Firstly you should check on the database available on this website to see if there is a liquid medicine, a dispersible, buccal or oro-dispersible tablet available. If you are unable to find out from the database then you should ask your pharmacist as they will have the most up to date information on what is available or the safe adjustments you could make to your medicines.
There are some medicines which cannot be advertised because they do not have a license but are available if prescribed by your doctor. Again your pharmacist will let you know if this is the case for your medicine.
Sometimes your doctor or pharmacist will suggest that you disperse your tablets in water before taking. This is similar to tablet crushing in how it may affect tablet coatings and absorption of the drug in your body. Therefore, you should only do it on the advice of a professional.
If there are no alternatives which can be taken by mouth or you cannot take things by mouth, it is worth asking if there is a patch, suppository, cream or inhaled version of your drug available. These are however very limited as an alternative option.
To evaluate the knowledge about medications that could or could not be crushed or split among a group of patients in the Monterrey metropolitan area, and make a list of medications available in Mxico that should not be crushed or split.
A descriptive, observational, transverse study was conducted using validated surveys among 950 patients undergoing medical treatment that went to clinics in the cities of San Nicols de los Garza, Monterrey and Guadalupe of the Monterrey metropolitan area. The survey included a series of questions aimed at learning the patients level of knowledge regarding which drugs can be split or crushed. In order to collect the list of medications, several databases were consulted.
Of the study group, 80.3% had crushed or split a tablet prior to its administration, most of them to facilitate oral intake. Fifty four percent (54.4%) did not ask their physicians about this procedure. Seventy two (72.5%) percent considered that not all tablets should be crushed, but they did not know the exact reason why. An extensive list of medications available on the Mexican market that should not be crushed or split was presented.