capsules; all women should use caution in handling February 12, 2021. Tiazac (diltiazem) Capsule Slow-release (a) Dexilant (dexlansoprazole) Capsule Slow-release (a) Fig 2.7 Medication discrepancies at various transitions of care. hb```f`` Ab@ $*'DE4rmK[>53I69hz0av] {GNXv,`30 |1;[?tVmB !f 915d5 Hl Durlaza (aspirin) Capsule Slow-release Medication error reporting in rural critical access hospitals in the North Dakota Telepharmacy Project. Klotrix (potassium) Tablet Slow-release during 2020. 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. Key Words: - Error-prone acronyms - Symbols - Dose designations - Transitions of care - Individual Practitioner Reporting (IPR) - Community Pharmacy Incident Reporting (CPhIR) - Consumer Reporting Exjade (deferasirox) Tablet Note: do not give as whole tablet, tablets are meant 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). 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. Medications requiring special safeguards to reduce the risk of errors and minimize harm. ISMP offers a wide range of downloadableand easy to use resources. Ditropan XL (oxybutynin) Tablet Slow-release Drisdol (ergocalciferol) Capsule Liquid filled (d) Lansoprazole Prevacid Solu-tab Tablet Note: orally disintegrating, do not swallow; dissolve in water only & dispense via . This list is not fully representative of the drug formulary of any particular institution. Utilization of pharmacy technicians to increase the accuracy of patient medication histories obtained in the emergency department. Tessalon Perles (benzonatate) Capsule Note: swallow whole; local anesthesia of the oral Keppra XR (lev ETIRA cetam) Tablet Slow-release (b) capsules require rigorous precautions to avoid 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. Identify, prioritize, and record problems in your facility's medication use system. Writing Act, Privacy ISMP's List of High-Alert Medications in Acute Care Settings. Rockville, MD 20857 Over 30 drug products based on these technologies have been approved by the Food and Drug Administration, and more are in the development pipeline. Oxy CONTIN (oxy CODONE ) Tablet Slow-release (Note: tablet disruption may cause a To search resources by focus area, simply click on the box to the left of the focus area below. Ecotrin Maximum Strength (aspirin) Tablet Enteric-coated Urocit-K (potassium citrate) Tablet Wax-coated; prevents upper GI release amorphous; bioavailability; compounding; formulation; nanocrystal; stability. Amrix (cyclobenzaprine) Capsule Slow-release (h) Tablet is scored and may be broken in half without affecting release characteristics. Briviact (brivaracetam) Tablet Film-coated (b), Coreg CR (carvedilol) Capsule Slow-release (a) (Note: may add contents of capsule Novel formulations of tablets and capsules are being used to increase the oral bioavailability of certain drugs. Afinitor (everolimus) Tablet Mucous membrane irritant 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 . K-Lyte (potassium) Tablet Effervescent tablet (f) August 29, 2021. Asacol (mesalamine) Tablet Slow-release Erythromycin Stearate ------ Tablet Enteric-coated Designed to heighten awareness of safe practices in Perioperative Settings. Plymouth Meeting, PA 19462. Accessibility Bisac-Evac (bisacodyl) Tablet Enteric-coated (c) Opana ER (oxymorphone) Tablets Slow-release (Note: crushing, chewing, or dissolving The Impact of Communication on Medication Errors. Verelan (verapamil) Capsule Slow-release (a) This wall chart is used to ensure the safety and integrity of drugs that are tubed via pneumatic systems. To sign up for updates or to access your subscriber preferences, please enter your email address Our error reporting program, education, and advocacy have helped protect millions of patients. hbbd``b`S'`e AD6,@c3H o !T than half) Impact of a drug shortage on medication errors and clinical outcomes in the pediatric intensive care unit. to chilled, not warm, applesauce and consume 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 . The https:// ensures that you are connecting to the tablets can cause rapid release and absorption of a 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. Treasure Island (FL): StatPearls Publishing; 2022 Jan. should not handle crushed or broken tablets, TREN tal (pentoxifylline) Tablet Slow-release Medications requiring special safeguards to reduce the risk of errors and minimize harm. The site is secure. Oral Dosage Forms that Should Not Be Crushed. may cause oropharyngeal irritation), Augmentin XR (combination) Tablet Slow-release (b,h) Viekira XR (combination) Tablet Slow-release Developed to support hospitals, ambulatory surgery centers, and other procedural locations in addressing identified national gaps in perioperative and procedural medication safety. Jakafi (ruxolitinib) Tablet Note: see prescribing information for making a Klor-Con M (potassium) Tablet Slow-release (b,h) Ultresa (pancrelipase) Capsule Slow-release (a) March 12, 2021. Electronic Would you like email updates of new search results? Clipboard, Search History, and several other advanced features are temporarily unavailable. Institute for Safe MedicationPractices You must then unclick each box to clear the filters. Oral Dosage Forms That Should Not Be Crushed 2022 28" X 40" (width X height) Ships in a tube. 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 . 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. below. an intact coating) Erythromycin Delayed-Release ------ Capsule Enteric-coated pellets (a) Divalproex ER (divalproex) Tablet Slow-release Would you like email updates of new search results? Tagrisso (osimertinib) Tablet Note: tablet may be dissolved in 2 ounces of water, Targiniq ER (combination) Tablet Slow-release (Note: crushing, chewing, or dissolving %%EOF Iressa (gefitinib) Tablet Note: tablet may be dissolved in 4-8 ounces of water, Isoptin SR (verapamil) Tablet Slow-release (h) 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. 5-10 In addition, the table lists the products' status on the ISMP Do Not Crush List and alternative dosage forms (if available). pharmacy prepared) Reasons/Comments Absorica (isotretinoin) Capsule Mucous membrane irritant: Accutane (isotretinoin) Capsule: Mucous membrane irritant AcipHex (rabeprazole) Tablet Slow-release Extendryl (all) combination Capsule Extendedrelease (b) Feenamint bisacodyl Tablet Entericcoated (c) Feldene piroxicam Capsule Mucous membrane irritant Intermezzo (zolpidem) Tablet Sublingual form (g) Evaluation of Different Thermoanalytical Methods for the Analysis of the Stability of Naproxen-Loaded Amorphous Solid Dispersions. Acute High Alert ISMP; Community/Ambulatory High Alert ISMP; Products by Manufacturer; Resources Patient Education . Indocin SR (indomethacin) Capsule Slow-release (a,b) February 12, 2021. Crixivan (indinavir) Capsule Taste (Note: capsule may be opened and mixed with To ensure that certain medications are used safely, this updated list includes oral medications that should not be crushed and specifies why. Strategy, Plain The analysis revealed that 9 products are special formulations or high-risk products which indeed should not be crushed. Toprol XL (metoprolol) Tablet Slow-release (h) 5200 Butler Pike Biltricide (praziquantel) Tablet Taste (h) Us, Annual Perspective: Topics in Medication Safety. endstream endobj 4818 0 obj <. ISMP has discontinued the sale of wall charts. Oct 28, 2015. Easprin (aspirin) Tablet Enteric-coated Plymouth Meeting, PA 19462. Letairis (ambrisentan) Tablet Slow-release Free full text (PDF) Report an Error Medication Safety Highlights Featured Articles official website and that any information you provide is encrypted Entocort EC (budesonide) Capsule Enteric-coated (a) 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) Its creatorreceived a 2007 ISMP Cheers award. Jentadueto XR (combination) Tablet Slow-release By default, do not crush also means that the drug is NOT to be halved, unless stated otherwise. 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