Swallowing difficulties
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Parkinson’s disease medicines in swallowing difficulties
23 March 2026Information on administration of Parkinson’s disease medicines, including crushing tablets, to reduce the risk of missed doses in swallowing difficulties
PPI suggestions for adults with swallowing difficulties
18 December 2025A range of proton pump inhibitor (PPI) formulations are suitable for adults with swallowing difficulties.
Anticoagulant suggestions for adults with swallowing difficulties
5 November 2025A range of oral anticoagulant formulations are suitable for adults with swallowing difficulties.
ACEI suggestions for adults with swallowing difficulties
24 March 2025A range of Angiotensin Converting Enzyme inhibitors (ACEI) formulations are suitable for adults with swallowing difficulties
'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
Choosing medicines formulations in swallowing difficulties
6 February 2025Some 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
6 February 2025Many medicines can be given safely with a spoonful of soft food. Use the suggested resources and clinical considerations to support decision-making.
Checking if tablets can be crushed or capsules opened
6 February 2025We suggest information resources and points to consider before crushing tablets or opening capsules.
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.