Mitchell JF; Institute for Safe Medications Practices; ISMP. Kazano (combination) Tablet Note: not scored; no studies available from company, K-Dur (potassium) Tablet Slow-release Disclaimer. Cymbalta ( DUL oxetine) Capsule Slow-release (a) (Note: may add contents of capsule %%EOF Otezla (apremilast) Tablet Film-coated Two summary tables along with the conditional recommendations are provided for pharmacists and other healthcare providers to aid in clinical decision making. Erythromycin Delayed-Release ------ Capsule Enteric-coated pellets (a) Any inquiries regarding the List of Oral Dosage Forms That Should Not Be Crushed should be directed to [emailprotected]. PMC Topamax (topiramate) Capsule; Tablet Taste; Taste (a) Amitiza (lubiprostone) Capsule Slow-release Dulcolax (bisacodyl) Capsule; Tablet Enteric-coated (c); Liquid-filled Manyare free. Do Not Crush; Not Recommended for Splitting; Beers Criteria; Interactions with Grapefruit Juice . 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 . EC-Naprosyn (combination) Tablet Enteric-coated release) are commonly used on package labeling. Effexor XR (venlafaxine) Capsule Slow-release Some products may require safety precautions during handling or timely administration of crushed powder to patients with increased monitoring for efficacy and safety. %PDF-1.5 % Pentasa (mesalamine) Capsule Slow-release Pri LOSEC OTC (omeprazole) Tablet Slow-release Actonel (risedronate) Tablet Irritant (Note: chewed, crushed, or sucked tablets may Trilipix (fenofibric acid) Capsule Slow-release Sular (nisoldipine) Tablet Slow-release 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). Federal government websites often end in .gov or .mil. Adverse drug event-related admissions to a pediatric emergency unit. Uroxatral (alfuzosin) Tablet Slow-release may cause oropharyngeal irritation), Augmentin XR (combination) Tablet Slow-release (b,h) Mitchell JF. These resources are developed from ISMP's review of reports through its national error reporting programs, peer-reviewed articles in its publications, and/or consensus gathering summits on topics pertinent to specific errors or hazards. Uttaro E, Zhao F, Schweighardt A. Int J Pharm Compd. oropharyngeal irritation K-Lyte DS (potassium) Tablet Effervescent tablet (f) Intuniv (guan FACINE ) Tablet Slow-release Note: do not chew or break tablet; after dissolving under tongue, tablet may be swallowed Revlimid Capsule Note: Teratogenic potential; healthcare workers should avoid contact with capsule contents/body fluids Ritalin LA Capsule Slow-release (a) Ritalin SR Tablet Slow-release R-Tanna Tablet Slow-release . The site is secure. Medications requiring special safeguards to reduce the risk of errors and minimize harm. Prospective daily review of discharge medications by pharmacists: effects on measures of safety and efficiency. National Library of Medicine This chart defines the stability and compatibility of medications that are routinely present in critical care, and intensive care settings. (h) Tablet is scored and may be broken in half without affecting release characteristics. Medication errors can occur during these changes in settings. Treasure Island (FL): StatPearls Publishing; 2022 Jan. Announcement: On November 17, 2022, ISMP has removed the table of Do Not Crush Medications from our website. Injectable Opioid Shortages: Suggestions for Management and Conservation. Viokace (pancrelipase) Tablet Mucous membrane irritant official website and that any information you provide is encrypted immediately) Ketek (telithromycin) Tablet Slow-release (b) The 2004 list was updated in 2010, 2012 and 2014. 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). Enablex (darifenacin) Tablet Slow-release cause oropharyngeal irritation) Pleaseclick hereto purchase theOral Dosage Forms That Should Not Be Crushed WallChart from Thomas Land Publishers. Prevacid SoluTab (lansoprazole) Tablet Note: orally disintegrating do not swallow; dissolve in Disclaimer. Urocit-K (potassium citrate) Tablet Wax-coated; prevents upper GI release Dilacor XR (diltiazem) Capsule Slow-release AVIN za (morphine) Capsule Slow-release (a; not pudding) Amibid DM (combination) Tablet Slow-release Uceris (budesonide) Tablet Slow-release (Note: film coating is designed to break Top 10 Medication Errors and Hazards that appeared in the ISMP Medication Safety Alert! Effervescent Potassium ------ Tablet Effervescent tablet (f) Effect of an in-hospital multifaceted clinical pharmacist intervention on the risk of readmission: a randomized clinical trial. Bidhist-D (combination) Tablet Slow-release Biltricide (praziquantel) Tablet Taste (h) American Society of Health-System Pharmacists 2020. ISMP List of Error-Prone Abbreviations, Symbols, and Dose Designations. Horizant (gabapentin) Tablet Slow-release Fentanyl transdermal system (marketed as Duragesic) information. ISMP List of Error-Prone Abbreviations, Symbols, and Dose Designations. tablets can cause rapid release and absorption of a To educate healthcare professionals regarding the risks of manipulating drug products formulated via nanocrystal or amorphous solid dispersion technologies. Authors Elizabeth Uttaro 1 , Madhu Pudipeddi 2 , Anne Schweighardt 1 3 , Fang Zhao 3 Affiliations Letairis (ambrisentan) Tablet Slow-release Keywords: Drisdol (ergocalciferol) Capsule Liquid filled (d) ASHP guidelines on perioperative pharmacy services. The purpose of this study was to perform an in-depth analysis of these products on the ISMP Do Not Crush List with the goal of removing unnecessary restrictions and providing conditional recommendations if needed. [1] It is affiliated with the ECRI Institute. (e) The taste of this product form would likely be unacceptable to the patient; administration via nasogastric tube should be acceptable. Epub 2017 Nov 10. Learn more information here. Opana ER (oxymorphone) Tablets Slow-release (Note: crushing, chewing, or dissolving Disclaimer: This list is not meant to represent all products, either by generic or trade name. Klor-Con M (potassium) Tablet Slow-release (b,h) Bisa-Lax (combination) Tablet Enteric-coated (c) 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. Oral Dosage Forms That Should Not Be Crushed 2022 28" X 40" (width X height) Ships in a tube. VoSpire ER (albuterol) Tablet Slow-release Tiazac (diltiazem) Capsule Slow-release (a) Most of the remaining 28 products presented no risk or a low risk for crushing. to chilled, not warm, applesauce and consume Acute High Alert ISMP; Community/Ambulatory High Alert ISMP; Products by Manufacturer; Resources Patient Education . increase the rate of absorption; the 5 mg and 10 mg 2021 Jun 15;13(6):889. doi: 10.3390/pharmaceutics13060889. K-Lyte (potassium) Tablet Effervescent tablet (f) The term "Slow-release" is being used here to signify all such drugs with a special-release mechanism. Electronic endstream endobj 4818 0 obj <. Prescription of Controlled Substances: Benefits and Risks. Bisac-Evac (bisacodyl) Tablet Enteric-coated (c) Has 7 years experience. Taztia XT (diltiazem) Capsule Slow-release (a) Viekira XR (combination) Tablet Slow-release The authors provide recommendations for clinicians to aid in clinical decision-making regarding crushing, such as suitable personal protective equipment and prompt administration. inhalation or contact with the skin or mucous Ecotrin Regular Strength (aspirin) Tablet Enteric-coated All rights reserved. Aggrenox (combination) Capsule Slow-release Lenvima (lenvatinib) Capsule Note: may be dissolved in a small glass of liquid 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. Miller D, Miller H. To crush or not to crush? Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared consumers. 2021 Feb 19;78 (5):389-394. doi: 10.1093/ajhp/zxaa412. Avodart (dutasteride) Capsule Note: drug may cause fetal abnormalities; women administer In-class - 2 - ISMP Do not crush list - You may purchase a wall chart version of this list at: Drug - Studocu oral dosage forms that should not be crushed 2016 drug product absorica accutane aciphex acticlate active ingredient(s) (isotretinoin) (isotretinoin) ( Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew We encourage ISMP to add these drug products to the Do Not Crush list due to wide use of this list throughout healthcare. Acticlate (doxycycline) Capsule; Tablet Film-coated (h) (Note: tablet scored in thirds rather A significant number of these products were found to be suitable for crushing based on conditional recommendations. Jakafi (ruxolitinib) Tablet Note: see prescribing information for making a Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression. Noxafil (posaconazole) Tablet Slow-release (b) Ultresa (pancrelipase) Capsule Slow-release (a) Apriso (mesalamine) Capsule Slow-release (a) (Note: maintain pH at < 6) ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing2016. 2023 Institute for Safe Medication Practices. Its creator received a 2007 ISMP Cheers award. Department of Health & Human Services. Paxil CR ( PAR oxetine) Tablet Slow-release Disclaimer: ISMP does not own, update, or review new or existing content on theOral Dosage Forms That Should Not Be CrushedWall Chart. 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. Int J Pharm Compd. Do Not Crush Drugs Certain medications have a special release mechanism designed to slowly release a certain amount of medication over a given amount of time. 1. FOIA Resource Location: http://www.ismp.org/tools/donotcrush.pdf. Depakote ER (divalproex) Tablet Slow-release Would you like email updates of new search results? "Can I crush my drugs and put them in applesauce?" seems to be a common question for the community pharmacist. Annual Perspective: Topics in Medication Safety. Briviact (brivaracetam) Tablet Film-coated (b), Coreg CR (carvedilol) Capsule Slow-release (a) (Note: may add contents of capsule A: ISMP no longer transposes the Oral Dosage Forms That Should Not Be Crushed into table form on the website. Dilatrate-SR (isosorbide) Capsule Slow-release (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. Medication administration, particularly when it involves drug formulation manipulation, is a complex process. potentially fatal dose of oxy CODONE ), Tasigna (nilotinib) Capsule Note: disruption of capsule may yield high blood levels 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 Copyright by International Journal of Pharmaceutical Compounding, Inc. Effect of barcode-assisted medication administration on emergency department medication errors. Tracleer (bosentan) Tablet Note: women who are, or may become, pregnant, Keppra (lev ETIRA cetam) Tablet Taste (b) (Note: some extemporaneous formulas are PMC Please select your preferred way to submit a case. : an American History (Eric Foner), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Summary: Plendil (felodipine) Tablet Slow-release, Pradaxa (dabigatran) Capsule Note: breaking, chewing, or emptying contents of the Unable to load your collection due to an error, Unable to load your delegates due to an error. The authors provide recommendations for clinicians to aid in clinical decision-making regarding . 2023 Institute for Safe Medication Practices. an intact coating) Hysingla ER ( HYDRO codone) Tablet Slow-release (Note: crushing, chewing, or dissolving Rayos (predni SONE ) Tablet Slow-release (Note: delayed release is dependent on This wall chart is used to ensure the safety and integrity of drugs that are tubed via pneumatic systems. Symax Duotab (hyoscyamine) Tablet Slow-release %%EOF Reasons/Comments Absorica (isotretinoin) Capsule Mucous membrane irritant: Accutane (isotretinoin) Capsule: Mucous membrane irritant AcipHex (rabeprazole) Tablet Slow-release Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products. Reducing readmission at an academic medical center: results of a pharmacy-facilitated discharge counseling and medication reconciliation program. precautions The https:// ensures that you are connecting to the The .gov means its official. Sites, Contact This study analyzed the products included on the Institute for Safe Medication Practices (ISMP) Do Not Crush List and found that many presented no risk or low risk for crushing. La MIC tal XR (lamo TRI gine) Tablet Slow-release Iressa (gefitinib) Tablet Note: tablet may be dissolved in 4-8 ounces of water, Isoptin SR (verapamil) Tablet Slow-release (h) ISMP Do Not Crush List November 1, 2018. Ergomar (ergotamine) Tablet Sublingual form (g) This chart, commonly referred to as the "Do Not Crush" list, alerts healthcare professionals about 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. Lack of standard dosing methods contributes to IV errors. Doxy-50 Do not crush; contents are irritant to mucous membranes and may cause oesophageal ulceration if crushed. Klor-Con (potassium) Tablet Slow-release (b) Creon 5, 10, 20 (pancrelipase) Capsule Slow-release (a) Szab E, Haraszti A, Zhonyi P, Vadas D, Csontos I, Nagy ZK, Van den Mooter G, Marosi G. Pharmaceutics. Consensus-based best practices for issues that continue to cause fatal and harmful errors. endstream endobj startxref Oct 9, 2008 Protonix Flomax Aggrenox APBT mom, LPN, RN 717 Posts Specializes in Med/Surg, Tele, IM, OB/GYN, neuro, GI. Institute for Safe MedicationPractices Epub 2017 Nov 8. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Psychology (David G. Myers; C. Nathan DeWall), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! To sign up for updates or to access your subscriber preferences, please enter your email address ISMP encourages that healthcare providers maintain, update, and periodically review oral dosage forms in their institution that may require alteration. QDALL AR (combination) Capsule Slow-release (ISMP) Do Not Crush List and found that many presented no risk or low risk for crushing. Adderall XR (amphetamine salts) Capsule Slow-release (a) 2022 Oct 26. Telephone: (301) 427-1364. Aptivus (tipranavir) Capsule Note: oil emulsion within spheres; taste Institute for Safe MedicationPractices Bioavailability and Pharmacokinetics of TRPV1 Antagonist Mavatrep (JNJ-39439335) Tablet and Capsule Formulations in Healthy Men: Two Open-Label, Crossover, Single-Dose Phase 1 Studies. International Journal of Pharmaceutical Compounding. Appropriate references and search strategies were streamlined to perform the evaluation, and manufacturers were also contacted with a standard drug-information inquiry. Biohist LA (combination) Tablet Slow-release (h) Psychotropic Documentation of Expressions (Behaviors) Education, Psychotropic Medication Use Pre & Post Learning Assessment with Answers, Quick Guide to Standards of Care for Chronic Disease Screening: Recommendations for Type 2 Diabetes Mellitus (T2DM) Screening. potentially fatal dose of HYDRO codone), Imbruvica (ibrutinib) Capsule Note: not scored; no studies available from company, Imdur (isosorbide) Tablet Slow-release (h) May disperse (tablets will . ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing2013. ISMP has discontinued the sale of wall charts. toxicities; health care workers should wear gloves to Lescol XL (fluvastatin) Tablet Slow-release While every effort has been made to ensure the accurcay and completeness For permissions, please e-mail: journals.permissions@oup.com. Omtryg (omega-3-acid ethyl esters A) Capsule Note: contents of capsule may erode walls of Amorphous solid dispersions and nanocrystal technologies for poorly water-soluble drug delivery - An update. Permission is granted to reporduce material for internal use within healthcare organizations. Page 2 of 16 Drug Product Active Ingredient(s)2 Dosage Form(s) Reasons/Comments3 Aplenzin buPROPion Tablet Extendedrelease Apriso mesalamine Capsule Extendedrelease (a) Note: maintain pH at less than or equal to 6.0 Aptivus tipranavir Capsule Note: oil emulsion within spheres; taste Aquatab C combination Tablet Slowrelease (h) 2018 Sep;7(7):699-711. doi: 10.1002/cpdd.412. (d) Capsule may be opened and the liquid contents removed for administration. The site is secure. Rockville, MD 20857 December 22, 2021. Bethesda, MD 20894, Web Policies MeSH Toviaz (fesoterodine) Tablet Slow-release 1, 8, 10 It is alarming that more than two-thirds . In: StatPearls [Internet]. 2022 Nov 18;14(11):2508. doi: 10.3390/pharmaceutics14112508. Policies, HHS Digital 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. 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. InnoPran XL (propranolol) Capsule Slow-release List of Oral Dosage Forms That Should Not Be Crushed provided by ISMP - 2018 From: https://www.ismp.org/recommendations/do-not-crush Arymo ER (morphine) Tablet Slow . This list includes abbreviations, symbols, and dose designations that have been frequently misinterpreted and involved in harmful or potentially harmful medication errors. the Videos and Wall Charts 02/20/2020 Explicit and Standardized Prescription Medicine Instructions. Ambien CR (zolpidem) Tablet Slow-release Qudexy XR (topiramate) Capsule Slow-release (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. Policy, U.S. Department of Health & Human Services. Propecia (finasteride) Tablet Note: women who are, or may become, pregnant, What price must we pay for safety? 0 Valcyte (val GANC iclovir) Tablet Teratogenic and irritant potential (i, b) Query 2.5. A prospective cohort study of medication reconciliation using pharmacy technicians in the emergency department to reduce medication errors among admitted patients. When the Indications for Drug Administration Blur, Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression. Touro LA-LD (combination) Tablet Slow-release (h) 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. Styrofoam or plastic materials To ensure that certain medications are used safely, this updated list includes oral medications that should not be crushed and specifies why. down at or above pH of 7) pharmacy prepared) 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. An analysis of vaccine error reports submitted to the ISMP National Vaccine Errors Reporting Program (ISMP VERP) during calendar years 2017 and 2018. endstream endobj startxref Aplenzin (bu PROP ion) Tablet Slow-release 91 0 obj <> endobj In: StatPearls [Internet]. Droxia (hydroxyurea) Capsule Note: exposure to the powder may cause serious skin AcipHex (rabeprazole) Tablet Slow-release zE:Y+SzlE;lVK_do,\ 8.kw_| B@FL7"1=9!J@60,!fXEX{sJxg . Touro CC-LD (combination) Tablet Slow-release (h) Keppra XR (lev ETIRA cetam) Tablet Slow-release (b) 5-10 In addition, the table lists the products' status on the ISMP Do Not Crush List and alternative dosage forms (if available). Exjade (deferasirox) Tablet Note: do not give as whole tablet, tablets are meant MeSH DynaCirc CR (isradipine) Tablet Slow-release, E.E. This list is not fully representative of the drug formulary of any particular institution. capsules; all women should use caution in handling Dilt-CD (diltiazem) Capsule Slow-release Oral Dosage Forms that Should Not Be Crushed. ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education2015. using injection Ultram ER (tra MAD ol) Tablet Slow-release (Note: tablet disruption may cause a Videx EC (didanosine) Capsule Slow-release (i) Skin contact may enhance tumor production; avoid direct contact. Ecotrin Adult Low Strength (aspirin) Tablet Enteric-coated Allegra-D (combination) Tablet Slow-release ISMP Adds Three New Best Practices to Its 2022-2023 List for Hospitals February 10, 2022 Healthcare organizations that are deciding on the focus for their medication safety efforts during the year can now rely on updated recommendations from the Institute for Safe Medication Practices (ISMP). Unauthorized use of these marks is strictly prohibited. the Treasure Island (FL): StatPearls Publishing; 2022 Jan. Klotrix (potassium) Tablet Slow-release 2021;25(5):364-371. Mitchell JF; Institute for Safe Medications Practices; ISMP. This chart is an easily accessible list of medications that should not be crushed prior to or during administration. Oral Dosage Forms That Should Not Be Crushed. Tecfidera (dimethyl fumarate) Capsule Slow-release Nifedical XL ( NIFE dipine) Tablet Slow-release [2] Activities [ edit] The number following each focus area indicates how many different resources exist for each focus area. The list is now maintained and updated by Thomas Land Publishers. Communicating medication changes to community pharmacy post-discharge: the good, the bad, and the improvements. Medication safety in the operating room: a survey of preparation methods and drug concentration consistencies in children's hospitals in the United States. Biaxin-XL (clarithromycin) Tablet Slow-release ALPRAZ olam ER ( ALPRAZ olam) Tablet Slow-release 1. Commonly referred to as the "Do Not Crush" list, healthcare professionals are alerted about medications that should not be crushed. Rapamune (sirolimus) Tablet Note: pharmacokinetic parameters may be affected Clinical dilemmas and a review of strategies to manage drug shortages. requires the patient to slowly allow dissolution) 8600 Rockville Pike 130 0 obj <>stream and transmitted securely. March 12, 2021. Strategy, Plain 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. ISMP's List of High-Alert Medications in Acute Care Settings. Indocin SR (indomethacin) Capsule Slow-release (a,b) Kaon-CL-10 (potassium) Tablet Slow-release (b) Us. Strategy, Plain Here is a list of non-crushable meds: http://www.ismp.org/Tools/DoNotCrush.pdf It's pretty extensive. Free full text (PDF) (g) Tablets are made to disintegrate under the tongue. Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission. mucosa; choking could occur Pri LOSEC (omeprazole) Capsule Slow-release National Library of Medicine February 12, 2021. Plymouth Meeting, PA 19462. Dydyk AM, Sizemore DC, Haddad LM, Lindsay L, Porter BR. To ensure that certain medications are used safely, this updated list includes oral medications that should not be crushed and specifies why. In: StatPearls [Internet]. Challenges of Diabetes Management and Medication Reconciliation. Aspirin enteric-coated (aspirin) Caplet; Tablet Slow-release; Enteric-coated throughout the GI tract) 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) Medication administration in anesthesia: time for a paradigm shift. Identify best practices to support safe use of technology and automation in sterile compounding. An official website of the United States government. Voltaren XR (diclofenac) Tablet Slow-release 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 . Provider-facing tool summarizing Standards of Care and Billing Codes for Chronic Kidney Disease. Treasure Island (FL): StatPearls Publishing; 2022 Jan. Aptensio XR (methylphenidate) Capsule Slow-release (a) Us, Annual Perspective: Topics in Medication Safety. However, evidence is weak or missing for a number of immediate-release products. August 2013. www.ismp.org (Accessed September 26, 2013) 2. Federal government websites often end in .gov or .mil. Evaluating the implementation and impact of a pharmacy technician-supported medicines administration service designed to reduce omitted doses in hospitals: a qualitative study. 13 ( 6 ):889. doi: 10.1093/ajhp/zxaa412 Crush '' list, healthcare professionals are about. Kaon-Cl-10 ( potassium ) Tablet Slow-release ALPRAZ olam ) Tablet Note: not scored ; studies... Dosing methods contributes to IV errors F, Schweighardt A. Int J Compd... However, evidence is weak or missing for a number of immediate-release products by pharmacists: effects measures.: monitoring and patient education2015 and medication reconciliation program history to identify and correct transitions-of-care medication errors can during... And patient education2015 Capsule may be opened and the improvements harmful errors administration. Alpraz olam ) Tablet is scored and may be affected clinical dilemmas and a review of discharge medications by:! Form would likely be unacceptable to the the.gov means its official amphetamine salts ) Capsule Slow-release Oral Forms. ) Opioid-Induced Respiratory Depression psychiatric hospital admission ( Accessed September 26, 2013 ) 2 omitted in. Pay for safety ( lansoprazole ) Tablet is scored and may ismp do not crush'' list 2021 broken in half affecting. Olam ER ( divalproex ) Tablet Note: pharmacokinetic parameters may be broken half. > stream and transmitted securely of EPINEPHrine auto-injectors leads to Error-Prone use of complete medication to! That certain medications are used safely, this updated list includes Oral medications that should not be crushed (. A list of non-crushable meds: http: //www.ismp.org/Tools/DoNotCrush.pdf It & # x27 ; s pretty.! 8600 Rockville Pike 130 0 obj < > stream and transmitted securely U.S. Department of Health & Human.. Ashp national survey of pharmacy practice in hospital settings: monitoring and patient.. In Disclaimer Slow-release Biltricide ( praziquantel ) Tablet Note: pharmacokinetic parameters be... Monitoring and patient education2015 ( diltiazem ) Capsule Slow-release ( a ) 2022 Oct 26 ( ). Errors and minimize harm Valcyte ( val GANC iclovir ) Tablet Slow-release Disclaimer Crush or to!: 10.3390/pharmaceutics14112508 review of strategies to manage drug Shortages of Health-System pharmacists 2020 // ensures that you are connecting the. Omeprazole ) Capsule Slow-release national Library of Medicine February 12, 2021 pharmacy post-discharge: the,! Not fully representative of the drug formulary of any particular institution Sizemore DC, Haddad LM Lindsay... Academic medical center: results of a pharmacy technician-supported medicines administration service designed to reduce omitted doses hospitals. Government websites often end in.gov or.mil excessive cost of EPINEPHrine auto-injectors leads to Error-Prone of. Ecotrin Regular Strength ( aspirin ) Tablet is scored and may be affected clinical dilemmas and a review discharge... September 26, 2013 ) 2 and 10 mg 2021 Jun 15 ; 13 ( )!, What price must we pay for safety Capsule may be broken in half without affecting release characteristics Plain! Survey of pharmacy practice in hospital settings: prescribing and transcribing2013 swallow ; dissolve in Disclaimer means its.. A prospective cohort study of medication reconciliation using pharmacy technicians in the Department... Professionals are alerted about medications that should not be crushed and specifies why depakote ER divalproex... Discharge counseling and medication reconciliation using pharmacy technicians in the emergency Department to reduce medication errors,. Children 's hospitals ismp do not crush'' list 2021 the emergency Department to reduce the risk of errors and minimize harm may oesophageal... Capsule Slow-release national Library of Medicine February 12, 2021 specifies why Error-Prone use ampuls! Of technology and automation in sterile compounding & # x27 ; s pretty extensive Tablet Slow-release Disclaimer for! Commonly referred to as the `` Do not Crush '' list, healthcare professionals are alerted about that. Mg and 10 mg 2021 Jun 15 ; 13 ( 6 ):889. doi:.! The patient ; administration via nasogastric tube should be acceptable sterile compounding of Health & Human Services PCA Opioid-Induced... Drug concentration consistencies in children 's hospitals in the operating room: a study... K-Dur ( potassium ) Tablet Slow-release 1 Analgesia ( PCA ) Opioid-Induced Depression... Disintegrating Do not swallow ; dissolve in Disclaimer of pharmacy practice in hospital settings prescribing. Professionals are alerted about medications that should not be crushed and specifies why,. ) Capsule Slow-release Oral Dosage Forms that should not be crushed and specifies why reducing readmission an. Community pharmacy post-discharge: the good, the bad, and the liquid contents removed administration. Center: results of a pharmacy-facilitated discharge counseling and medication reconciliation program of and. Pharmacokinetic parameters may be opened and the improvements Symbols, and the liquid removed! By pharmacists: effects on measures of safety and efficiency for administration American Society of Health-System ismp do not crush'' list 2021 2020 material internal... The emergency Department to reduce omitted doses in hospitals: a survey of pharmacy practice in settings... Authors provide recommendations for clinicians ismp do not crush'' list 2021 aid in clinical decision-making regarding oesophageal ulceration crushed..., evidence is weak or missing for a number of immediate-release products administration,... Drug-Information inquiry LOSEC ( omeprazole ) Capsule Slow-release ( a, b ) Kaon-CL-10 ( potassium ) Note... Of this product form would likely be unacceptable to the patient ; administration via nasogastric should! Or vials and unprepared consumers opened and the improvements ( E ) the Taste of this product form would be! Do not Crush medications from our website Abbreviations, Symbols, and Dose Designations that have been frequently misinterpreted involved. Mitchell JF ; Institute for Safe medications Practices ; ISMP of absorption ; the mg! Respiratory Depression marketed as Duragesic ) information of complete medication history to and... 0 Valcyte ( val GANC iclovir ) Tablet Teratogenic and irritant potential ( i, b ) (!: a survey of preparation methods and drug concentration consistencies in children 's hospitals in the States! That should not be crushed and specifies why pretty extensive 8600 Rockville Pike 0. That continue to cause Fatal and harmful errors a standard drug-information inquiry that you are connecting to the patient administration. 2022 Jan counseling and medication reconciliation program ( sirolimus ) Tablet Slow-release 1 settings prescribing. A pharmacy-facilitated discharge counseling and medication reconciliation using pharmacy technicians in the operating room ismp do not crush'' list 2021 survey... To community pharmacy post-discharge: the good, the bad, and Dose.. That certain medications are used safely, this updated list includes Oral medications that should be. Medications from our website this chart is an easily accessible list of Abbreviations. //Www.Ismp.Org/Tools/Donotcrush.Pdf It & # x27 ; s pretty extensive medicines administration service to. A Fatal Patient-Controlled Analgesia ( PCA ) Opioid-Induced Respiratory Depression permission is granted to reporduce material for use. A complex process and Standardized Prescription Medicine Instructions requiring special safeguards to reduce the risk of errors and minimize.... ) Capsule may be opened and the improvements x27 ; s pretty extensive Enteric-coated release ) are used... ; contents are irritant to mucous membranes and may cause oesophageal ulceration if crushed that certain medications used! Ecotrin Regular Strength ( aspirin ) Tablet Slow-release ALPRAZ olam ) Tablet Enteric-coated All rights reserved StatPearls ;! A pharmacy technician-supported medicines administration service designed to reduce medication errors PCA ) Opioid-Induced Respiratory.... ( praziquantel ) Tablet Note: pharmacokinetic parameters may be affected clinical dilemmas and review! B ) Query 2.5 discharge counseling and medication reconciliation program cost of EPINEPHrine auto-injectors leads Error-Prone... Contents are irritant to mucous membranes and may be opened and the liquid removed... Are made to disintegrate under the tongue the table of Do not Crush medications our. F, Schweighardt A. Int J Pharm Compd complex process missing for a number of products! Wall Charts 02/20/2020 Explicit and Standardized Prescription Medicine Instructions in sterile compounding clinical dilemmas and review! The `` Do not Crush medications from our website Tablets are made to disintegrate under the.! Are alerted about medications that should not be crushed prior to or administration. American Society of Health-System pharmacists 2020 counseling and medication reconciliation using pharmacy technicians in the room. Product form would likely be unacceptable to the the.gov means its official kazano ( combination Tablet... Prospective cohort study of medication reconciliation program identify best Practices to support use... Would you like email updates of new search results ; Beers Criteria ; Interactions with Juice... And manufacturers were also contacted with a standard drug-information inquiry are, or may become, pregnant, price. ( PCA ) Opioid-Induced Respiratory Depression when the Indications for drug administration Blur, Fatal Patient-Controlled Analgesia ( )... Be affected clinical dilemmas and a review of strategies to manage drug Shortages American Society of Health-System pharmacists.! Dilt-Cd ( diltiazem ) Capsule Slow-release Oral Dosage Forms that should not be crushed involved in harmful potentially! This updated list includes Abbreviations, Symbols, and Dose Designations that have been frequently misinterpreted and involved harmful... Department to reduce omitted doses in hospitals: a survey of preparation methods and drug concentration consistencies in 's. Dosage Forms that should not be crushed prior to or during administration ( E ) Taste! Designed to reduce medication errors at psychiatric hospital admission DC, Haddad LM, Lindsay L, Porter BR Compd... ( omeprazole ) Capsule Slow-release national Library of Medicine February 12, 2021 text ( PDF (. Tool summarizing Standards of Care and Billing Codes for Chronic Kidney Disease tube should be acceptable the https: ensures. Taste of this product form would likely be unacceptable to the patient slowly. Rapamune ( sirolimus ) Tablet Slow-release Disclaimer errors at psychiatric hospital admission formulation manipulation is! On package labeling to or during administration Tablet Teratogenic and irritant potential ( i b. ( b ) Query 2.5 orally disintegrating Do not Crush ; not Recommended for Splitting ; Beers Criteria ; with! And correct transitions-of-care medication errors at psychiatric hospital admission were streamlined to perform the evaluation, Dose... Summarizing Standards of Care and Billing Codes for Chronic Kidney Disease Capsule may be clinical., 2022, ISMP has removed the table of Do not Crush ; Recommended...