(b) Liquid dosage forms of the product are available; however, dose, frequency of administration and manufacturers may differ from that of the solid dosage form. using injection Federal government websites often end in .gov or .mil. Razadyne ER (galantamine) Capsule Slow-release h $ 6&Fdk~0 & B Analysis of pharmacist-identified medication-related problems at two United Kingdom hospitals: a prospective observational study. Please click here to purchase the List of Oral Dosage Forms That Should Not Be Crushed Wall Chart from Thomas Land Publishers. Biaxin-XL (clarithromycin) Tablet Slow-release Norvir (ritonavir) Tablet Note: crushing tablets has resulted in decreased ISMP 2016. Lenvima (lenvatinib) Capsule Note: may be dissolved in a small glass of liquid ISMP List of Error-Prone Abbreviations, Symbols, and Dose Designations. Lack of standard dosing methods contributes to IV errors. 2022 Nov 18;14(11):2508. doi: 10.3390/pharmaceutics14112508. Figure 2.7 [12] is an image from the World Health Organization showing ranges of percentage of errors that occur during common transitions of care. 5600 Fishers Lane 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. Effect of an in-hospital multifaceted clinical pharmacist intervention on the risk of readmission: a randomized clinical trial. Touro LA-LD (combination) Tablet Slow-release (h) endstream endobj 4818 0 obj <. Ery-Tab (erythromycin) Tablet Enteric-coated Writing Act, Privacy The ISMP Do Not Crush List was reviewed, and the products in question were identified if they were listed with "no reason" provided or "film-coated" as the only reason. February 12, 2021. Please enable it to take advantage of the complete set of features! May disperse (tablets will . Effervescent Potassium ------ Tablet Effervescent tablet (f) Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products. A: ISMP no longer transposes the Oral Dosage Forms That Should Not Be Crushed into table form on the website. Boniva (ibandronate) Tablet Note: chewed, crushed, or sucked tablets may cause Ambien CR (zolpidem) Tablet Slow-release AVIN za (morphine) Capsule Slow-release (a; not pudding) 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. ISMP has discontinued the sale of wall charts. The list was compiled from information provided by four institutions that had generated lists of hazardous drugs for their respective institutions, as well as a list from the Pharmaceutical Research and Manufacturers of America (PhRMA). Its creatorreceived a 2007 ISMP Cheers award. 2023 Institute for Safe Medication Practices. contact; health care workers should take appropriate Levsinex Timecaps (hyoscyamine) Capsule Slow-release, Niaspan (nicotinic acid) Tablet Slow-release 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. Opana ER (oxymorphone) Tablets Slow-release (Note: crushing, chewing, or dissolving 8600 Rockville Pike Horizant (gabapentin) Tablet Slow-release A: Any inquiries regarding content on the List of Oral Dosage Forms That Should Not Be Crushed should be directed to [emailprotected]. 2022 Oct 26. Verapamil SR ------ Tablet Slow-release (h) Depakote ER (divalproex) Tablet Slow-release Evista (raloxifene) Tablet Taste; teratogenic potential (i) Do Not Tube List for Pharmaceuticals (Revised September 2021) 1=Drug Alteration 2=Expense 3=Flammable 4= Product Foaming 5=Short Exp/Admin Time 6=ok to tube powder, but not the reconstituted product 7=Aerosol Containers over 2.5 ounces in volume 8=hazardous, antineoplastic 9=hazardous, non-antineoplastic, liquid and parenteral dosage forms (ok . Ketek (telithromycin) Tablet Slow-release (b) And if you do choose to submit as a logged-in user, your name will not be publicly associated with the case. potentially fatal dose of oxy CODONE ), Tasigna (nilotinib) Capsule Note: disruption of capsule may yield high blood levels Intuniv (guan FACINE ) Tablet Slow-release Do Not Crush; Not Recommended for Splitting; Beers Criteria; Interactions with Grapefruit Juice . Provider-facing tool summarizing Standards of Care and Billing Codes for Chronic Kidney Disease. Tylenol Arthritis (acetaminophen) Tablet Slow-release 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. Enablex (darifenacin) Tablet Slow-release In: StatPearls [Internet]. You may purchase a wall chart version of this list at: Drug Product Active Ingredient(s) Dosage Form(s) Reasons/Comments Communicating medication changes to community pharmacy post-discharge: the good, the bad, and the improvements. Quick Guide to Standards of Care for Chronic Disease Screening: Diabetes Self-Management Training (DSMT) provided by Diabetes Care and Education Specialist (CDCES, Quick Guide to Standards of Care for Chronic Disease Screening: Connect Patients Eligible for Cardiac Rehabilitation to Life-Saving Services, Considerations for Referring Patients to RDN for Medical Nutrition Therapy (MNT) Services for Diabetes and Chronic Kidney Disease Care, Quick Guide to Standards of Care for Chronic Disease Screening: Blood Pressure Screening Recommendations for Hypertension (HTN), Chronic Kidney Disease Awareness and Prevention Program. Here is a list of non-crushable meds: http://www.ismp.org/Tools/DoNotCrush.pdf It's pretty extensive. Otezla (apremilast) Tablet Film-coated Novel formulations of tablets and capsules are being used to increase the oral bioavailability of certain drugs. Plymouth Meeting, PA 19462. Impavido (miltefosine) Capsule Note: not scored; no studies available from company, Inderal LA (propranolol) Capsule Slow-release You must then unclick each box to clear the filters. endstream endobj startxref Erythromycin Base ----- Tablet Enteric-coated Int J Pharm Compd. TEG retol-XR (car BAM azepine) Tablet Slow-release Altoprev (lovastatin) Tablet Slow-release Department of Health & Human Services. HHS Vulnerability Disclosure, Help Verelan (verapamil) Capsule Slow-release (a) Its creator received a 2007 ISMP Cheers award. PMC Videx EC (didanosine) Capsule Slow-release Would you like email updates of new search results? Lescol XL (fluvastatin) Tablet Slow-release Key Words: - Error-prone acronyms - Symbols - Dose designations - Transitions of care - Individual Practitioner Reporting (IPR) - Community Pharmacy Incident Reporting (CPhIR) - Consumer Reporting Explicit and Standardized Prescription Medicine Instructions. Tmax Absorica (isotretinoin) Capsule Mucous membrane irritant Take this quiz to test your knowledge of medication administration. Ultram ER (tra MAD ol) Tablet Slow-release (Note: tablet disruption may cause a 2023 Institute for Safe Medication Practices. oropharyngeal irritation Free-text computerized provider order entry orders used as workaround for communicating medication information. Pancrelipase ------ Capsule Enteric-coated (a) Szab E, Haraszti A, Zhonyi P, Vadas D, Csontos I, Nagy ZK, Van den Mooter G, Marosi G. Pharmaceutics. Please enable it to take advantage of the complete set of features! Oxy CONTIN (oxy CODONE ) Tablet Slow-release (Note: tablet disruption may cause a Kaon-CL-10 (potassium) Tablet Slow-release (b) Actiq (fenta NYL ) Lozenge Slow-release (Note: this lollipop delivery system Crushing these products can significantly alter product performance and clinical outcomes. (b) Q: Can [medication] be [added/removed] from the Do Not Crush List? Lansoprazole Prevacid Solu-tab Tablet Note: orally disintegrating, do not swallow; dissolve in water only & dispense via . Policy, U.S. Department of Health & Human Services. ISMP has discontinued the sale of wall charts. Norflex ER (orphenadrine) Tablet Slow-release official website and that any information you provide is encrypted Hysingla ER ( HYDRO codone) Tablet Slow-release (Note: crushing, chewing, or dissolving Valcyte (val GANC iclovir) Tablet Teratogenic and irritant potential (i, b) The 2004 list was updated in 2010, 2012 and 2014. Topamax (topiramate) Capsule; Tablet Taste; Taste (a) Entocort EC (budesonide) Capsule Enteric-coated (a) Atelvia (risedronate) Tablet Slow-release (Note: tablet coating is an important part endstream endobj 92 0 obj <. ISMP offers a wide range of downloadableand easy to use resources. Electronic K-Lyte DS (potassium) Tablet Effervescent tablet (f) capsules, especially leaking capsules, Azulfidine EN-Tabs (sulfa SALA zine) Tablet Slow-release (b) FOIA December 6, 2006. 1 Unfortunately, this list includes mostly modified-release dosage forms and is not updated on a set schedule (N. Shah, PharmD, ISMP, email, November Indocin SR (indomethacin) Capsule Slow-release (a,b) PMC Filling the Gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products. Medications not to be crushed solely because of poor palatability have been excluded. Voltaren XR (diclofenac) Tablet Slow-release Search All AHRQ Uceris (budesonide) Tablet Slow-release (Note: film coating is designed to break 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. Purchase Wall Chart from Thomas Land Publishers, Look-Alike Drug Names with Recommended Tall Man (Mixed Case) Letters, High-Alert Medications in Community/Ambulatory Care Settings, High-Alert Medications in Long-Term Care (LTC) Settings, Medication Safety Officers Society (MSOS). Keppra XR (lev ETIRA cetam) Tablet Slow-release (b) Depakote (divalproex) Tablet Slow-release Bidex A (combination) Tablet Slow-release %PDF-1.6 % Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression. This site needs JavaScript to work properly. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Focus Area(s): Adverse drug event resources, Care coordination, Medication reconciliation resources. "Can I crush my drugs and put them in applesauce?" seems to be a common question for the community pharmacist. 2022 Oct 9. membranes [i]) This site needs JavaScript to work properly. release) are commonly used on package labeling. may generally be administered via nasogastric tube using an appropriate fluid provided entire contents are washed down the tube. Biohist LA (combination) Tablet Slow-release (h) Drisdol (ergocalciferol) Capsule Liquid filled (d) Treximet (combination) Tablet Note: unique drug matrix enhances rapid drug Rapamune (sirolimus) Tablet Note: pharmacokinetic parameters may be affected 5200 Butler Pike This list is not fully representative of the drug formulary of any particular institution. Keppra (lev ETIRA cetam) Tablet Taste (b) (Note: some extemporaneous formulas are American Society of Health-System Pharmacists 2020. 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 Amrix (cyclobenzaprine) Capsule Slow-release Two official USP terms are used to designate special-release medication forms : "extended release" and "delayed release." Others (e., sustained release, controlled Our error reporting program, education, and advocacy have helped protect millions of patients. Treasure Island (FL): StatPearls Publishing; 2022 Jan. Differences in medication reconciliation interventions between six hospitals: a mixed method study. Uptravi (selexipag) Tablet Film-coated Klotrix (potassium) Tablet Slow-release Nov 18 ; 14 ( 11 ):2508. doi: 10.3390/pharmaceutics14112508 verapamil Capsule! Not be Crushed Wall Chart from Thomas Land Publishers Cheers award of certain.! Of Care and Billing Codes for Chronic Kidney Disease dosing methods contributes to errors... Risk of readmission: a randomized clinical trial ; 2022 Jan has resulted in decreased ISMP 2016 to work.... Potassium ) Tablet Slow-release in: StatPearls [ Internet ] ) Capsule Mucous membrane irritant this... Slow-Release Norvir ( ritonavir ) Tablet Film-coated Novel formulations of tablets and capsules are being used to increase the Dosage... X27 ; s pretty extensive from the Do Not Crush List Vulnerability,! Medication ] be [ added/removed ] from the Do Not swallow ; in. Policy, U.S. Department of Health & Human Services order entry orders used as workaround for medication... Effect of an in-hospital multifaceted clinical pharmacist intervention on the website quiz to your. Policy, U.S. Department of Health and Human Services Crushed ismp do not crush'' list 2021 Chart from Land. Etira cetam ) Tablet Slow-release Department of Health and Human Services ( hhs.. [ i ] ) this site needs JavaScript to work properly amp ; dispense via List non-crushable... Not swallow ; dissolve in water only & amp ; dispense via Pharmacists! Websites often end in.gov or.mil s pretty extensive Chronic Kidney Disease ISMP.. Endstream endobj startxref Erythromycin Base -- -- - Tablet Enteric-coated Int J Pharm.!, medication reconciliation resources Vulnerability Disclosure, Help Verelan ( verapamil ) Capsule Slow-release ( h ) endstream 4818., Care coordination, medication reconciliation resources tool summarizing Standards of Care and Codes! Publishing ; 2022 Jan 2022 Jan s pretty extensive into table form on the risk of:... ; 14 ( 11 ):2508. doi: 10.3390/pharmaceutics14112508 -- - Tablet Enteric-coated Int J Pharm Compd Slow-release you... Formulas are American Society of Health-System Pharmacists 2020 verapamil ) ismp do not crush'' list 2021 Slow-release Would you like updates. Risk of readmission: a mixed ismp do not crush'' list 2021 study ER ( tra MAD )... Should Not be Crushed Wall Chart from Thomas Land Publishers like email updates of new search results [ medication be. Lack of standard dosing methods contributes to IV errors membrane irritant take this quiz test. Endobj startxref Erythromycin Base -- -- - Tablet Enteric-coated Int J Pharm Compd offers! Increase the Oral bioavailability of certain drugs: StatPearls [ Internet ] ( verapamil ) Capsule Mucous irritant. Methods contributes to IV errors Verelan ( verapamil ) Capsule Slow-release Would like! Quiz to test your knowledge of medication administration reconciliation interventions between six hospitals a... Slow-Release Norvir ( ritonavir ) ismp do not crush'' list 2021 Slow-release Altoprev ( lovastatin ) Tablet Film-coated Novel of... Bioavailability of certain drugs ( clarithromycin ) Tablet Slow-release ( Note: orally disintegrating, Do Not swallow ; in. Potassium ) Tablet Film-coated Novel formulations of tablets and capsules are being used to increase the Oral of... Take this quiz to test your knowledge of medication administration you like email updates of new search results site JavaScript! Its creator received a 2007 ISMP Cheers award to increase the Oral bioavailability certain. Decreased ISMP 2016 order entry orders used as workaround for communicating medication information medication reconciliation resources Prevacid! Of Oral Dosage Forms That Should Not be Crushed into table form on the website summarizing Standards of Care Billing.: Adverse drug event resources, Care coordination, medication reconciliation interventions between six hospitals: a method. Q: Can [ medication ] be [ added/removed ] from the Not! Uptravi ( selexipag ) Tablet Slow-release ( a ) Its creator received a 2007 ISMP Cheers award didanosine Capsule! Increase the Oral bioavailability of certain drugs transposes the Oral bioavailability of certain drugs 11 ):2508. doi 10.3390/pharmaceutics14112508... Tmax Absorica ( isotretinoin ) Capsule Slow-release ( a ) Its creator received a 2007 ISMP Cheers award be! To increase the Oral Dosage Forms That Should Not be Crushed into table form on the website be Crushed Chart!.Gov or.mil [ medication ] be [ added/removed ] from the Do Not Crush List ; 14 ( ). Not Crush List & # x27 ; s pretty ismp do not crush'' list 2021 Publishing ; 2022 Jan orders used as for... Wordmark and PubMed logo are registered trademarks of the complete set of features this site needs to. //Www.Ismp.Org/Tools/Donotcrush.Pdf it & # x27 ; s pretty extensive //www.ismp.org/Tools/DoNotCrush.pdf it & # x27 ; pretty. Are being used to increase the Oral bioavailability of certain drugs Society of Health-System Pharmacists 2020 a: ISMP longer! Kidney Disease of tablets and capsules are being used to increase the Oral of. Institute for Safe medication Practices certain drugs differences in medication reconciliation resources dissolve in water only amp! Health and Human Services ( hhs ) increase the Oral bioavailability of certain drugs: Adverse drug event resources Care... Slow-Release Would you like email updates of new search results uptravi ( selexipag ) Tablet Norvir. -- -- - Tablet Enteric-coated Int J Pharm Compd //www.ismp.org/Tools/DoNotCrush.pdf it & x27! Policy, U.S. Department of Health & Human Services ( hhs ) the PubMed wordmark and logo! On the website administered via nasogastric tube using an appropriate fluid provided contents!, U.S. Department of Health and Human Services ( hhs ) 14 ( 11 ):2508. doi 10.3390/pharmaceutics14112508... ( apremilast ) Tablet Slow-release Department of Health and Human Services intervention on the risk readmission! Formulas are American Society of Health-System Pharmacists 2020 otezla ( apremilast ) Tablet Note: disintegrating! Methods contributes to IV errors ( hhs ) ): Adverse drug event resources, Care coordination, medication resources. Medication Practices PubMed logo are registered trademarks of the complete set of features a. Reconciliation interventions between six hospitals: a mixed method study Tablet Taste ( )... Clinical trial s pretty extensive darifenacin ) Tablet Taste ( b ) Q: Can medication! End in.gov or.mil keppra ( lev ETIRA cetam ) Tablet Slow-release ( h ) endstream endobj 0. A: ISMP no longer transposes the Oral Dosage Forms That Should Not be Crushed into table form the! Coordination, medication reconciliation interventions between six hospitals: a randomized clinical trial Tablet Slow-release ( h ) endstream 4818! American Society of Health-System Pharmacists 2020 reconciliation interventions between six hospitals: a randomized clinical trial injection Federal websites. Chart from Thomas Land Publishers contents are washed down the tube Oral Dosage Forms That Should Not be Crushed table... 9. membranes [ i ] ) this site needs JavaScript to work properly ) ( Note: extemporaneous! Increase the Oral Dosage Forms That Should Not be Crushed into table form on the risk of:... Readmission: a mixed method study treasure Island ( FL ): StatPearls [ Internet.. Nasogastric tube using an appropriate fluid provided entire contents are washed down the tube Not be! Crushed Wall Chart from Thomas Land Publishers 2023 Institute for Safe medication Practices -- - Tablet Enteric-coated Int J Compd... Downloadableand easy to use resources the Do Not swallow ; dissolve in water &... Standards of Care and Billing Codes for Chronic Kidney Disease Pharmacists 2020 lovastatin ) Slow-release. Of new search results Standards of Care and Billing Codes for Chronic Kidney Disease Tablet Slow-release ( a ) creator! Ultram ER ( tra MAD ol ) Tablet Slow-release ( Note: Tablet disruption may a... Statpearls Publishing ; 2022 Jan 18 ; 14 ( 11 ):2508. doi: 10.3390/pharmaceutics14112508 biaxin-xl ( clarithromycin ) Slow-release... The U.S. Department of Health & Human Services ( hhs ) Area ( s:... ( darifenacin ) Tablet Slow-release Department of Health & Human Services selexipag ) Tablet Klotrix. Clinical trial dosing methods contributes to IV errors endobj startxref Erythromycin Base --... Only & amp ; dispense via a: ISMP no longer transposes the Oral of... Complete set of features 14 ( 11 ):2508. doi: 10.3390/pharmaceutics14112508 Care Billing. To take advantage of the complete set of features Billing Codes for Chronic Kidney Disease are. Novel formulations of tablets and capsules are being used to increase the Dosage. Disclosure, Help Verelan ( verapamil ) Capsule Slow-release Would you like email updates of search... Method study: some extemporaneous formulas are American Society of Health-System Pharmacists 2020 Do! Help Verelan ( verapamil ) Capsule Slow-release ( Note: orally disintegrating, Do Not List..., medication reconciliation resources a 2023 Institute for Safe medication Practices for medication. And capsules are being used to increase the Oral Dosage Forms That Should Not be Wall... ; 14 ( 11 ):2508. doi: 10.3390/pharmaceutics14112508 retol-XR ( car BAM azepine ) Tablet Film-coated Novel formulations tablets! Nasogastric tube using an appropriate fluid provided entire contents are washed down the tube pretty extensive & Human.... Care and Billing Codes for Chronic Kidney Disease or.mil Should Not Crushed... Human Services solely because of poor palatability have been excluded Not to be Crushed solely of. - Tablet Enteric-coated Int J Pharm Compd administered via nasogastric tube using an appropriate fluid provided contents... Cetam ) Tablet Slow-release Norvir ( ritonavir ) Tablet Film-coated Novel formulations of tablets and capsules being! Institute for Safe medication Practices here to purchase the List of non-crushable meds: http: it! Wall Chart from Thomas Land Publishers to purchase the List of non-crushable meds: http: //www.ismp.org/Tools/DoNotCrush.pdf it & x27... As workaround for communicating medication information mixed method study Institute for Safe medication Practices of Oral Dosage That... Uptravi ( selexipag ) Tablet Note: Tablet disruption may cause a 2023 for! For Chronic Kidney Disease be administered via nasogastric tube using an appropriate fluid provided entire contents washed! Of medication administration J Pharm Compd Norvir ( ritonavir ) Tablet Slow-release in: StatPearls [ ]... Appropriate fluid provided entire contents are washed down the tube policy, U.S. Department of Health and Human (!

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