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List of Partners vendors. If you have difficulty swallowing pills and there aren't alternatives like syrups, crushing pills may be a reasonable option. However, not every pill can be crushed as it may affect the absorption of the drug and decrease its intended effect.
If a pill can be crushed, there is a right way and wrong way of doing this. Here is a primer that can help. Not every pill can be crushed. There are times when doing so can decrease the drug's effectiveness or increase the risk of side effects and overdosing. The types of pills below should not be crushed.
Enteric-coated drugs should never be crushed, broken, or chewed. The pills are coated to reduce stomach irritation. The special coating is gradually dissolved as it passes through the stomach so that the drug begins to be released as it passes into the intestine.
Enteric-coated tablets often have "-EN" for enteric or "-EC" enteric-coated tagged at the end of the brand name. Some drugs are also enteric-coated to avoid teeth staining or to prevent stomach acids from destroying the drug. If not swallowed whole, these drugs may be less effective and more likely to cause side effects.
You can often tell that a pill is enteric-coated when it is has a slight sheen. If in doubt, call your pharmacist. Sustained-release drugs are similar to enteric-coated drugs in that they are meant to be absorbed slowly rather than all at once.
These products typically have brand names that end with "-CR" controlled-release , "-DA" delayed-action , and "-ER" or "-XR" extended-release , among others. Sustained-release medications are designed to deliver the drug over a long period of time. Crushing the pill causes the drug to be released all at once. This reduces its effectiveness as the drug concentration will be high at first and then drop quickly so that there is no more left in the body. The initial high levels can also increase the risk or severity of side effects.
You should never crush narcotics , also known as opioids. These drugs have a high potential for drug addiction and are designed to be released at a controlled, steady rate. The rapid release of opioids in the bloodstream can intensify the effects of the drug, including pain relief and feelings of euphoria. This can increase the risk of a drug overdose. It can also increase the risk of addiction as the body becomes accustomed to the rapid burst of the drug and requires more and more to achieve the same effects.
Some of the more commonly prescribed opioids include:. Not all pills can be crushed. These include pills that are enteric-coated or sustained-release. Opioid drugs especially should never be crushed as it increase the risk of addiction and overdose.
Many pharmacies place a sticker on pill packaging stating they that should not be crushed. If you don't see a warning label, ask your doctor or pharmacist before crushing any pill. Concerta is a brand name of the drug Methylphenidate.
Other brand names of Methylphenidate include:. Concerta is a Schedule II regulated Stimulant. Concerta is primarily used as a Stimulant medication to increase attention span and decrease hyperactivity and impulsive behavior. Concerta and other Stimulants have a calming effect for individuals with ADHD and similar conditions and increase focus, so they are widely used to treat attention deficit hyperactivity disorder ADHD.
If individuals who do not have ADHD take these medications, however, the results will be hyperactivity and overstimulation. Some people abuse Concerta by taking more pills than prescribed or by crushing and snorting large doses of it for a more powerful high. The drug can also be abused intravenously. Make a Call Getting or using Concerta without a prescription is considered abuse of the drug. Concerta affects chemicals in the brain and nervous system that contribute to hyperactivity and impulse control.
It is often prescribed to treat ADHD and narcolepsy. Although many people take Concerta to treat these conditions, others abuse the drug for its Stimulant properties. As a Stimulant, Concerta increases focus and concentration as well as alertness and energy level. College-age students commonly abuse Stimulants as study aids. Lose weight Stimulants are appetite Suppressants, so people abuse Concerta in order to lose weight.
Get high Because Concerta activates the reward system in the brain, the drug can provide a high when taken by someone who is not being treated for ADHD. Increased dopamine levels are associated with attention and pleasure. Taking too much Concerta can lead to overdose, which can be life-threatening. A Concerta overdose can affect the individual both physically and psychologically. Physical Concerta overdose symptoms include:. In the most severe cases, Concerta abuse may result in cardiac arrhythmia, heart attack, excessively high or low blood pressure, stroke, circulation failure, convulsions, seizure, coma, or fatal drug poisoning.
Concerta is sometimes taken in combination with other drugs, such as alcohol , especially by college students. Mixing Concerta with alcohol can have dangerous consequences. As a Stimulant, Concerta can override the Depressant effects of alcohol. Users may not feel the effects of alcohol like they normally would, leading them to drink more.
This increases the risk of alcohol poisoning, which can be fatal. Combining the drug with alcohol can also intensify the negative side effects of Concerta, such as nausea, headaches, and dizziness. It can also cause anxiety and impaired concentration in the user.
Learn More. There were 15, emergency room visits related to ADHD treatment medications like Concerta reported in Overcoming a Concerta addiction can be difficult, but professional treatment can help with the process. Please contact a treatment provider now for help finding a Concerta addiction treatment program. After graduation, he decided to pursue his passion of writing and editing. Below is a chart illustrating the 'biphasic' release of Concerta taken once daily compared to immediate-release methylphenidate taken three times daily :.
Source: Concerta Prescribing Information. As mentioned above, crushing Concerta will destroy the release mechanism. Not only will the entire dose be released at once, increasing the risk of side effects, but it will also have a significantly shortened duration of action around 3 to 6 hours versus for intact Concerta. Be sure to clarify with the doctor how they want your son to take his medication.
If Concerta cannot be swallowed, it may make sense to switch to a different product. There are extended-release methylphenidate suspensions and chew-tabs available Quillivant XR which may be viable alternatives. He has been featured in numerous publications including the Huffington Post as well as a variety of health and pharmacy-related blogs.
Please feel free to reach out to him directly if you have any inquiries or want to connect! He's answered thousands of medication and pharmacy-related questions and he's ready to answer yours!
Questions Articles Drugs Interactions Ask a pharmacist. Published: Aug 22, Last Updated: Oct 28, Concerta tablets should be swallowed whole and not be altered. Answered By: Dr.
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