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Related Experiment Video

Updated: Jun 11, 2026

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
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Oral medication administration: implications caused by capsule splitting.

Sarah Mae Caldwell1, Jacob R Raitt

  • 1Shenandoah University, Winchester, VA, USA.

Journal of the American Pharmacists Association : Japha
|July 13, 2010
PubMed
Summary

Splitting capsules for drug dosage is unreliable, as the capsule base consistently holds more powder than the top. This leads to unequal drug distribution, potentially resulting in inaccurate dosing for patients.

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Area of Science:

  • Pharmaceutical Sciences
  • Drug Delivery Systems
  • Dosage Form Design

Background:

  • Capsule splitting is a common practice for dose adjustment.
  • However, the accuracy and uniformity of drug distribution after splitting are not well-established.
  • This can lead to significant variability in patient dosing.

Purpose of the Study:

  • To investigate whether splitting gelatin capsules results in equal drug distribution between the two halves.
  • To determine the impact of capsule splitting on drug dosage accuracy.
  • To assess the weight uniformity of drug powder in split capsule halves.

Main Methods:

  • A descriptive, nonexperimental study was conducted involving 62 capsules of various sizes (#4 to #000).
  • Student pharmacists filled capsules with bulk powder, weighed them, and then split them.
  • The powder in each half of the split capsule was weighed, and statistical analyses were performed.

Main Results:

  • The weight of the powder in the capsule base was consistently greater than in the capsule top.
  • Capsule size #1 exhibited the most significant weight deviation between halves, while size #4 showed the least.
  • This indicates non-uniform drug distribution upon capsule splitting.

Conclusions:

  • Capsule splitting is not recommended due to inherent drug weight non-uniformity.
  • The base of the capsule contains a larger proportion of the drug powder compared to the top.
  • This study suggests patients may receive approximately 75% of the intended dose from the base and 25% from the top, compromising therapeutic efficacy.