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[Crushing or opening medication: what practices, what risks?]

Camille Castel1, Pascale Lescure2, Sophie Le Soudier1

  • 1Service de pharmacie, CHU de Caen, 14033 Caen Cedex, France.

Revue De L'Infirmiere
|March 12, 2018
PubMed
Summary
This summary is machine-generated.

Crushing tablets or opening capsules without a prescription can harm treatment effectiveness and cause adverse events. This common practice, particularly among the elderly, has available safer alternatives.

Keywords:
administrationcrushed medicinedrug iatrogenesiselderly personiatrogénie médicamenteusemédicament écrasépersonne âgée

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Area of Science:

  • Pharmaceutical Sciences
  • Geriatric Medicine
  • Patient Safety

Background:

  • Improper medication administration, such as crushing tablets or opening capsules, poses risks.
  • A 2016 survey indicated this practice is prevalent, especially in elderly populations.
  • Non-compliance with prescribed medication forms can compromise therapeutic outcomes.

Purpose of the Study:

  • To highlight the risks associated with altering oral dosage forms.
  • To underscore the importance of adhering to prescribed medication formulations.
  • To inform healthcare providers and patients about available alternative dosage forms.

Main Methods:

  • Review of existing literature on medication administration.
  • Analysis of survey data from 2016 regarding medication practices.
  • Identification of alternative oral dosage forms.

Main Results:

  • Altering medication forms can lead to reduced efficacy or adverse drug events.
  • Elderly patients are identified as a high-risk group for this practice.
  • Prescription of alternative dosage forms is a viable solution.

Conclusions:

  • Healthcare providers should educate patients on the risks of altering medications.
  • Prescribing appropriate dosage forms can mitigate risks and improve patient safety.
  • Further research into patient adherence and the impact of alternative formulations is warranted.