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Nurses should patients and health care providers who split tablets should wash their hands first the practitioner should also wear gloves. Health care providers should make every effort to use commercially available oral tablets, when available, in both inpatient and outpatient settings. Before a half tablet is prescribed, dispensed, or administered, drug references should be checked to ensure that the agent is safe.

To maximize cost savings, patients might have been told to split the tablets in half, but the directions on the prescription may list 1 tablet for each dose. Instead of filling the new prescription for 5-mg tablets, she tried to find all the 10-mg tablets to split them in half, but some remained whole. However, tablet splitting may still be necessary if the drug is not available in the patient-specific dose or if the patients inability to afford the medication as an outpatient outweighs the risks involved with tablet splitting.

Grissinger is director of error reporting programs at the institute for safe medication practices in horsham, pa ( nearly all oral medications are sold in the dosage strengths that are most commonly prescribed for patients. Patients should understand the risks associated with splitting tablets. If its safety cannot be confirmed, the manufacturer should be contacted.

A study by the va showed that most people were taking too much medication because they forgot to split their tablets. Patients might assume that tablets have already been split when they have not, or they might split the tablets again when they have been split already, especially if the pharmacy inconsistently splits the tablets upon refill. When the physician looked inside, he saw both pink and peach tablets, some split in half.

If a tablet-splitting device is used, it should be washed afterward to remove any powder or particles. Patients sometimes get tired of splitting the tablets and may stop taking them. Patients can easily become confused about the correct dose.

In the article on tablet splitting in order to save money, clark identified a few additional risks a pharmacist might misread a prescription written for one-half (12) tablet as 1 to 2 tablets. Various studies suggest that obtaining an accurate dose from a split tablet is uncertain, even if the tablet is scored. For the hospitalized patient, pharmacy staff members should dispense exact doses by either splitting tablets and repackaging them or by preparing an oral solution in a unitdose oral syringe for each dose. She was supposed to be taking 5 mg twice daily, but the prescription label listed 10-mg tablets in the bottle. Although using more than one tablet for a single dose is customary, tablet splitting has become more commonplace for several reasons different tablet strengths often cost about the same.


Tablet Splitting—Only If You “Half” To - NCBI - NIH


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    If a patient cannot be expected to split a tablet, a qualified family member should be entrusted to do this. In some states, it might not be legal for a pharmacist to split tablets if the dose is available commercially. Before a half tablet is prescribed, dispensed, or administered, drug references should be checked to ensure that the agent is safe. For the hospitalized patient, pharmacy staff members should dispense exact doses by either splitting tablets and repackaging them or by preparing an oral solution in a unitdose oral syringe for each dose. These directions could mislead the patient or other health care providers who use the prescription label as a source of information when gathering the patients medication history.

    Initially, the patient had been taking a 20-mg tablet twice daily. Occasionally, the exact dose might not be available commercially, so more than one tablet or just part of a tablet may be needed. Two-thirds of the patients received more than the intended dose. Patients can easily become confused about the correct dose. When the physician lowered the dose to 10 mg twice daily, the new prescription was filled.

    The patient then cut the leftover 20-mg tablets in half and put them in the same bottle that held the 10-mg tablets. Other research cited by clark corroborates the significant variation in tablet halves with rates of inaccuracy ranging from 5 to 72. In more than half of the events, the involved doses were available commercially. She was supposed to be taking 5 mg twice daily, but the prescription label listed 10-mg tablets in the bottle. Criteria should be established for screening patients before half tablets are prescribed to ensure that patients have the required level of understanding, ability, and motivation to divide the tablets. Instead of filling the new prescription for 5-mg tablets, she tried to find all the 10-mg tablets to split them in half, but some remained whole. However, tablet splitting may still be necessary if the drug is not available in the patient-specific dose or if the patients inability to afford the medication as an outpatient outweighs the risks involved with tablet splitting. Thus, some tablets might need to be split for specific doses in the inpatient setting. In the article on tablet splitting in order to save money, clark identified a few additional risks a pharmacist might misread a prescription written for one-half (12) tablet as 1 to 2 tablets. A study by the va showed that most people were taking too much medication because they forgot to split their tablets.

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