|
Oral Dosage Forms That Should Not Be Crushed |
|
|
|
|
|
| Drug Product |
Dosage Forms |
Reasons/Comments |
|
| Aciphex |
Tablet |
Slow release |
|
| Accutane |
Capsule |
Mucous membrane irritant |
|
| Actifed
12 Hour |
Capsule |
Slow release† |
|
| Acutrim
(various) |
Tablet |
Slow release |
|
| Adalat
CC |
Tablet |
Slow release |
|
| Adderall
XL |
Capsule |
Slow release* |
|
| Advicor |
Tablet |
Slow release |
|
| Aerolate SR, JR, III |
Capsule |
Slow release*† |
|
| Allegra-D |
Tablet |
Slow release |
|
| Allerest
12 Hour |
Capsule |
Slow release |
|
| Altocor |
Tablet |
Slow release |
|
| Artane
Sequels |
Capsule |
Slow release*† |
|
| Arthritis Bayer |
Time Release Capsule |
Slow release |
|
| Arthrotec |
Tablet |
Enteric-coated |
|
| ASA
Enseals |
Tablet |
Enteric-coated |
|
| Asacol |
Tablet |
Slow release |
|
| Ascriptin
A/D |
Tablet |
Enteric-coated |
|
| Ascriptin
Extra Strength |
Tablet |
Enteric-coated |
|
| Atrohist
LA |
Tablet |
Slow release† |
|
| Atrohist
Plus |
Tablet |
Slow release† |
|
| Atrohist
Pediatric |
Capsule |
Slow release *† |
|
| Augmentin
XR |
Tablet |
Slow release |
|
| Avinza |
Capsule |
Slow release* |
|
| Azulfidine
EN-tabs |
Tablet |
Enteric-coated |
|
| Baros |
Tablet |
Effervescent Tablet¶ |
|
| Bayer
Low Adult 81mg Strength |
Tablet |
Enteric-coated |
|
| Bayer
Regular Strength 325mg Caplet |
Caplet |
Enteric-coated |
|
| Bayer Enteric-Coated |
Caplet |
Enteric-coated |
|
| Caplets |
|
| Betachron |
Capsule |
Slow release |
|
| Betapen-VK |
Tablet |
Taste¤ |
|
| Biaxin-XL |
Tablet |
Slow release |
|
| Biltricide |
Tablet |
Taste |
|
| Bisacodyl |
Tablet |
Enteric-coated‡ |
|
| Bontril
SR |
Capsule |
Slow release |
|
| Breonesin |
Capsule |
Slow release† |
|
| Brexin
LA |
Capsule |
Slow release |
|
| Calan
SR |
Tablet |
Slow release†† |
|
| Cama Arthritis Pain |
Tablet |
Multiple compressed tablet |
|
| Reliever |
|
| Carbatrol |
Capsule |
Slow release* |
|
| Carbiset-TR |
Tablet |
Slow release |
|
| Cardene
SR |
Capsule |
Slow release |
|
| Cardizem |
Tablet |
Slow release |
|
| Cardizem
CD |
Capsule |
Slow release* |
|
| Cardizem
SR |
Capsule |
Slow release* |
|
| Carter's
Little Pills |
Tablet |
Enteric-coated |
|
| CartiaXT |
Capsule |
Slow release |
|
| Ceclor
CD |
Tablet |
Slow release |
|
| Ceftin |
Tablet |
Taste† (Note: Use suspension for children.) |
|
| CellCept |
Capsule, Tablet |
Teratogenic potential‡‡ |
|
| Charcoal
Plus |
Tablet |
Enteric-coated |
|
| Chloral Hydrate |
Capsule |
Note: Product
is in liquid form within a special |
|
| capsule.† |
|
| Chlor-Trimeton
12-Hour |
Tablet |
Slow release† |
|
| Choledyl
SA |
Tablet |
Slow release† |
|
| Cipro |
Tablet |
Taste¤ |
|
| Claritin-D |
Tablet |
Slow release |
|
| Claritin-D
24-Hour |
Tablet |
Slow release |
|
| Codimal-LA |
Capsule |
Slow release |
|
| Codimal
LA Half |
Capsule |
Slow release |
|
| Colace |
Capsule |
Taste¤ |
|
| Colestid |
Tablet |
Slow release |
|
| Comhist
LA |
Capsule |
Slow release* |
|
| Compazine Spansule |
Capsule |
Slow release† |
|
| Concerta |
Tablet |
Slow release |
|
| Condrin-LA |
Tablet |
Slow release |
|
| Congress
SR, JR |
Capsule |
Slow release |
|
| Contac
12-Hour |
Capsule |
Slow release*† |
|
| Contac
Maximum Strength |
Capsule |
Slow release*† |
|
| Cotazym
S |
Capsule |
Enteric-coated* |
|
| Covera-HS |
Tablet |
Slow release |
|
| Creon
10, 20, 25 |
Capsule |
Enteric-coated* |
|
| Cystospaz-M |
Capsule |
Slow release |
|
| Cytoxan |
Tablet |
Note: Drug may
be crushed but maker recommends |
|
| using
injection. |
|
| Cytovene |
Capsule |
Skin irritant |
|
| D.A. II |
Tablet |
Slow release†† |
|
| Dallergy |
Capsule |
Slow release |
|
| Dallergy-D |
Capsule |
Slow release |
|
| Dallergy-JR |
Capsule |
Slow release |
|
| Deconamine
SR |
Capsule |
Slow release† |
|
| Defen-LA |
Tablet |
Slow release†† |
|
| Depakene |
Capsule |
Slow release, mucous membrane
irritant† |
|
| Depakote |
Capsule |
Enteric-coated |
|
| Desoxyn
Gradumets |
Tablet |
Slow release |
|
| Desyrel |
Tablet |
Taste¤ |
|
| Detrol
LA |
Capsule |
Slow release |
|
| Dexatrim
Extented Duration |
Tablet |
Slow release |
|
| Dexedrine
Spansule |
Capsule |
Slow release |
|
| Diamox
Sequels |
Capsule |
Slow release |
|
| Dilacor
XR |
Capsule |
Slow release |
|
| Dilatrate-SR |
Capsule |
Slow release |
|
| Disobrom |
Tablet |
Slow release |
|
| Disophrol
Chronotab |
Tablet |
Slow release |
|
| Dital |
Capsule |
Slow release |
|
| Ditropan
XL |
Tablet |
Slow release |
|
| Dolobid |
Tablet |
Irritant |
|
| Donnatal
Extentab |
Tablet |
Slow release† |
|
| Donnazyme |
Tablet |
Enteric-coated |
|
| Drisdol |
Capsule |
Liquid filled§ |
|
| Drixoral |
Tablet |
Slow release† |
|
| Drixoral
Plus |
Tablet |
Slow release |
|
| Dulcolax |
Tablet |
Enteric-coated‡ |
|
| Duratuss
GP |
Tablet |
Slow release†† |
|
| Dura-Vent/A |
Tablet |
Slow release†† |
|
| Dura-Vent/DA |
Tablet |
Slow release†† |
|
| Dynabac |
Tablet |
Enteric-coated |
|
| DynaCirc
CR |
Tablet |
Slow release |
|
| E-Mycin |
Tablet |
Enteric-coated |
|
| E.E.S.
400 |
Tablet |
Enteric-coated† |
|
| Easprin |
Tablet |
Enteric-coated |
|
| EC-Naprosyn |
Tablet |
Enteric-coated |
|
| Ecotrin Adult Low |
Tablet |
Enteric-coated |
|
| Strength |
|
| Ecotrin Maximum |
Tablet |
Enteric-coated |
|
| Strength |
|
| Ecotrin Regular |
Tablet |
Enteric-coated |
|
| Strength |
|
| Effexor
XR |
Capsule |
Slow release |
|
| Efidac/24 |
Tablet |
Slow release |
|
| Efidac/24 |
Tablet |
Slow release |
|
| Chlorpheniramine |
|
| Endafed |
Capsule |
Slow release |
|
| Entex
LA |
Tablet |
Slow release† |
|
| Entex
PSE |
Tablet |
Slow release |
|
| Entocort
EC |
Capsule |
Enteric-coated |
|
| Equanil |
Tablet |
Taste¤ |
|
| Ergomar |
Tablet |
Sublingual form** |
|
| Ery-Tab |
Tablet |
Enteric-coated |
|
| Eryc |
Capsule |
Enteric-coated* |
|
| Erythrocin
Stearate |
Tablet |
Enteric-coated |
|
| Erythromycin
Base |
Tablet |
Enteric-coated |
|
| Eskalith
CR |
Tablet |
Slow release |
|
| Exgest
LA |
Tablet |
Slow release |
|
| Extendryl
JR |
Capsule |
Slow release |
|
| Extendryl
S-R |
Capsule |
Slow release† |
|
| Fe 50 |
Tablet |
Slow release |
|
| Fedahist
Gyrocaps |
Capsule |
Slow release† |
|
| Fedahist
Timecaps |
Capsule |
Slow release† |
|
| Feldene |
Capsule |
Mucous membrane irritant |
|
| Feocyte |
Tablet |
Slow release |
|
| Feosol |
Tablet |
Enteric-coated† |
|
| Feosol
Spansule |
Capsule |
Slow release*† |
|
| Feratab |
Tablet |
Enteric-coated† |
|
| Fergon |
Capsule |
Slow release* |
|
| Fero-Grad
500 mg |
Tablet |
Slow release |
|
| Ferro-Sequels |
Tablet |
Slow release |
|
| Feverall
Sprinkle |
Capsule |
Taste* (Note: Capsule
contents intended to be placed in a teaspoonful of water or soft food.) |
|
| Flomax |
Capsule |
Slow release |
|
| Fosamax |
Tablet |
Mucous membrane irritant |
|
| Fumatinic |
Capsule |
Slow release |
|
| Gastrocrom |
Capsule |
Note: Contents
may be dissolved in water for |
|
| administration |
|
| Geocillin |
Tablet |
Taste |
|
| Glucophage
XR |
Tablet |
Slow release |
|
| Glucotrol
XL |
Tablet |
Slow release |
|
| Gris-Peg |
Tablet |
Note: Crushing
may result in precipitation as larger |
|
| particles |
|
| Guaifed |
Capsule |
Slow release |
|
| Guaifed
- PD |
Capsule |
Slow release |
|
| Guaifenex
LA |
Tablet |
Slow release†† |
|
| Guaifenex
PPA |
Tablet |
Slow release |
|
| Guaifenex
PSE |
Tablet |
Slow release†† |
|
| Guaimax-D |
Tablet |
Slow release |
|
| Humabid
DM |
Tablet |
Slow release |
|
| Humabid
DM |
Sprinkle Capsule |
Slow release* |
|
| Humabid
LA |
Tablet |
Slow release |
|
| Humabid |
Sprinkle Capsule |
Slow release* |
|
| Hydergine L-C |
Capsule |
Note: Product
is in liquid form within a special |
|
| capsule.† |
|
| Iberet |
Tablet |
Slow release† |
|
| Iberet
500 |
Tablet |
Slow release† |
|
| ICaps
Plus |
Tablet |
Slow release |
|
| ICaps |
Time Release Tablet |
Slow release |
|
| Ilotycin |
Tablet |
Enteric-coated |
|
| Imdur |
Tablet |
Slow release†† |
|
| Inderal
LA |
Capsule |
Slow release |
|
| Inderide
LA |
Capsule |
Slow release |
|
| Indocin
SR |
Capsule |
Slow release*† |
|
| Ionamin |
Capsule |
Slow release |
|
| Isoptin
SR |
Tablet |
Slow release |
|
| Isordil
Sublingual |
Tablet |
Sublinqual form** |
|
| Isordil
Tembid |
Tablet |
Slow release |
|
| Isosorbide
Dinitrate Sublingual |
Tablet |
Sublingual form** |
|
| Isosorbide
SR |
Tablet |
Slow release |
|
| K + 8 |
Tablet |
Slow release† |
|
| K + 10 |
Tablet |
Slow release† |
|
| K-Dur |
Tablet |
Slow release |
|
| K-Lease |
Capsule |
Slow release*† |
|
| K-Lyte |
Tablet |
Effervescent tablet¶ |
|
| K-Lyte
CL |
Tablet |
Effervescent tablet¶ |
|
| K-Lyte
DS |
Tablet |
Effervescent tablet¶ |
|
| K-Norm |
Capsule |
Slow release |
|
| K-Tab |
Tablet |
Slow release† |
|
| Kadian |
Capsule |
Slow release* |
|
| Kaon CL |
Tablet |
Slow release† |
|
| Klor-Con |
Tablet |
Slow release† |
|
| Klotrix |
Tablet |
Slow release† |
|
| Levbid |
Tablet |
Slow release†† |
|
| Levsinex
Timecaps |
Capsule |
Slow release |
|
| Lexxel |
Tablet |
Slow release |
|
| Lithobid |
Tablet |
Slow release |
|
| Lodine-XL |
Tablet |
Slow release |
|
| Lodrane
LD |
Capsule |
Slow release* |
|
| Mag-Tab
SR |
Tablet |
Slow release |
|
| Mestinon
Timespan |
Tablet |
Slow release† |
|
| Metadate |
Capsule |
Slow release |
|
| Mi-Cebrin |
Tablet |
Enteric-coated |
|
| MI-Cebrin
T |
Tablet |
Enteric-coated |
|
| Micro K |
Capsule |
Slow release*† |
|
| Monafed |
Tablet |
Slow release |
|
| Monafed
DM |
Tablet |
Slow release |
|
| Motrin |
Tablet |
Taste¤ |
|
| MS
Contin |
Tablet |
Slow release† |
|
| Muco-Fen-DM |
Tablet |
Slow release†† |
|
| Muco-Fen-LA |
Tablet |
Slow release†† |
|
| Naldecon |
Tablet |
Slow release† |
|
| Naprelan |
Tablet |
Slow release |
|
| Nasatab
LA |
Tablet |
Slow release†† |
|
| Nexium |
Capsule |
Slow release* |
|
| Nicotinic
Acid |
Capsule, Tablet |
Slow release |
|
| Nitro-Time |
Capsule |
Slow release |
|
| Nitroglyn |
Capsule |
Slow release* |
|
| Nitromed |
Tablet |
Slow release |
|
| Nitrong |
Tablet |
Sublingual route** |
|
| Nitrostat |
Tablet |
Sublingual route** |
|
| Nolamine |
Tablet |
Slow release |
|
| Nolex
LA |
Tablet |
Slow release |
|
| Norflex |
Tablet |
Slow release |
|
| Norpace
CR |
Capsule |
Slow release form within a
special capsule. |
|
| Ondrox |
Tablet |
Slow release |
|
| Optilets
500 |
Tablet |
Enteric-coated |
|
| Optilets-M
500 |
Tablet |
Enteric-coated |
|
| Oragrafin |
Capsule |
Note: Product
is in liquid form within a special |
|
| capsule. |
|
| Oramorph
SR |
Tablet |
Slow release† |
|
| Ornade
Spansule |
Capsule |
Slow release |
|
| OxyContin |
Tablet |
Slow release |
|
| Pabalate |
Tablet |
Enteric-coated |
|
| Pabalate
SF |
Tablet |
Enteric-coated |
|
| Pancrease |
Capsule |
Enteric-coated* |
|
| Pancrease
MT |
Capsule |
Enteric-coated* |
|
| Panmist
Jr, LA |
Tablet |
Slow release†† |
|
| Panmycin |
Capsule |
Taste |
|
| Pannaz |
Tablet |
Slow release†† |
|
| Papaverine
Sustained Action |
Capsule |
Slow release |
|
| Pathilon
Sequels |
Capsule |
Slow release* |
|
| Pavabid
Plateau |
Capsule |
Slow release* |
|
| Paxil
CR |
Tablet |
Slow release |
|
| PBZ-SR |
Tablet |
Slow release† |
|
| Pentasa |
Tablet |
Slow release |
|
| Perdiem |
Granules |
Wax coated |
|
| Peritrate
SA |
Tablet |
Slow release†† |
|
| Permitil
Chronotab |
Tablet |
Slow release† |
|
| Phazyme |
Tablet |
Slow release |
|
| Phazyme
95, 125 |
Tablet |
Slow release |
|
| Phenergan |
Tablet |
Taste‡ |
|
| Phyllocontin |
Tablet |
Slow release |
|
| Plendil |
Tablet |
Slow release |
|
| Pneumomist |
Tablet |
Slow release†† |
|
| Polaramine
Repetabs |
Tablet |
Slow release† |
|
| Prelu-2 |
Capsule |
Slow release |
|
| Prevacid |
Capsule |
Slow release |
|
| Prevacid
Suspension |
Suspension |
Slow release (Note:
Contains enteric-coated granules.) |
|
| Prilosec |
Capsule |
Slow release |
|
| Pro-Banthine |
Tablet |
Taste |
|
| Procainmide
HCL SR |
Tablet |
Slow release |
|
| Procanbid |
Tablet |
Slow release |
|
| Procardia |
Capsule |
Delays absorption†¤ |
|
| Procardia
XL |
Tablet |
Slow release
(Note: AUC is unaffected) |
|
| Profen
II |
Tablet |
Slow release†† |
|
| Profen-LA |
Tablet |
Slow release†† |
|
| Pronestyl
SR |
Tablet |
Slow release |
|
| Propecia |
Tablet |
Note: Women
who are, or may become, pregnant, |
|
| should
not handle crushed or broken tablets. |
|
| Proscar |
Tablet |
Note: Women
who are, or may become, pregnant, |
|
| should
not handle crushed or broken tablets. |
|
| Protonix |
Tablet |
Slow release |
|
| Proventil
Repetabs |
Tablet |
Slow release† |
|
| Prozac |
Capsule |
Slow release* |
|
| Pytest |
Capsule |
Note: radiopharmaceutical |
|
| Quibron-T
SR |
Tablet |
Slow release† |
|
| Quin-Release |
Tablet |
Slow release |
|
| Quinaglute
Dura-Tabs |
Tablet |
Slow release |
|
| Quinidex
Extentabs |
Tablet |
Slow release |
|
| Respa-1st |
Tablet |
Slow release†† |
|
| Respa-DM |
Tablet |
Slow release†† |
|
| Respa-GF |
Tablet |
Slow release†† |
|
| Respahist |
Capsule |
Slow release* |
|
| Respaire
SR |
Capsule |
Slow release |
|
| Respbid |
Tablet |
Slow release |
|
| Ritalin
SR |
Tablet |
Slow release |
|
| Robimycin |
Tablet |
Enteric-coated |
|
| Rondec
TR |
Tablet |
Slow release† |
|
| Ru-Tuss
DE |
Tablet |
Slow release |
|
| Sinemet
CR |
Tablet |
Slow release |
|
| Singlet
for Adults |
Tablet |
Slow release |
|
| Slo-Bid
Gyrocaps |
Capsule |
Slow release* |
|
| Slo-Niacin |
Tablet |
Slow release†† |
|
| Slo-Phyllin
GG |
Capsule |
Slow release† |
|
| Slo-Phyllin
Gyrocaps |
Capsule |
Slow release*† |
|
| Slow-FE |
Tablet |
Slow release† |
|
| Slow-FE
with Folic Acid |
Tablet |
Slow release |
|
| Slow-K |
Tablet |
Slow release† |
|
| Slow-Mag |
Tablet |
Slow release |
|
| Sorbitrate
SA |
Tablet |
Slow release |
|
| Sorbitrate
Sublingual |
Tablet |
Sublingual route |
|
| S-P-T |
Capsule |
Note: Liquid
gelatin thyroid suspension. |
|
| Sudafed
12 hour |
Capsule |
Slow release† |
|
| Sudal
60/500 |
Tablet |
Slow release |
|
| Sudal
120/600 |
Tablet |
Slow release |
|
| Sudex |
Tablet |
Slow release†† |
|
| Sular |
Tablet |
Slow release |
|
| Sustaire |
Tablet |
Slow release† |
|
| Syn-RX |
Tablet |
Slow release |
|
| Syn-RX
DM |
Tablet |
Slow release |
|
| T-Phyl |
Tablet |
Slow release |
|
| Tavist-D |
Tablet |
Multiple compressed tablet |
|
| Teczam |
Tablet |
Slow release |
|
| Tedral
SA |
Tablet |
Slow release† |
|
| Tegretol-XR |
Tablet |
Slow release |
|
| Teldrin
Maximum Strength |
Capsule |
Slow release* |
|
| Temodar |
Capsule |
Note: If
capsules are accidentally opened or |
|
| damaged,
rigorous precautions should be taken with the capsule contents to avoid
inhalation or contact |
|
| with the
skin or mucous membranes.‡‡ |
|
| Tepanil
Ten-Tab |
Tablet |
Slow release |
|
| |
|
|
|
| Tessalon
Perles |
Capsule |
Slow release |
|
| Theo-24 |
Tablet |
Slow release† |
|
| Theo-Dur |
Tablet |
Slow release† |
|
| Theo-Dur
Sprinkle |
Capsule |
Slow release*† |
|
| Theo-Sav |
Tablet |
Slow release†† |
|
| Theo-Span-SR |
Capsule |
Slow release |
|
| Theo-Time
SR |
Tablet |
Slow release |
|
| Theo-X |
Tablet |
Slow release |
|
| Theobid
Duracaps |
Capsule |
Slow release*† |
|
| Theochron |
Tablet |
Slow release |
|
| Theoclear
LA |
Capsule |
Slow release† |
|
| Theolair
SR |
Tablet |
Slow release† |
|
| Theovent |
Capsule |
Slow release† |
|
| Thorazine
Spansule |
Capsule |
Slow release |
|
| Tiamate |
Tablet |
Slow release |
|
| Tiazac |
Capsule |
Slow release |
|
| Topamax |
Tablet, Capsule* |
Taste* |
|
| Toprol
XL |
Tablet |
Slow release†† |
|
| Touro
A&D |
Capsule |
Slow release |
|
| Touro
EX |
Tablet |
Slow release |
|
| Touro
LA |
Tablet |
Slow release |
|
| Trental |
Tablet |
Slow release |
|
| Tri-Phen-Chlor
Time Released |
Tablet |
Slow release |
|
| Tri-Phen-Mine
SR |
Tablet |
Slow release |
|
| Triaminic |
Tablet |
Enteric-coated† |
|
| Triaminic
12 |
Tablet |
Slow release† |
|
| Triaminic
TR |
Tablet |
Multiple compressed tablet† |
|
| Triptone |
Tablet |
Slow release |
|
| Tuss LA |
Tablet |
Slow release |
|
| Tuss
Ornade Spansule |
Capsule |
Slow release |
|
| Tylenol
Extended Relief |
Capsule |
Slow release |
|
| ULR-LA |
Tablet |
Slow release |
|
| Ultrase |
Capsule |
Enteric-coated* |
|
| Ultrase
MT |
Capsule |
Enteric-coated* |
|
| Urocit-K |
Tablet |
Wax-coated |
|
| Uni-Dur |
Tablet |
Slow release |
|
| Uniphyl |
Tablet |
Slow release |
|
| Verelan |
Capsule |
Slow release* |
|
| Videx
EC |
Capsule |
Slow release |
|
| Volmax |
Tablet |
Slow release |
|
| Wellbutrin
SR |
Tablet |
Anesthetize mucous membrane |
|
| Wygesic |
Tablet |
Taste |
|
| ZORprin |
Tablet |
Slow release |
|
| Zyban |
Tablet |
Slow release |
|
| Zymase |
Capsule |
Enteric-coated* |
|
|
|
| * Capsule may be opened and the contents
taken without crushing or chewing; soft food |
|
| such
as applesauce or pudding may facilitate administration; contents may
generally be |
|
| administered
via nasogastric tube using an appropriate fluid provided entire contents are |
|
| washed
down the tube. |
|
| † Liquid dosage forms of the product are
available; however, dose, frequency of |
|
| administration
and manufacturers may differ from that of the solid dosage form. |
|
| ‡ Antacids and/or milk may prematurely
dissolve the coating of the tablet. |
|
| §
Capsule may be opened and the liquid contents removed for
administration. |
|
| ¤ The
taste of this product in a liquid form would likely be unacceptable to the
patient; |
|
| administration
via nasogastric tube should be acceptable. |
|
| ¶
Effervescent tablets must be dissolved in the amount of diluent
recommended by the |
|
| manufacturer.
|
|
| **
Tablets are made to disintegrate under the tongue. |
|
| ††
Tablet is scored and may be broken in half without affecting release
characteristics. |
|
| ‡‡
Skin contact may enhance tumor production; avoid direct contact. |
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