Tag Archive for: ease of swallowing medicines

Free Online Course on Medicines Administration for Patients with Dysphagia. NOW AVAILABLE ON DEMAND

Dysphagia: Swallowing Difficulties and Medicines

Link: https://www.futurelearn.com/courses/dysphagia Registration for the course is now ALWAYS open! Because this course is so popular it has been moved to allow people to join at any time.

This course will enhance the knowledge of any person involved in the administration of medicines to patients with dysphagia. The course offers an opportunity to network with other learners and with the creators of the course through discussions, graphs and social networking features and to share knowledge with other learners and professionals.

The course covers:

  • Definition and causes of dysphagia
  • How to improve medicines administration for patients with dysphagia
  • Supporting patients with dysphagia to take their medicines
  • Different medicine formulations and the important considerations for patients with dysphagia
  • Legal and ethical considerations when administering medicines to patients with dysphagia
  • Standardising the approach to reviewing medicines in patients with dysphagia
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New research provides useful guidance regarding use of lubricants to ease swallowing of medicines

A new study designed to describe and compare lubricants which can be purchased in different countries to make tablets and capsules easier to swallow, using an International Standard for assessment of texture, found that whilst many products were potentially suitable for dysphagia, some may not be.1  Some were deemed to be very runny whereas other had very high viscosity which led the authors to suggest that they may be unsuitable if a texture required for a safe swallow was expected to be within the international range. These lubricants are frequently designed for people who just don’t like swallowing tablets or capsules and in such cases it is the individual patient preference which is most important.

The methods suggest that the lubricants were not actually tested with tablets or capsules within them, which is how they are expected to be used and this may affect the results.  Furthermore, as with all of these products, their physical effect on the active ingredients in the medicines themselves are usually not tested. With some evidence that even the simplest of ingredients surrounding a tablet or capsule can potentially affect how well they are absorbed,2 whenever such products are used it is important that the patient is monitored to make sure that effectiveness is not changed.

1. Malouh MA, Cichero JAY, Manrique YJ, Crino L, Lau ETL, Nissen LM, Steadman KJ. Are Medication Swallowing Lubricants Suitable for Use in Dysphagia? Consistency, Viscosity, Texture, and Application of the International Dysphagia Diet Standardization Initiative (IDDSI) Framework. Pharmaceutics. 2020 Sep 28;12(10):924. doi: 10.3390/pharmaceutics12100924. PMID: 32998301; PMCID: PMC7601516.

2. Wright DJ, Potter JF, Clark A, Blyth A, Maskrey V, Mencarelli G, Wicks SO, Craig DQM. Administration of aspirin tablets using a novel gel-based swallowing aid: an open-label randomised controlled cross-over trial. BMJ Innov. 2019 Oct;5(4):113-119. doi: 10.1136/bmjinnov-2018-000293. Epub 2019 Jul 4. PMID: 32038883; PMCID: PMC6979441.

written by by Prof David Wright