Info sources: Crushing tablets and opening capsules

Last updated: February 17, 2020

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NEWT guidelines – subscription needed; guidance on administering medicines to patients with swallowing problems
Handbook of Drug Administration via Enteral Feeding Tubes – full text free to RPS members (log on to view).
SPS – drug choice for patients who can't swallow tablets/capsules, including dispersing tablets in water and choosing alternatives. Also injections that can be given orally and monitoring or dose changes required when switching between tablets/capsules and oral liquids.
Colchester Hospital University NHS Trust – hospital guideline describing tablets that can be crushed or dispersed in water to give down enteral tubes; last updated in 2018.
Medicines for Children – advice on giving certain medicines, including to kids who can't swallow. Some advice may be suitable for adults.
EMC – Occasionally an SmPC for a medicine will give the manufacturer's advice about crushing tablets or opening capsules