Guidelines For Tablet Crushing and Administration Via Enteral Feeding Tubes PDF

NEEMMC GUIDELINES FOR TABLET CRUSHING AND ADMINISTRATION VIA ENTERAL FEEDING TUBES
KEY TO DRUG ADMINISTRATION GUIDELINES

Please follow the guidelines in order, as shown in the chart (i.e. number 1 is the first choice of which form to administer the drug in). A B C D E Tablet will disperse in 1-2 minutes. Tablet will disperse in greater than 2 minutes. Liquid preparation available. Dilute reconstituted injection with 30-60ml of water before administering. Oral solution/suspension can be prepared by local pharmacy or Non Sterile Preparative Services (PSU at Colchester General Hospital, Tel: 01206 745962).
Note: It is an unlicensed use to crush tablets, open capsules and make extemporaneous suspensions. However, using tablets within these guidelines is covered by the Trust for legal/vicarious liability. For more information on the administration via different tubes, please contact Medicines Information on ext. 2161.
Drug
ACETAZOLAMIDE
Key code
1. A 2. D
Information
Diamox 250mg tablets disintegrate very quickly in 10ml of water. Diamox injection 500mg can be given via a feeding tube. * Dispersible tablets available Caution: Alendronic acid tablets should only be crushed and dispersed in water if administered via a feeding tube, NOT orally (very irritant). Once-weekly formulation should be used. * Oral drops available (1 drop=100 nanograms). One-Alpha injection can be administered orally or via a feeding tube. Beware of sudden hypotensive effect if giving crushed tablets. Monitor BP and ensure patient is lying down prior to administering the dose. Do not crush slow release preparations.
ACICLOVIR ALENDRONIC ACID
1. C 2. A*
ALFACALCIDOL
1. C* 2. D
ALFUZOSIN
ALLOPURINOL ALVERINE AMILORIDE

A B C D E
1. B 2. E Content of capsules is very bitter, and might numb the tongue and throat. 1. B
Tablet will disperse in 1-2 minutes. Tablet will disperse in greater than 2 minutes. Liquid preparation available. Dilute reconstituted injection with 30-60ml of water before administering. Oral solution/suspension can be prepared by local pharmacy or Non Sterile Preparative Services (PSU at Colchester General Hospital).
Created by Colchester Medicines Information Author: Marie Clifton
-1-
Updated April 2010 Review April 2011
2. C* AMINOPHYLLINE
* Oral solution available. Convert to theophylline: Slo-Phyllin MR capsules can be opened and pellets can be taken orally or via a tube. Do not crush pellets. Tablets do not disperse readily but can be crushed and dispersed in water.
AMIODARONE AMITRIPTYLINE AMLODIPINE AMOXICILLIN ANASTROZOLE ARIPIPRAZOLE
B 1. C 2. B B C B B
Some excipients are insoluble in water and may float to the surface. Crush tablets, mix with water and take immediately.
(Bristol Myer Squibb information)
ASCORBIC ACID ASPIRIN ATENOLOL
A A 1. C 2. B B 1. 2. 1. 2. B
Effervescent tablets available. Convert enteric coated tablets to dispersible aspirin. Most tablets are film coated, which do not disperse readily in water. Film coat may clog tube. * Do not crush tablets. Cytotoxic, wear gloves.
ATORVASTATIN AZATHIOPRINE BACLOFEN BALSALAZIDE
A* E C B
Capsules can be opened and sprinkled in water or on food. Capsule contents will stain. B E B E Soluble tablets available. 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). Tablets can be crushed, but are practically insoluble in water. Tablets are enteric coated. Crushed tablets are very irritant. Use suppositories Some brands may need to be crushed. Also, capsules can be opened.
BENDROFLUMETHIAZIDE BENZHEXOL BETAHISTINE BETAMETHASONE BEZAFIBRATE
1. 2. C 1. 2. A B
BICALUTAMIDE BISACODYL BISOPROLOL BROMOCRIPTINE BUMETANIDE BUPROPION B A 1. B 2. D
Tablets are slow release and should not be crushed (increased risk of adverse effects including seizures).
(Ref. GlaxoSmithKline, Zyban SPCs, Jan 09)
BUSPIRONE
A B C D E
-2-
CABERGOLINE CALCIUM RESONIUM
B When mixed with water, the resulting paste is too thick to administer via a feeding tube. Rectal route should be used (dose 30g). Effervescent tablets available. Tablets need to be crushed. * Pharmacia and Mayne brands of injections can be administered orally.
CALCIUM SALTS CALCIUM FOLINATE
A 1. B 2. D* B 1. 2. 1. 2.
CANDESARTAN CAPTOPRIL CARBAMAZEPINE
B E C* A
CARVEDILOL CELECOXIB CETIRIZINE CHLORAL HYDRATE CHLORPHENAMINE CHLORPROMAZINE CICLOSPORIN
* Suspension may bind to PVC feeding tubes. Dilute in water to prevent this. Do not crush slow release preparations. Suppositories can be used for 7 days (when changing from oral to suppositories, the dose must be increased by 25%). Monitor blood pressure. Contents of capsule can be mixed with water, pudding or apple sauce.
C C 1. 2. 1. 2. C
C A C B*
CIMETIDINE
CINNARIZINE CIPROFLOXACIN
1. 2. 3. B 1. 2.
C* A D C* B
* Risk of sensitization. Wear gloves if crushing tablets. Interact with PVC feeding tubes, so dilute the dose in equal amount of water. Monitor plasma levels. Can be mixed with orange or apple juice to improve taste. * Stop enteral feed prior to administration. Flush tube before and after. Effervescent tablets available. * Do not dilute suspension further. Stop enteral feed prior to administration. Flush tube before and after. Drops available (4 drops=8mg liquid is equivalent to 10mg tablet). Suspension and sachets are available. Capsules can be opened and mixed with water or food.
CITALOPRAM CLARITHROMYCIN CLINDAMYCIN CLOBAZAM CLOMIFENE CLOMIPRAMINE CLONAZEPAM
1. C 2. B C
CLONIDINE
A B C D E
1. 2. B 1. 2. 1. 2. 3. 1.
A E
Ref. Wockhardt Medical Information
A E A C* E A (Catapres) B (Dixarit)
Capsules can be opened and contents mixed with water. * Unlicensed special.
* Dilute and administer Catapres injections.
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CLOPIDOGREL CLOZAPINE CO-AMILOFRUSE CO-AMILOZIDE CO-AMOXICLAV CO-CODAMOL CODEINE CO-BENELDOPA CO-CARELDOPA CO-DYDRAMOL
2. D* B E 1. 2. 1. 2. 1. 2. A C A A
Crush tablets and give with water or in food. Or change to amiloride liquid and furosemide liquid.
B E A E C A*
* Dispersible tablets available (not kept at CHUFT). Dispersible and effervescent tablets available.
Dispersible tablets available. Do not disperse slow-release tablets. No liquid/dispersible tablets available. Convert to dihydrocodeine liquid and paracetamol liquid.
CO-PHENOTROPE COLCHICINE CO-TRIMOXAZOLE CYCLIZINE CYCLOPHOSPHAMIDE DEMECLOCYCLINE DEXAMETHASONE DIAZEPAM
B A C B 1. E 2. D* B 1. 2. 1. 2. C B C* B
* Cytotoxic, wear gloves. Open capsule and disperse contents in water.
DICLOFENAC
*Interact with PVC feeding tube, so dilute dose of suspension with equivalent amount of water. Suppositories and injections available. Dispersible tablets available. Do not crush enteric-coated or slow-release tablets. Suppositories also available.
DIGOXIN DIHYDROCODEINE DILTIAZEM
1. 2. C 1. 2. 1. 2. 3. 4. C 1. 2. B 1. 2. 1.
C B B* E C B D E C B C B A * Open slow-release capsule and disperse content in water. Do not crush the pellets. Do not crush slow-release tablets. Tablets may be crushed. Slow-release capsules may be opened and granules dispersed in water. Do not crush granules. Suppositories are also available. Crush tablet before suspending in water Open capsule and disperse in water. Do not crush modified release tablets.
DIPYRIDAMOLE
DOCUSATE SODIUM DOMPERIDONE DONEPEZIL DOSULEPIN DOXAZOSIN

A B C D E
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2. E DOXEPIN DOXYCYCLINE A*
Change to normal release and increase the frequency to BD. Capsules may be opened and the contents mixed with water. * Dispersible tablets available. Do NOT open capsules as the contents are irritant.
ENALAPRIL ENTACAPONE EPLERENONE ERYTHROMYCIN
1. B 2. E B
ESCITALOPRAM
Caution: will stain surrounding objects orange. Wear gloves. Tablets can be crushed and mixed in apple sauce. (Ref. Pfizer) Erythromycin ethylsuccinate is the only liquid preparation available. When switching from erythromycin stearate tablets, the dose has to be doubled. Tablets can be crushed and dispersed in water, orange or apple juice. Bitter taste. To be taken immediately.
(Ref. Lundbeck Medical Information)
ETHAMBUTOL ETIDRONATE DISODIUM EZETIMIBE FERROUS SULPHATE
B B B B or:
Stop enteral feed 2 hours before and after administration. Flush tube before and after. Switch to sodium feredetate liquid Sytron (10ml equivalent to 200mg ferrous sulphate tablet). Modified release iron tablets should be changed to the equivalent normal release strength and dose first. Wear gloves- Not to be handled by women who are or might be pregnant. Tablets are very hard to crush.
FINASTERIDE FLAVOXATE FLECAINIDE FLUCLOXACILLIN FLUCONAZOLE FLUDROCORTISONE FLUOXETINE FLUPENTIXOL FLUVASTATIN FOLIC ACID FUROSEMIDE FUSIDIC ACID/ SODIUM FUSIDATE
A B C D E
B E B 1. A 2. E C C A C B
Stop enteral feed 30min to 1h before and after administration. Flush tube. Or capsules can be opened and contents mixed with water. Or capsules can be opened and dispersed in water. Open capsules and disperse in water. Do not open slow-release capsules
1. 2. 1. 2. C
C B C A 500mg sodium fusidate tablet is equivalent to 750mg oral suspension.
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GABAPENTIN GALANTAMINE
1. C 2. A
Open capsule and disperse in water. Tablets dissolve in water. Slow-release capsules can be opened and contents mixed with water, orange juice or yogurt. Do not crush.
(Ref. Shire Pharmaceuticals Ltd Medical Information)
GLIBENCLAMIDE GLICLAZIDE GLYCOPYRRONIUM GRANISETRON GRISEOFULVIN HALOPERIDOL HYDRALAZINE
HYDROCORTISONE HYDROXYCARBAMIDE
1. 2. 1. 2. 1. 2. 1. 2. E 1. 2. 1. 2. 3. 1. 2.
B E B E B D C B C B B D E A E
Monitor blood glucose levels. Monitor blood glucose levels. Tablets disperse in water. The injection can be given orally.
Tablets are not soluble in water. Or open capsule and disperse contents in water.
Capsules can be opened and contents dissolved in water. Take immediately. Caution: Cytotoxic wear gloves. 1. 2. 1. 2. 1. 2. D 1. 2. B 1. 2. C A B 1. 2. 1. 2. B C B E B E C B B D
HYDROXYCHLOROQUINE HYDROXYZINE HYOSCINE BUTYLBROMIDE HYOSCINE HYDROBROMIDE IBUPROFEN IMIPRAMINE INDAPAMIDE
Injection can be given orally, no dilution needed. Transdermal patches also available. Granules are available. * Do not crush enteric-coated preparations. Do not crush slow release formulations, change normal release (1.5mg SR OD is equivalent to 2.5mg OD). Suppositories are available. Practically insoluble in water. Crush tablets and give with water or in food.
C B* B E
INDOMETACIN INDORAMIN IRBESARTAN ISONIAZID ISOSORBIDE MONONITRATE
ISOSORBIDE DINITRATE ITRACONAZOLE

A B C D E
E C
Do not crush slow release formulations. Change to normal release preparations and increase frequency to BD. Monitor blood pressure. Patches are available. Or change to isosorbide mononitrate and crush tablets.
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LABETALOL LAMOTRIGINE LANSOPRAZOLE
1. B 2. D A A
LERCANIDIPINE
LEVAMISOLE LEVETIRACETAM
B 1. C 2. B
LEVOFLOXACIN
Dispersible tablets available. Oro-dispersible tablets available. Capsules can be opened and granules mixed with 8.4% sodium bicarbonate. Tablets do not dissolve in water. They can be broken into pieces and taken with food. Consider an alternative (amlodipine). Tablets can be crushed and mixed with water. Solution available is bitty and can clog tubes. Tablets can be crushed and dispersed in water or sprinkled on food. Taste bitter. Tablets can be given rectally. (Ref. UCB Pharma) Stop enteral feed prior to administration. Flush tube before and after. Do not use low doses.
LEVOMEPROMAZINE LEVOTHYROXINE LISINOPRIL LITHIUM
1. 2. 1. 2. 1. 2. C
A E B E A E
Tablets can be given rectally.
Tablets are slow release, so liquid preparation may have to be given more frequently. Monitor plasma lithium levels. Lithium carbonate 200mg= lithium citrate 509mg C B C B A D* E
LOFEPRAMINE LOPERAMIDE LORAZEPAM
LORATADINE LOSARTAN MAGNESIUM GLYCEROPHOSPHATE MEBEVERINE MEDROXYPROGESTERONE MEGESTROL MELATONIN MELOXICAM MESALAZINE
A B C D E
1. 2. 1. 2. 1. 2. 3. C A E 1. 2. 1. 2. B
Or open capsule and disperse contents in water. * Injection can be given sublingually.
C B B E Crush tablets as they are not easily soluble in water. Do not crush Circadin tablets. Suppositories are available and bioequivalent to tablets. * Pentasa tablets disperse in water to give MR granules. Do not crush Asacol
A A*
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METFORMIN
METHOTREXATE METHYLDOPA METOCLOPRAMIDE METOLAZONE METOPROLOL METRONIDAZOLE MIDAZOLAM MINOXIDIL MIRTAZAPINE MISOPROSTOL MONTELUKAST MORPHINE
1. 2. 3. C B 1. 2. 1. 2. 1. 2. 1. 2. 1. 2. A 1. 2. A
C B E
tablets, they are enteric-coated. Rectal preparations available. Sachets available. Monitor blood glucose levels. Cytotoxic wear gloves, handle with care.
C B B E E B C B C D A C
Do not crush slow release formulations. Suppositories also available. Injection can also be given rectally.
A 1. C 2. A*
Soltabs melt on the tongue. They also disperse in water. Poor stability. Consider changing to ranitidine or lansoprazole. Unstable in water, so give immediately. * MST Continuous sachets available. Do not crush slow release formulations. Zomorph and MXL capsules can be opened. Do not crush the granules. * Abidec (contains arachis oil) and Dalivit drops available. Do not crush tablets - teratogenic. Capsule contents can be used but can cause severe irritation/anaesthetic effect on oesophagus. Can be given via PEG or NG tube with plenty of water. Do not crush slow release or entericcoated formulations. Suppositories are available.
MOXONIDINE MULTIVITAMINS MYCOPHENOLATE MOFETIL NAFTIDROFURYL
A 1. C* 2. B C
NAPROXEN
1. B 2. E B E A B
NEFOPAM NEOSTIGMINE NICORANDIL NIFEDIPINE
NIMODIPINE NITRAZEPAM NITROFURANTOIN NIZATIDINE

A B C D E
1. 2. 1. 2. 1. 2. B
B* E C B B C
Crush or disperse Adalat Retard tablets in water and use immediately as lightsensitive. Do not crush Adalat LA tablets- convert to equivalent dose of Adalat retard. * Use immediately as very light-sensitive.
Do not crush slow release formulations. Open capsule and disperse contents in
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liquid. Consider changing to ranitidine liquid/effervescent. NORETHISTERONE OFLOXACIN OLANZAPINE B B 1. A * 2. B ** Consider switch to Ciprofloxacin (needs Micro approval). * Orodispersible tablets (Velotabs). ** Dissolve in water, apple and orange juice, milk, or coffee. Wear gloves as very irritant to skin. Protect eyes. (Ref. Lilly)) Capsule contents can be dissolved in WARM water. Contents stain. Losec Mups disintegrate into small granules. Losec capsules can be opened and the granules flushed down the enteral tube. Melt tablets available.
OLSALAZINE OMEPRAZOLE
B 1. B 2. E
ONDANSETRON ORPHENADRINE OSELTAMIVIR
1. 2. 1. 2. 1. 2.
C A C B C E
OXPRENOLOL OXYBUTYNIN OXYCODONE OXYTETRACYCLINE PANCREATIC ENZYMES
B 1. 2. C 1. 2. B
C B E B
Capsules can be opened and contents mixed with sweetened food product (chocolate syrup, honey, sugar dissolved in water, dessert toppings, sweetened condensed milk, apple sauce or yogurt) to mask the bitter taste. The mixture should be stirred and taken immediately. (Roche Ltd) Do not crush slow release preparations. Patches are also available. Controlled drug.
PARACETAMOL PAROXETINE PENICILLAMINE PENICILLIN
1. 2. 1. 2. B C
A C C B
Open capsule (Creon, Nutrizyme) and disperse contents in water. Granules must not be crushed. Dispersible tablets available. Suppositories also available.
Stop enteral feed prior to administration. Flush tube before and after. Avoid low doses.
PERGOLIDE PERINDOPRIL PHENELZINE PHENOBARBITAL PHENYTOIN
B A B 1. C 2. B C
Consider an alternative.
90mg phenytoin suspension is equivalent to 100mg tablet or capsule. Stop enteral feed 2 hours before and after administration. Flush tube with 60ml of water after phenytoin. Monitor plasma
A B C D E
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PHYTOMENADIONE (Vitamin K) PIMOZIDE PIOGLITAZONE PIROXICAM
1. B 2. D* B B A
concentration. * Use Konakion MM Paediatric injection and give orally. Tablets are relatively insoluble. Crush. Dispersible tablets available. Dissolve in at least 50ml of water as very irritant. Do not crush capsules. Sando K effervescent tablets available. Kay-Cee-L syrup available. Light sensitive, give immediately.
(Ref. Boehringer Ingelheim Ltd)
PIZOTIFEN POTASSIUM PRAMIPEXOLE PRAVASTATIN PRAZOSIN PREDNISOLONE PREGABALIN PRIMIDONE
C 1. A 2. C B B B A
Very poorly soluble in water. Dispersible tablets available. Open capsule and dissolve contents in water. Bitter taste. (Ref. Pfizer) A C E C A C B C B D C B
PROCHLORPERAZINE PROCYCLIDINE PROMETHAZINE
PROPRANOLOL
1. 2. 3. 1. 2. 1. 2. 1. 2. 3. 1. 2. A B 1. 2. 1. 2. B
Buccal tablets and suppositories available.
Do not crush slow release preparations. If converting from SR, give the total daily dose in 2 to 3 divided doses. Stop enteral feed half an hour before and after administration. Stop enteral feed prior to administration. Flush tube before and after.
PROPYLTHIOURACIL PYRAZINAMIDE PYRIDOSTIGMINE PYRIDOXINE QUETIAPINE
B E B E
Film-coated tablets are poorly soluble in water. Manufacturer recommends crushing and mixing in yogurt. (Ref. AstraZeneca)
QUININE SULPHATE RALTEGRAVIR RAMIPRIL
1. B 2. E B B
RANITIDINE RIFABUTIN RIFAMPICIN

A B C D E
1. C 2. B B C
(Ref. MSD Medical Information) Tablets can be crushed. Capsules can be opened and contents dispersed in water. Monitor blood pressure. Effervescent tablets available. Contents of capsule can be emptied in small amount of water and flavoured. Do not open capsules. Risk of contact sensitization.
- 10 -
RIFATER / RIFANAH
RILUZOLE
RISPERIDONE ROPINIROLE SALBUTAMOL SELEGILINE SENNA SERTRALINE
1. 2. B C 1. 2. 1. 2. 1. 2. B
C B
Use liquid form of each component separately (rifampicin, isoniazid and pyrazinamide). Rifater and Rifanah sachets can be imported via BR Pharma. Tablets can be crushed and given in a spoonful of sugar, food puree or yogurt. Crushed tablets can have an anaesthetic effect on the tongue. Orodispersible tablets available.
C B C B B E
Do not crush slow release tablets. Oral lyophilisates available for buccal administration.
Poorly soluble in water. Take immediately after crushing, maybe better in yogurt. Has an anaesthetic effect on the tongue. Capsules can be opened and contents mixed with water.
Ref. Focus Pharmaceuticals Ltd
SIMVASTATIN SODIUM BICARBONATE SODIUM VALPROATE SOLIFENACIN SOTALOL SPIRONOLACTONE
STALEVO
1. 2. A 1. 2. 1. 2. 3. B
C B B E C B E
Do not crush slow release tablets. Monitor plasma levels.

Ref. Astellas Pharma
SUCRALFATE
1. C 2. A 1. 2. 1. 2. 1. 2. C B C B C B
SULFASALAZINE SULPIRIDE TAMOXIFEN TAMSULOSIN MR
Tastes bitter and forms an orange dye which may stain. Can be mixed with orange, apple or tomato juice, honey, jam or yoghurt. (Ref. Orion Pharma) Stop enteral feed at least 1h prior to administration and for 1h after. Flush tube before and after. Do not crush enteric-coated or slow release tablets
Wear a mask if crushing tablets. Capsules can be opened and modifiedrelease granules mixed with water (not crushed). The mixture should be given immediately.
TELMISARTAN TEMAZEPAM TEMOZOLOMIDE

A B C D E
B 1. C 2. B
Schedule 3 controlled drug. Capsules can be opened and contents
- 11 -
THEOPHYLLINE
mixed with 30g apple sauce or apple juice. Appropriate precautions against toxic dust are recommended: wearing gloves and mask. (Ref. Schering Plough Ltd) To convert to liquid, divide the total daily dose by 3 and administer TDS. Stop enteral feed at least 1h prior to administration and for 2h after. Flush tube before and after. Monitor levels.
THIAMINE TOLBUTAMIDE TOLTERODINE TOPIRAMATE
1. B 2. E B A B
Tablets do not mix well with water when crushed. Tablets do not disperse readily in water as they are film-coated, but will disintegrate if shaken in 10ml of water for 5 minutes. Sprinkle capsules can be opened and contents mixed with soft food. Sachets, soluble and orodispersible tablets available. Capsules can be opened. Open capsules and disperse contents in water. Consider changing to lisinopril liquid.
TRAMADOL TRANDOLAPRIL TRANEXAMIC ACID
TRAZODONE TRIFLUOPERAZINE TRIMETHOPRIM URSODEOXYCHOLIC ACID VALPROATE SEMISODIUM
1. 2. 3. C C 1. 2. 1. 2.
B E D Capsules can be opened. Capsules can be opened. rd Avoid crushing risk of 3 party exposure to the powder.
C B B C
VALSARTAN VANCOMYCIN VENLAFAXINE 1. D 2. E B
Gastro-resistant tablets should not be crushed. If half tablet dose needed, take after food to minimise GI adverse effects. Open capsules and disperse contents in water. Monitor blood pressure.
VERAPAMIL
VIGABATRIN VITAMIN B COMPOUND VITAMIN E WARFARIN
1. 2. 3. 4. A B C 1. 2. A
C B D E
Tablets are water-soluble. MR capsules can be opened and sprinkled onto soft food. Do not crush slow release preparations. If changing form a slow release preparation, divide the dose into 3 equal daily doses. Sachets available.
B E
ZINC
A B C D E
Stop enteral feed at least 2h prior to administration and for 2h after. Flush tube before and after. Monitor INR closely. Effervescent tablets available.
- 12 -
ZOPICLONE
Crushed tablets have bitter taste.
KEY TO DRUG ADMINISTRATION GUIDELINES

Please follow the guidelines in order, as shown in the chart (i.e. number 1 is the first choice of which form to administer the drug in). A B C D E Tablet will disperse in 1-2 minutes. Tablet will disperse in greater than 2 minutes. Liquid preparation available. Dilute reconstituted injection with 30-60ml of water before administering. Oral solution/suspension can be prepared by local pharmacy or Non Sterile Preparative Services (PSU at Colchester General Hospital).
References 1. R. White, Handbook of Drug Administration via Enteral feeding Tubes, 2007. nd 2. The Royal Hospitals. Administering medicines Through Enteral Feeding Tubes, 2 ed. 3. Medicines for Children, 2003. th 4. Guys and St Thomas, Paediatric Formulary, 7 ed. 5. Non-Sterile Preparative Services. Extemporaneous products prepared by Prep. Services. October 2009.
A B C D E
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Guidelines For Tablet Crushing and Administration Via Enteral Feeding Tubes PDF

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NEEMMC GUIDELINES FOR TABLET CRUSHING AND ADMINISTRATION VIA ENTERAL FEEDING TUBES

KEY TO DRUG ADMINISTRATION GUIDELINES

ACICLOVIR ALENDRONIC ACID

ALLOPURINOL ALVERINE AMILORIDE

Created by Colchester Medicines Information Author: Marie Clifton

Updated April 2010 Review April 2011

AMIODARONE AMITRIPTYLINE AMLODIPINE AMOXICILLIN ANASTROZOLE ARIPIPRAZOLE

ASCORBIC ACID ASPIRIN ATENOLOL

ATORVASTATIN AZATHIOPRINE BACLOFEN BALSALAZIDE

BENDROFLUMETHIAZIDE BENZHEXOL BETAHISTINE BETAMETHASONE BEZAFIBRATE

BICALUTAMIDE BISACODYL BISOPROLOL BROMOCRIPTINE BUMETANIDE BUPROPION B A 1. B 2. D

Created by Colchester Medicines Information Author: Marie Clifton

Updated April 2010 Review April 2011

CABERGOLINE CALCIUM RESONIUM

CALCIUM SALTS CALCIUM FOLINATE

CANDESARTAN CAPTOPRIL CARBAMAZEPINE

CARVEDILOL CELECOXIB CETIRIZINE CHLORAL HYDRATE CHLORPHENAMINE CHLORPROMAZINE CICLOSPORIN

CITALOPRAM CLARITHROMYCIN CLINDAMYCIN CLOBAZAM CLOMIFENE CLOMIPRAMINE CLONAZEPAM

* Dilute and administer Catapres injections.

Created by Colchester Medicines Information Author: Marie Clifton

Updated April 2010 Review April 2011

CO-PHENOTROPE COLCHICINE CO-TRIMOXAZOLE CYCLIZINE CYCLOPHOSPHAMIDE DEMECLOCYCLINE DEXAMETHASONE DIAZEPAM

* Cytotoxic, wear gloves. Open capsule and disperse contents in water.

DIGOXIN DIHYDROCODEINE DILTIAZEM

DOCUSATE SODIUM DOMPERIDONE DONEPEZIL DOSULEPIN DOXAZOSIN

Created by Colchester Medicines Information Author: Marie Clifton

Updated April 2010 Review April 2011

ENALAPRIL ENTACAPONE EPLERENONE ERYTHROMYCIN

ETHAMBUTOL ETIDRONATE DISODIUM EZETIMIBE FERROUS SULPHATE

C B C A 500mg sodium fusidate tablet is equivalent to 750mg oral suspension.

Created by Colchester Medicines Information Author: Marie Clifton

Updated April 2010 Review April 2011

GLIBENCLAMIDE GLICLAZIDE GLYCOPYRRONIUM GRANISETRON GRISEOFULVIN HALOPERIDOL HYDRALAZINE

HYDROXYCHLOROQUINE HYDROXYZINE HYOSCINE BUTYLBROMIDE HYOSCINE HYDROBROMIDE IBUPROFEN IMIPRAMINE INDAPAMIDE

INDOMETACIN INDORAMIN IRBESARTAN ISONIAZID ISOSORBIDE MONONITRATE

ISOSORBIDE DINITRATE ITRACONAZOLE

Created by Colchester Medicines Information Author: Marie Clifton

Updated April 2010 Review April 2011

LABETALOL LAMOTRIGINE LANSOPRAZOLE

LEVOMEPROMAZINE LEVOTHYROXINE LISINOPRIL LITHIUM

Tablets can be given rectally.

LOFEPRAMINE LOPERAMIDE LORAZEPAM

Created by Colchester Medicines Information Author: Marie Clifton

Updated April 2010 Review April 2011

MOXONIDINE MULTIVITAMINS MYCOPHENOLATE MOFETIL NAFTIDROFURYL

NEFOPAM NEOSTIGMINE NICORANDIL NIFEDIPINE

NIMODIPINE NITRAZEPAM NITROFURANTOIN NIZATIDINE

Created by Colchester Medicines Information Author: Marie Clifton

Updated April 2010 Review April 2011

ONDANSETRON ORPHENADRINE OSELTAMIVIR

OXPRENOLOL OXYBUTYNIN OXYCODONE OXYTETRACYCLINE PANCREATIC ENZYMES

PARACETAMOL PAROXETINE PENICILLAMINE PENICILLIN

PERGOLIDE PERINDOPRIL PHENELZINE PHENOBARBITAL PHENYTOIN

Created by Colchester Medicines Information Author: Marie Clifton

Updated April 2010 Review April 2011

PHYTOMENADIONE (Vitamin K) PIMOZIDE PIOGLITAZONE PIROXICAM

PIZOTIFEN POTASSIUM PRAMIPEXOLE PRAVASTATIN PRAZOSIN PREDNISOLONE PREGABALIN PRIMIDONE

PROCHLORPERAZINE PROCYCLIDINE PROMETHAZINE

Buccal tablets and suppositories available.

PROPYLTHIOURACIL PYRAZINAMIDE PYRIDOSTIGMINE PYRIDOXINE QUETIAPINE

QUININE SULPHATE RALTEGRAVIR RAMIPRIL

RANITIDINE RIFABUTIN RIFAMPICIN