what happens if you cut an extended release pill in half reminyl

Sadly, no you cannot. “You need to evaluate how well your disease is controlled, why you are splitting, and what tablets you want to split.”Pills are split all the time, and some insurers even offer incentives to get their members to cut their pills, says Alan M. Weiss, MD, an internal medicine doctor at the Cleveland Clinic in Ohio. I am 6 days post-op and I have to take two extended release pills a day. Extended Release, Coated Pills Can’t Be Split “If want to split a pill, there are a lot that are already scored and are designed to be cut,” he says. "Premera Blue Cross: "Save on Copays with Tablet Splitting Program. They found that 31% of the pill slices deviated from their recommended doses by more than 15% and 14% of the pill fragments deviated by more than 25%. “Air or moisture can change the formulation and deem it less effective when you do it in advance.”Papatya Tankut, PharmD, vice president, pharmacy professional services, CVS Caremark, Woonstocket, R.I.Jeffrey Brewer, PharmD, associate professor, Albany College of Pharmacy and Health Sciences, N.Y.Yuly Belchikov, PharmD, assistant director, clinical pharmacy services and education, Long Island Jewish Medical Center, New Hyde Park, N.Y.Alan M. Weiss, MD, internal medicine physician, Cleveland Clinic, Ohio.WebMD does not provide medical advice, diagnosis or treatment. Can you cut an extended release pill in half and it work the same? Responses (1) IS. "FDA: "Consumer Updates -- Tablet Splitting: A Risky Practice. YOU SHOULD NEVER CUT A MEDICATION UNLESS IT IS SCORED AND YOUR PHYSICIAN/PHARMACIST HAVE ADVISED YOU TO DO THIS. So cut a pill just before you take it, then take the other half as your next dose. Continued They are too large to swallow. Talk to your doctor. Island5286 31 Mar 2015. They may decide that it doesn't matter if you have extended release or immediate release, in that case it would be okay to halve the 60mg tablets. You can think of the active ingredient in a tablet the same way—if you cut it when it’s not meant to be cut, you won’t know how to monitor your dosages. With most extended release tablets, cutting, crushing or otherwise tampering with the tablet will result in a different rate of absorption - changing the medication from a time-release to a more immediate release mechanism. That helps ensure that you compensate for any deviation in size. Think about these before you decide to try pill splitting:Academy of Managed Care Pharmacy: "Professional Practice Advisory on Tablet Splitting. "American Medical News: "Cost vs. compliance: Physicians encouraged to discuss prescriptions.  “Dose deviation when splitting tablets is not always a problem. Even the most accurate means of pill splitting, the pill splitter, was associated with margins of error.“We have tested all kinds of tablets: big, small, round, with or without scoring line ... and tried to find an overall method that is best suitable for splitting tablets,” says Verrue in an email to WebMD. At 3 days post-op my husband crushed them for me. Answer this question. For example, for chronic therapies (e.g. Don’t decide to do it on your own because there are some toxic effects of splitting pills that weren’t designed to be split.”“Use a pill-splitting device so you are accurately splitting the dose,” she says, and split pills only on an as-needed basis. “It can be a great cost-saving mechanism for patients who can do it and do it on the right pills.”"There are some pills where you can break the seal if you cut them, and this can cause the medication to degrade,” he says.“If want to split a pill, there are a lot that are already scored and are designed to be cut,” he says.“Extended-release tablets and capsules can’t be cut.”Yuly Belchikov, PharmD, an assistant director for clinical pharmacy services and education at Long Island Jewish Medical Center, New Hyde Park, N.Y., says that pill splitting can be a problem for pills with a small therapeutic window. If you cut one of the pastries in half, it’s impossible to get an equal amount of berries on either end.

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