Swallowing difficulties
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Thickeners and thickened fluids
17 December 2024Follow specific product information when using thickeners. Avoid mixing starch-based thickeners with macrogol (polyethylene glycol) laxatives.
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.
Thickening liquid medicines
17 December 2024Liquid medicines should not be thickened routinely. It is difficult to check fluid consistency and this can affect whether the medicine is swallowed safely.
Medicines suitable for adults with swallowing difficulties
17 December 2024A number of licensed and unlicensed products in different therapeutic classes are available that are suitable for use in adults with swallowing difficulties.
Why and how medicines are given with soft food or thickened fluid
17 December 2024Giving medicines with food or fluid may be needed for people with swallowing difficulties or for covert administration. Practical advice is provided.
SSRI suggestions for adults with swallowing difficulties
8 July 2024A range of selective serotonin reuptake inhibitor (SSRI) formulations are suitable for adults with swallowing difficulties.
Statin suggestions for adults with swallowing difficulties
27 June 2024A range of statin formulations are suitable for adults with swallowing difficulties.
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.
Antiplatelet suggestions for adults with swallowing difficulties
13 June 2024A range of antiplatelet formulations are suitable for use in adults with swallowing difficulties.
Clozapine use in adults with swallowing difficulties
12 June 2023Guidance on clozapine administration including crushing tablets, importance of not missing doses and practical considerations regarding switching formulations