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Medications
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Comments
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Amlodipine
|
· Disperses in water. Give
immediately as light-sensitive
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Atenolol
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· Liquid preparation is available
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Bisoprolol
|
· Crush tablet and disperse in
water.
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Captopril
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· Tablets disperse in 10ml water
in 2 minutes to give suspension (2)
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Carvedilol
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· Crush and disperse in water
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Diltiazem
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· Capsules may be opened and
granules administered without crushing
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Enalapril
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· Disperse slowly in water with
stirring
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Felodipine
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· DO NOT CRUSH as will lose
sustained release properties
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Frusemide
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· Has liquid preparations
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Hydralazine
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· Crush and disperse in water.
May be increased rate of absorption so monitor blood pressure
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Irbesartan
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· Crush and disperse tablet in
water
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Lisinopril
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· Tablets slowly disperses in
water
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Losartan
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· Crush and can mix with 10ml of
water to form fine suspension (2)
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Metoprolol
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· Disperses slowly in water.
Consider change to atenolol liquid preparation
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Methyldopa
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· Suspension available(2)
· Tablet will disperse in
>2minutes (3)
|
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Nifedipine
|
· Can be given through Ryle’s
tube***
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Perindopril
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· Crush and disperse tablet in
water
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Prazosin
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· Can crush. Insoluble so ensure
wash down with water (2)
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Propranolol
|
· Liquid preparation maybe
available
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Telmisartan
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· Can crush. Not very soluble but
will flush via 8Fr NG tube without blockage. To be given immediately as it
absorbs moisture once crushed. (2)
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Valsartan
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· Open capsules and give contents
in water immediately as it is not very stable
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Verapamil
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· Liquid preparation
· Tablets will disperse in
>2minutes (3)
|
***Full
explanation is in guideline from reference source no 1.
REFERENCE
- http://www.cddft.nhs.uk/media/183967
- MEDICATION ADMINISTRATION IN PATIENTS WITH SWALLOWING DIFFICULTIES/DYSPHAGIA
- NEEMMC GUIDELINES FOR TABLET CRUSHING AND ADMINISTRATION VIA ENTERAL FEEDING TUBES, http://www.stch.org.uk/
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