The first stop for professional medicines advice

Care homes

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Cutting or masking transdermal patches safely

9 July 2025Cutting or masking transdermal patches is discouraged. Matrix patches can be cut if no licensed alternatives are available; reservoir patches should not be cut.

Managing problems when using transdermal patches

9 July 2025Guidance on adhesion, skin reactions, missing, omitted or delayed application, dosing intervals, switching, accidental exposure, and MRI scan considerations.

Using transdermal patches safely in healthcare settings

9 July 2025Practical guidance for safe application, monitoring, removal, disposal, documentation and storage of transdermal patches to reduce risk of medication errors.

'Flozin' suggestions for adults with swallowing difficulties

27 February 2025A range of SGLT2 inhibitor ('flozin') formulations are suitable for use in adults with swallowing difficulties

'Gliptin' suggestions for adults with swallowing difficulties

27 February 2025A range of DPP-4 inhibitor ('gliptin') formulations are suitable for use in adults with swallowing difficulties

Non-acute settings with healthcare input and transcribing

28 January 2025Consideration needs to be given to the risk factors particularly associated with transcribing in non-acute settings with healthcare input

Covert administration of medicines: legal issues

13 January 2025A summary of key legal issues, a pathway of actions and links to national guidance to consider before administering medicines covertly to adults.

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.

Checking if medicines can be given with food

17 December 2024Many medicines can be given safely with a spoonful of soft food. Use the suggested resources and clinical considerations to support decision-making.