Altering dosage forms for older adults

Abstract

Swallowing difficulties in older adults present challenges for medication management, particularly as polypharmacy is so common. It is also important to review the patient’s swallowing difficulties and medication management regularly. The limited availability of oral liquids and other dosage forms given by alternative routes means that crushing tablets and emptying capsules is common practice. Altering dosage forms can have adverse clinical consequences. It is important to consider whether the medicines are still necessary. If the medicines are essential, find out if there are alternative formulations. Check guidelines and the product information before altering dosage forms. The legal implications of altering dosage forms can be minimised by following evidence-based practice, clearly documenting the reason for altering the medicine and obtaining written consent from the patient or their carer. Review the patient’s swallowing ability and treatment regimen regularly.