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If you're crushing medications, you need MEDCRUSH.

Tablets and capsules are designed to release medication in the body at a specific rate and amount over time. The dosing recommendations are based upon these specifications. The rate and amount of medication absorbed is built into the design of the tablet or capsule.

When some tablets and capsules are crushed, split and opened, the rate and amount of drug entering the body can change significantly, leading to treatment failure and potential harm. Altered medication dosage forms can cause medications to perform differently than the FDA drug monograph describes.

MedCrush is a web app that provides information and considerations about crushing, splitting and opening altered solid oral medication dosage forms. This is a searchable database with a continuously expanding number of medications.

See What's Included

Four crush levels provide crucial direction when it comes to crushing meds.

Safe to Crush

It is safe to crush or alter the dosage form of these medications. However, there are implications to consider - learn more in a med's detail page.

Alter with Caution

These medications are sensitive to mixing with food and crushing may alter dosage effects. Crush with care and understand possible outcomes.

Do Not Crush

These meds should not be crushed per the manufacturer's recommendation. However, there are certain allowances - learn more in a med's detail page.

Never Crush

These medications should never be crushed - serious health concerns, including death, could result. DO NOT crush these medications under any circumstances.

Detailed, crush-specific information for each med offers insight into:

The Effect of Food Adjuvants

Crushed medications (including split tablets and some opened capsules) are often mixed with foods such as pudding or applesauce, or adjuvants such as thickened liquid products or nutritional shakes to help swallowing medication doses. Food and adjuvant mixing with altered oral dosage forms can impact medication use outcomes. This section highlights some considerations when mixing with food and adjuvants.

Get either limited or full access to the database by clicking "REGISTER" below.

Free Membership

An introductory but limited package. See 10 commonly-dispensed medications and get all the information you need: whether they are safe to crush (or not), and the implications if they are crushed.

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