Swallowing difficulties

PPI suggestions for adults with swallowing difficulties

1 July 2021A range of proton pump inhibitor (PPI) formulations are suitable for adults with swallowing difficulties.

Anticoagulant suggestions for adults with swallowing difficulties

1 July 2021A range of oral anticoagulant formulations are suitable for adults with swallowing difficulties.

SSRI suggestions for adults with swallowing difficulties

1 July 2021A range of selective serotonin reuptake inhibitor (SSRI) formulations are suitable for adults with swallowing difficulties.

Assessing injectables for enteral administration

13 August 2024Clinical decisions on the use of injectable formulations for enteral administration should be guided by safety and practicality.

Advising how to crush or disperse tablets and open capsules

17 December 2024How to disperse tablets in water, crush tablets and open capsules safely for oral administration in adults.

Choosing medicines formulations in swallowing difficulties

17 December 2024Some adults cannot swallow tablets or capsules safely. We describe a process for choosing suitable formulations, including crushing tablets.

Thickeners and thickened fluids

17 December 2024Follow specific product information when using thickeners. Avoid mixing starch-based thickeners with macrogol (polyethylene glycol) laxatives.

Clozapine use in adults with swallowing difficulties

31 May 2023Guidance on clozapine administration including crushing tablets, importance of not missing doses and practical considerations regarding switching formulations

ARB suggestions for adults with swallowing difficulties

20 June 2024A range of angiotensin II receptor antagonists (angiotensin receptor blockers, ARB) formulations are suitable for adults with swallowing difficulties.

How enteral feeding tubes affect medicines

8 March 2022A knowledge of the different types of enteral feeding tube is important when recommending options for medicines administration

SPS - Specialist Pharmacy Service

NHS