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Punarbhava

Do Not Crush drug list

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Punarbhava

http://www.ismp.org/tools/donotcrush.pdf

Thought I'd post this list for those who have decided to liquid titrate (crushing tablets or opening capsules, disolving in liquid and then measuring out the required dose).

Note: Most Extended-Release Medications are on this Do Not Crush List.

Also, please take the time to read the warnings and recommendations that are outlined below the list.


Administrator's note: This list from a UK medical group contains information about crushing and making liquids of many drugs: http://stockportccg.org/wp-content/uploads/2012/01/34838_Med_Admin_Dysphagia.pdf

Also see How to make a liquid from tablets or capsules

 

Edited by Altostrata
updated

To Face My Trials with "The Grace of a Woman Rather Than the Grief of a Child". (quote section by Veronica A. Shoffstall)

 

Be Not Afraid of Growing Slowly. Be Afraid of Only Standing Still.

(Chinese Proverb)

 

I Create and Build Empowerment Within Each Time I Choose to Face A Fear, Sit with it and Ask Myself, "What Do I Need to Learn?"

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Altostrata

Thanks, Pun. This is from what appears to be a reputable non-profit organization of pharmacists and other medical professionals, the Institute for Safe Medication Practices (ISMP).

 

There are some good tips here, for example:

 

Cymbalta

Slow-release (a); Note: may add contents of capsule to apple juice or applesauce but NOT chocolate


This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

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Punarbhava

Thanks, Pun. This is from what appears to be a reputable non-profit organization of pharmacists and other medical professionals, the Institute for Safe Medication Practices (ISMP).

 

There are some good tips here, for example:

 

Cymbalta

Slow-release (a); Note: may add contents of capsule to apple juice or applesauce but NOT chocolate

 

Sur,

 

I've had this article in my research files for a few years now but thought it was really important info and thus, decided to post it.

 

Yes, so many important tips as well.

 

BTW, do you think it may be beneficial to create a link to this post in the Tapering thread, so those who are tapering will be aware and thus, more informed, of what is covered in this report?

 

Not all psyche drugs come in liquid form and thus, many must crush or open capsules and create their own liquid suspensions in order to taper slowly.

 

Also, I know from being on different forums that some people do not seem to tolerate the pharma liquid preparations as well as the pills or capsules, not to mention some don't like the liquid versions because some brands are too thick and sticky. Consequently, they land up reverting back to creating their own liquid suspensions.

 

I've also read of some people not transitioning well from pills to pharma liquid versions of the drug. Perhaps the liquid versions contain some type of ingredient that some may be allergic or sensitive to? Gosh, I wish I could recall this but can't ATM.

 

Anyway, I'm just sharing what others have reported over the years. I have no personal experience with liquid versions of meds but rather, created my own liquid suspension.

 

Pun

Edited by surviving
removed extra line breaks

To Face My Trials with "The Grace of a Woman Rather Than the Grief of a Child". (quote section by Veronica A. Shoffstall)

 

Be Not Afraid of Growing Slowly. Be Afraid of Only Standing Still.

(Chinese Proverb)

 

I Create and Build Empowerment Within Each Time I Choose to Face A Fear, Sit with it and Ask Myself, "What Do I Need to Learn?"

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Altostrata

Yep, it's already been linked to!

 

I would caution folks, though -- if your drug is not on this list, it does not mean you can crush it and put it in water. Sometimes the active ingredient reacts badly with H2O.

 

To find out if there are any studies done about the stability of the drug in water, I would Google

 

[drug name] solubility

 

or

 

[drug name] liquid

 

to see if anyone is reporting success with making it into a liquid.

 

Sometimes pharmacists will look this up for you, if they're not too busy.

 

As for people not transitioning well to liquid forms -- I think this is based on the problem with variation between brand name drugs and generics and even different generics manufacturers. No one knows how sensitive you are until you try it.


This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

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meistersinger

Yep, it's already been linked to!

 

I would caution folks, though -- if your drug is not on this list, it does not mean you can crush it and put it in water. Sometimes the active ingredient reacts badly with H2O.

 

To find out if there are any studies done about the stability of the drug in water, I would Google

 

[drug name] solubility

 

or

 

[drug name] liquid

 

to see if anyone is reporting success with making it into a liquid.

 

Sometimes pharmacists will look this up for you, if they're not too busy.

 

As for people not transitioning well to liquid forms -- I think this is based on the problem with variation between brand name drugs and generics and even different generics manufacturers. No one knows how sensitive you are until you try it.

 

Alto,

 

I just discovered that Viibryd is soluable. I thought I saw a method on this board on how to create a liquid form of the drug. What equipment do i need (i'm on general assistance) to do this?


History:

1995--Prozac--Quit CT by GP

1995--Effexor--Quit per my GP

1996--Amitriphene--Quit CT when changed GP

2005--Citalopram and BusPar. Prescribed when I decompensated in my GP's office. GP referred me to behavior health. Psychiatrist prescibed these drugs. Taken off citalopram in 2011 due to FDA warning. Quit Buspar during transition to viibryd.

Viibryd--2011 to present. Had a severe reaction in March 2012. Advised both GP and Psychiatrist I was trying to get off these drugs.

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Altostrata

See tips for making a homemade liquid solution here: Making a Celexa solution yourself


This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

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