens if you crush a sustained release tablet?

Sustained-release drugs also should not be crushed or chewed before swallowing because doing so will cause the dangerously rapid absorption of a large dose that was intended to be released slowly over many hours.

Why should some medications not be crushed?

Some medicines should not be crushed because this will alter the absorption or stability of the medicine or it may cause a local irritant effect or unacceptable taste. Sometimes the exposure of powder from crushing medicines may cause occupational health and safety risks to staff.

What meds Cannot be crushed?

Additional InformationWarfarin (Coumadin)Lovenox (enoxaparin)Methotrexate (Rheumatrex, Trexal)Fentanyl Patch (Duragesic)Hydrocodone with Acetaminophen (Vicodin, Lorcet)Oxycodone with Acetaminophen (Percocet, Roxicet)Apidra (insulin glulisine)Humalog (insulin lispro)More items…

Can delayed release tablets be crushed?

The majority of extended-release products should not be crushed or chewed, although there are some newer slow-release tablet formulations available that are scored and can be divided or halved (e.g., Toprol XL).

Can you crush immediate release?

Slow-release; Note: crushing, chewing, or dissolving tablets can cause rapid release and absorption of a potentially fatal dose.

What happens if you crush extended release?

Extended-release preparations are another category of drugs that should not be modified in any way prior to administration. If you crush or cut extended-release medications that are intended to remain intact, the patient initially receives an overdose.