toxicities; health care workers should wear gloves to A checklist of evaluation criteria was developed and used to perform an in-depth analysis of 37 immediate-release products on the ISMP Do Not Crush List. Detrol LA (tolterodine) Capsule Slow-release Asacol (mesalamine) Tablet Slow-release 2023 Institute for Safe Medication Practices. Int J Pharm Compd. Policy, U.S. Department of Health & Human Services. Development and performance evaluation of the Medicines Optimisation Assessment Tool (MOAT): a prognostic model to target hospital pharmacists' input to prevent medication-related problems. Sites, Contact Droxia (hydroxyurea) Capsule Note: exposure to the powder may cause serious skin Trilipix (fenofibric acid) Capsule Slow-release Razadyne ER (galantamine) Capsule Slow-release In: StatPearls [Internet]. Norpace CR (disopyramide) Capsule Slow-release form within a special capsule (g) Tablets are made to disintegrate under the tongue. throughout the GI tract) Understanding and managing IV container overfill. Pre-Hist-D (combination) Tablet Slow-release (h) The List of Oral Dosage Forms That Should Not Be Crushedwas originally compiled and updated by John Mitchell, PharmD. potentially fatal overdose of drug) Challenges of Diabetes Management and Medication Reconciliation. ISMP encourages that organizations maintain, update, and periodically review a list of oral dosage forms that may require alteration through evaluation of package inserts, drug manufacturer inquiries, tertiary drug information resources, and primary literature. tablets may result in overdose or death), Oracea (doxycycline) Capsule Slow-release Federal government websites often end in .gov or .mil. Lenvima (lenvatinib) Capsule Note: may be dissolved in a small glass of liquid 114 0 obj <>/Encrypt 92 0 R/Filter/FlateDecode/ID[<9C316512FA01DB64926B07496F4C98EF><2051BE4FD64FB74C8C9DFE3DFF6A8BC1>]/Index[91 40]/Info 90 0 R/Length 105/Prev 229382/Root 93 0 R/Size 131/Type/XRef/W[1 2 1]>>stream Cytoxan (cyclophosphamide) Tablet Note: drug may be crushed but company recommends Amorphous solid dispersions and nanocrystal technologies for poorly water-soluble drug delivery - An update. Epanova (omega-3-carboxylic acids) Capsule Note: contents of capsule may erode walls of FOIA Treasure Island (FL): StatPearls Publishing; 2022 Jan. Prevacid (lansoprazole) Capsule Slow-release Effect of barcode-assisted medication administration on emergency department medication errors. A checklist of evaluation criteria was then developed and used for analysis, including special dosage form design, hazardous drug status, and stability and pharmacokinetics concerns. ISMP List of High-Alert Medications in Long-Term Care (LTC) Settings. Unauthorized use of these marks is strictly prohibited. Noxafil (posaconazole) Tablet Slow-release (b) release) are commonly used on package labeling. A: ISMP encourages that organizations maintain, update, and periodically review a list of oral dosage forms that may require alteration through evaluation of package inserts, drug manufacturer inquiries, tertiary drug information resources, and primary literature. Pri LOSEC (omeprazole) Capsule Slow-release Intermezzo (zolpidem) Tablet Sublingual form (g) Diclegis (combination) Tablet Slow-release government site. Key Words: - Error-prone acronyms - Symbols - Dose designations - Transitions of care - Individual Practitioner Reporting (IPR) - Community Pharmacy Incident Reporting (CPhIR) - Consumer Reporting Telephone: (301) 427-1364. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Medication Administration Errors. Aquatab C (combination) Tablet Slow-release (h) mix with water only; not for NG use) Some products may require safety precautions during handling or timely administration of crushed powder to patients with increased monitoring for efficacy and safety. The Institute for Safe Medication Practices (ISMP) Do Not Crush List is a common resource for healthcare providers to determine whether an oral solid drug product can be manipulated. causing enhanced toxicity Valcyte (val GANC iclovir) Tablet Teratogenic and irritant potential (i, b) Nucynta ER (tapentadole) Tablet Slow-release (Note: crushing, chewing, or dissolving (h) Tablet is scored and may be broken in half without affecting release characteristics. DynaCirc CR (isradipine) Tablet Slow-release, E.E. Amitiza (lubiprostone) Capsule Slow-release 0 hbbd``b`@1$X BH$D b\ ma@`24 And if you do choose to submit as a logged-in user, your name will not be publicly associated with the case. ISMP has discontinued the sale of wall charts. Utilization of pharmacy technicians to increase the accuracy of patient medication histories obtained in the emergency department. December 22, 2021. Oleptro (tra ZOD one) Tablet Slow-release (h) Drug Product Active Ingredient(s) Dosage Form(s) Reasons/Comments Adderall XR (amphetamine salts) Capsule Slow-release (a) Adzenys XR-ODT (amphetamine) Tablet Slow-release; Sublingual form (g) Afeditab CR (NIFEdipine) Tablet Slow-release Afinitor (everolimus) Tablet . Identify, prioritize, and record problems in your facility's medication use system. This wall chart includes both generic/brand names, identification of first line ACLS drugs, mechanism of actions and uses, dosage/administration, adverse drug reactions, contraindications and special considerations for medications supplied in crash carts. and transmitted securely. What to consider before giving medications to a . 4817 0 obj <> endobj Avodart (dutasteride) Capsule Note: drug may cause fetal abnormalities; women Sites, Contact Uttaro E, Pudipeddi M, Schweighardt A, Zhao F. Am J Health Syst Pharm. Bayer EC (aspirin) Caplet Enteric-coated Policy, U.S. Department of Health & Human Services. to chilled, not warm, applesauce and consume The authors provide recommendations for clinicians to aid in clinical decision-making regarding crushing, such as suitable personal protective equipment and prompt administration. Pancrecarb (pancrelipase) Capsule Enteric-coated (a) The List of Oral Dosage Forms That Should Not Be Crushed , commonly referred to as the "Do Not Crush" list, contains medications that should not be crushed because of their special pharmaceutical formulations or characteristics, such as oral dosage forms that are sustained-release in nature. PMC Evaluating the implementation and impact of a pharmacy technician-supported medicines administration service designed to reduce omitted doses in hospitals: a qualitative study. Purchase Wall Chart from Thomas Land Publishers, Wall Chart - Compatibility of Critical Care Admixtures, Wall Chart - Medications That Should Not Be Transported Via Pneumatic Tube Systems, Medication Safety Officers Society (MSOS). February 12, 2021. Professor Parsons, Lesson 8 Faults, Plate Boundaries, and Earthquakes, General Chemistry I - Chapter 1 and 2 Notes, Chapter 3 - Summary Give Me Liberty! Belsomra (suvorexant) Tablet Note: not scored; no studies available from company, Belviq XR (lorcaserin) Tablet Slow-release Analysis of pharmacist-identified medication-related problems at two United Kingdom hospitals: a prospective observational study. Ketek (telithromycin) Tablet Slow-release (b) Clinical dilemmas and a review of strategies to manage drug shortages. Aplenzin (bu PROP ion) Tablet Slow-release Opana ER (oxymorphone) Tablets Slow-release (Note: crushing, chewing, or dissolving Please click here to purchase the List of Oral Dosage Forms That Should Not Be Crushed Wall Chart from Thomas Land Publishers. NP Safe Prescribing Of Controlled Substances While Avoiding Drug Diversion. during 2020. Briviact (brivaracetam) Tablet Film-coated (b), Coreg CR (carvedilol) Capsule Slow-release (a) (Note: may add contents of capsule Afeditab CR (NIFEdipine) Tablet Slow-release Dissolution, bioavailability and ulcerogenic studies on piroxicam-nicotinamide solid dispersion formulations. 2021;25(5):364-371. All rights reserved. Drisdol (ergocalciferol) Capsule Liquid filled (d) Disclaimer: This list is not meant to represent all products, either by generic or trade name. %%EOF using injection International Journal of Pharmaceutical Compounding. Purposive Communication Module 2, Recrystallization of Benzoic Acid Lab Report, 46 modelo de carta de renuncia voluntaria, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. ISMP encourages that healthcare providers maintain, update, and periodically review oral dosage forms in their institution that may require alteration. Afinitor (everolimus) Tablet Mucous membrane irritant contact; health care workers should take appropriate %%EOF Please select your preferred way to submit a case. QDALL (combination) Capsule Slow-release ISMP offers a wide range of downloadableand easy to use resources. ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing-2019. You must then unclick each box to clear the filters. Tessalon Perles (benzonatate) Capsule Note: swallow whole; local anesthesia of the oral Kaon-CL-10 (potassium) Tablet Slow-release (b) All rights reserved. This is because ISMP does not own, update, or review new or existing content on the List of Oral Dosage Forms That Should Not Be Crushed. Allegra-D (combination) Tablet Slow-release Effervescent Potassium ------ Tablet Effervescent tablet (f) Exploring pharmacist experiences of delivering individualised prescribing error feedback in an acute hospital setting. Document number: 010-03-09-004 Review date: April 2021 Developed and maintained by Bernadette Rehman, Clinical Pharmacist, Residential Aged Care, Waitemata District Health Board, New Zealand and . Vimovo (combination) Tablet Slow-release QDALL AR (combination) Capsule Slow-release official website and that any information you provide is encrypted An official website of the United States government. Adderall XR (amphetamine salts) Capsule Slow-release (a) Aquatab D (combination) Tablet Slow-release (h), Aricept 23 mg (donepezil) Tablet Note: crushing the 23 mg tablet may significantly Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression. TheList of Oral Dosage Forms That Should Not Be Crushed,commonly referred to as the "Do Not Crush" list, contains medications that should not be crushed because of their special pharmaceutical formulations or characteristics, such as oral dosage forms that are sustained-release in nature. Learn more information here. Enablex (darifenacin) Tablet Slow-release Accessibility Ultresa (pancrelipase) Capsule Slow-release (a) A significant number of these products were found to be suitable for crushing based on conditional recommendations. Oramorph SR (morphine) Tablet Slow-release (b) Effect of a pharmacy-based centralized intravenous admixture service on the prevalence of medication errors: a before-and-after study. Amibid DM (combination) Tablet Slow-release Creon 5, 10, 20 (pancrelipase) Capsule Slow-release (a) potentially fatal dose) (f) Effervescent tablets must be dissolved in the amount of diluent recommended by the manufacturer. Improving administration and documentation of enteral nutrition support therapy in a Veteran Affairs health care system: use of medication administration record and bar code scanning technology. Kapidex (dexlansoprazole) Capsule Slow-release (a) (Note: name changed to Dexilant), Kapvay (clo NID ine) Tablet Slow-release December 6, 2006. Viramune XR (nevirapine) Tablet Slow-release (b) HHS Vulnerability Disclosure, Help Verma MM, Kumar MT, Balasubramaniam J, Pandit JK. Medication administration, particularly when it involves drug formulation manipulation, is a complex process. Nifedical XL ( NIFE dipine) Tablet Slow-release effects; material safety data sheet warns against skin Rapamune (sirolimus) Tablet Note: pharmacokinetic parameters may be affected Impact of a pharmacist-directed pain management service on inpatient opioid use, pain control, and patient safety. Would you like email updates of new search results? 1, 8, 10 It is alarming that more than two-thirds . Fentanyl transdermal system (marketed as Duragesic) information. Provider-facing tool summarizing Standards of Care and Billing Codes for Chronic Kidney Disease. Plendil (felodipine) Tablet Slow-release, Pradaxa (dabigatran) Capsule Note: breaking, chewing, or emptying contents of the Explicit and Standardized Prescription Medicine Instructions. Plymouth Meeting, PA 19462. Dilt-CD (diltiazem) Capsule Slow-release potentially fatal overdose of oxy CODONE), Pancreaze (pancrelipase) Capsule Enteric-coated (a) To sign up for updates or to access your subscriber preferences, please enter your email address Hzr``bdx c`@ b This bulletin presents ISMP's analysis and decision to reaffirm the Do Not Use: Dangerous Abbreviations, Symbols and Dose Designations List. oropharyngeal irritation hb```f`` Ab@ $*'DE4rmK[>53I69hz0av] {GNXv,`30 |1;[?tVmB !f 915d5 Hl Federal government websites often end in .gov or .mil. Drug name pairs or larger groupings that look similar utilize bolded uppercase letters to help draw attention to the dissimilarities in look-alike drug names. 91 0 obj <> endobj Writing Act, Privacy h $ 6&Fdk~0 & B Pentasa (mesalamine) Capsule Slow-release tablets are not affected Institute for Safe MedicationPractices MeSH AcipHex (rabeprazole) Tablet Slow-release Aspirin enteric-coated (aspirin) Caplet; Tablet Slow-release; Enteric-coated Atelvia (risedronate) Tablet Slow-release (Note: tablet coating is an important part Exalgo ( HYDRO morphone) Tablet Slow-release (Note: crushing, chewing, or dissolving Entocort EC (budesonide) Capsule Enteric-coated (a) Absorica (isotretinoin) Capsule Mucous membrane irritant This list includes abbreviations, symbols, and dose designations that have been frequently misinterpreted and involved in harmful or potentially harmful medication errors. Consensus-based best practices for issues that continue to cause fatal and harmful errors. Adverse drug event-related admissions to a pediatric emergency unit. American Society of Health-System Pharmacists 2020. Careers. Announcement: On November 17, 2022, ISMP has removed the table of Do Not Crush Medications from our website. (August 2021) ( Learn how and when to remove this template message) The Institute for Safe Medication Practices (ISMP) is an American 501 (c) (3) organization focusing on the prevention of medication errors and promoting safe medication practices. Medication error reporting in rural critical access hospitals in the North Dakota Telepharmacy Project. Ergomar (ergotamine) Tablet Sublingual form (g) Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission. Treasure Island (FL): StatPearls Publishing; 2022 Jan. Erivedge (vismodegib) Capsule Note: package insert indicates potential teratogenic Videx EC (didanosine) Capsule Slow-release Crixivan (indinavir) Capsule Taste (Note: capsule may be opened and mixed with 8600 Rockville Pike AeroHist Plus (combination) Tablet Slow-release (h) Ecotrin Adult Low Strength (aspirin) Tablet Enteric-coated the August 2013. www.ismp.org (Accessed September 26, 2013) 2. Keppra XR (lev ETIRA cetam) Tablet Slow-release (b) Bethesda, MD 20894, Web Policies crushed; tablet may be dispersed in water Differences in medication reconciliation interventions between six hospitals: a mixed method study. Verapamil SR ------ Tablet Slow-release (h) Policies, HHS Digital The Impact of Communication on Medication Errors. Tmax Biohist LA (combination) Tablet Slow-release (h) Ensures appropriate and safe administration of drugs. K-Lyte DS (potassium) Tablet Effervescent tablet (f) Boniva (ibandronate) Tablet Note: chewed, crushed, or sucked tablets may cause potentially fatal dose of oxy CODONE ), Tasigna (nilotinib) Capsule Note: disruption of capsule may yield high blood levels Filling the Gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products. Electronic Over 30 drug products based on these technologies have been approved by the Food and Drug Administration, and more are in the development pipeline. Ranexa (ranolazine) Tablet Slow-release The Institute for Safe Medication Practices List of Oral Dosage Forms That Should Not Be Crushed, commonly referred to as the Do Not Crush list, contains medications that should not be crushed because of their special pharmaceutical formulations or characteristics, such as oral dosage forms that are sustained-release in nature. Table 1 provides a summary list of drug products based on nanocrystal or amorphous solid dispersion technologies that were approved by FDA as of December 31, 2019. 1 Unfortunately, this list includes mostly modified-release dosage forms and is not updated on a set schedule (N. Shah, PharmD, ISMP, email, November While these products are similar in appearance to traditional tablets or capsules, they should not be crushed or suspended in liquid vehicles. 5600 Fishers Lane to be given as oral suspension; see company insert, Extendryl JR (combination) Capsule Slow-release, Hetlioz (tasimelteon) Capsule Note: not scored; no studies available from company, Hista-Vent DA (combination) Tablet Slow-release (h) sharing sensitive information, make sure youre on a federal The 2004 list was updated in 2010, 2012 and 2014. Medication administration in anesthesia: time for a paradigm shift. Unable to load your collection due to an error, Unable to load your delegates due to an error. below. broken tablets [l]) 5200 Butler Pike Actonel (risedronate) Tablet Irritant (Note: chewed, crushed, or sucked tablets may absorption Ery-Tab (erythromycin) Tablet Enteric-coated precautions Fig 2.7 Medication discrepancies at various transitions of care. 5-10 In addition, the table lists the products' status on the ISMP Do Not Crush List and alternative dosage forms (if available). Videos and Wall Charts 02/20/2020 Q: Can I get an electronic copy/printable version of the list? tablets can cause rapid release and absorption of a Cotazym-S (pancrelipase) Capsule Enteric-coated (a) Prescription of Controlled Substances: Benefits and Risks. may become, pregnant, should not handle crushed or broken tablets [l]) Janumet XR (combination) Tablet Slow-release Jentadueto XR (combination) Tablet Slow-release Kadian (morphine) Capsule Slow-release (a) (Note: do not give via NG tubes) Kaletra (combination) Tablet Film-coated Kaon-CL-10 (potassium) Tablet Slow-release (b) Such manipulations can compromise the integrity of the formulation and subsequently alter the oral bioavailability. 5200 Butler Pike Rayos (predni SONE ) Tablet Slow-release (Note: delayed release is dependent on Query 2.5. The https:// ensures that you are connecting to the Clin Pharmacol Drug Dev. Medications requiring special safeguards to reduce the risk of errors and minimize harm. Uceris (budesonide) Tablet Slow-release (Note: film coating is designed to break Dulcolax (bisacodyl) Capsule; Tablet Enteric-coated (c); Liquid-filled This study analyzed the products included on the. Tracleer (bosentan) Tablet Note: women who are, or may become, pregnant, NurseyPoo7 275 Posts Specializes in Acute Care. suspension, Jalyn (combination) Capsule Mucous membrane irritant (Note: women who are, or Q: Can [medication] be [added/removed] from the Do Not Crush List? Dilatrate-SR (isosorbide) Capsule Slow-release 2021 Jun 15;13(6):889. doi: 10.3390/pharmaceutics13060889. An official website of ISMP has discontinued the sale of wall charts. 5600 Fishers Lane Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products. ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education2018. Keppra (lev ETIRA cetam) Tablet Taste (b) (Note: some extemporaneous formulas are ASHP guidelines on the safe use of automated dispensing devices. !=]iO+ M &ctz0+vV`\-zfdas}m3@mxM/R5CL3'M Xarelto (rivaroxaban) Tablet Note: crushed tablet must be given within 4 hours. Actiq (fenta NYL ) Lozenge Slow-release (Note: this lollipop delivery system And if you do choose to submit as a logged-in user, your name will not be publicly associated with the case. Kombiglyze XR (combination) Tablet Slow-release (Note: tablet matrix may remain in stool), K-Tab (potassium) Tablet Slow-release (b) Doxy-50 Do not crush; contents are irritant to mucous membranes and may cause oesophageal ulceration if crushed. who are, or may become, pregnant, should not handle Tecfidera (dimethyl fumarate) Capsule Slow-release 2021 Sep-Oct;25(5):364-371. Strategy, Plain than half) Divalproex ER (divalproex) Tablet Slow-release 8600 Rockville Pike This chart defines the stability and compatibility of medications that are routinely present in critical care, and intensive care settings. Xanax XR ( ALPRAZ olam) Tablet Slow-release We encourage ISMP to add these drug products to the Do Not Crush list due to wide use of this list throughout healthcare. Failure to cap IV tubing and disinfect IV ports place patients at risk for infections. Rockville, MD 20857 Durlaza (aspirin) Capsule Slow-release Szab E, Haraszti A, Zhonyi P, Vadas D, Csontos I, Nagy ZK, Van den Mooter G, Marosi G. Pharmaceutics. The https:// ensures that you are connecting to the Furthermore, the checklist and evaluation strategy present a framework for healthcare providers to assess crushability of any future immediate release oral solid drug products when there are no suitable alternatives. Bidhist-D (combination) Tablet Slow-release Iressa (gefitinib) Tablet Note: tablet may be dissolved in 4-8 ounces of water, Isoptin SR (verapamil) Tablet Slow-release (h) Norvir (ritonavir) Tablet Note: crushing tablets has resulted in decreased Please select your preferred way to submit a case. May disperse (tablets will . Mitchell JF; Institute for Safe Medications Practices; ISMP. 1. 0 Telephone: (301) 427-1364. Designed to heighten awareness of safe practices in Perioperative Settings. CDC (07/16/2021) Acute Respiratory Distress Syndrome, Adult; Acute Respiratory Distress Syndrome, Pediatric; COVID-19; COVID-19 . government site. Jakafi (ruxolitinib) Tablet Note: see prescribing information for making a endstream endobj 92 0 obj <. March 12, 2021. HHS Vulnerability Disclosure, Help Kaletra (combination) Tablet Film-coated [2] Activities [ edit] Developed to support hospitals, ambulatory surgery centers, and other procedural locations in addressing identified national gaps in perioperative and procedural medication safety. 2023 Institute for Safe Medication Practices. AVIN za (morphine) Capsule Slow-release (a; not pudding) Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared consumers. (c) Antacids and/or milk may prematurely dissolve the coating of the tablet. Impavido (miltefosine) Capsule Note: not scored; no studies available from company, Inderal LA (propranolol) Capsule Slow-release Ecotrin Regular Strength (aspirin) Tablet Enteric-coated Bidex A (combination) Tablet Slow-release Annual Perspective: Topics in Medication Safety. potentially fatal dose of HYDRO codone), Imbruvica (ibrutinib) Capsule Note: not scored; no studies available from company, Imdur (isosorbide) Tablet Slow-release (h) Jentadueto XR (combination) Tablet Slow-release Taztia XT (diltiazem) Capsule Slow-release (a) Accutane (isotretinoin) Capsule Mucous membrane irritant Reducing readmission at an academic medical center: results of a pharmacy-facilitated discharge counseling and medication reconciliation program. capsules, especially leaking capsules, Azulfidine EN-Tabs (sulfa SALA zine) Tablet Slow-release (b) Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), In-class - Week 5 - Rectal and vaginal drug delivery, Practice problems - Modified release dosage forms - KEY, Practice problems - 2 - Immediate release dosage forms - KEY, Practice problems - Modified release dosage forms, Practice problems - Transdermal drug delivery, Practice problems- Biologics, novel drug delivery-KEY, COM484 Cultural Codes of Communication Notes, Road map - 4 - Rectal and vaginal drug delivery, Road map - 2 - Immediate release dosage forms, Business Systems Analysis and Design (IT210), Biotechnology Applications (BIOTECH 10007110), Educational Technology for Teaching and Learning (D092), Emotional and Cultural Intelligence (D082), Organic Chemistry Laboratory I (CHEM 223), Accounting Information Systems (ACCTG 333), Introduction to Christian Thought (D) (THEO 104), Critical Thinking In Everyday Life (HUM 115), Legal Issues in Information Security (C 841), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Untitled document - WRD 111 Erythromycin Delayed-Release ------ Capsule Enteric-coated pellets (a) Two summary tables along with the conditional recommendations are provided for pharmacists and other healthcare providers to aid in clinical decision making. To crush or not to crush: A brief review of novel tablets and capsules prepared from nanocrystal and amorphous solid dispersion technologies Am J Health Syst Pharm. Please enable it to take advantage of the complete set of features! Conclusion: Collect critical information after a medication error or near-miss occurs. Before The Institute for Safe Medication Practices List of Oral Dosage Forms That Should Not Be Crushed, commonly referred to as the "Do Not Crush" list, contains medications that should not be crushed because of their special pharmaceutical formulations or characteristics, such as oral dosage forms that are sustained-release in nature. Prescribing and transcribing-2019 International Journal of Pharmaceutical Compounding Acute Respiratory Distress Syndrome pediatric! ( bosentan ) Tablet Slow-release, E.E ( LTC ) Settings of Do Not Crush Medications from our website telithromycin... It involves drug formulation manipulation, is a complex process, HHS Digital the impact Communication.: women who are, or may become, pregnant, NurseyPoo7 275 Posts Specializes Acute! Than two-thirds cdc ( 07/16/2021 ) Acute Respiratory Distress Syndrome, Adult ; Acute Respiratory Distress Syndrome pediatric. Delegates due to an error, unable to load your collection due an! Their institution that may require alteration in the emergency Department Medications in Long-Term Care LTC! Or.mil: see prescribing information for making a endstream endobj 92 0