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For example:
Enteric coated drugs should not be crushed, broken, or chewed. They are coated to lessen gastric irritation, to prevent teeth staining and infections of the mouth, and to prevent stomach acids from destroying the drug's effectiveness. If they are not swallowed whole, they are ineffective and cause serious side effects.
Sustained-release drugs have product names ending with CD and CR (controlled release), DA (delayed action), and ER, XR, and XL, (extended release) among others. These medications are designed to deliver the medication slowly over a 24-hour period. Crushing them may lead to an initial overdose and insufficient levels of the medication to be delivered over the course of a day, which can be dangerous.
Cytotoxic, teratogenic, or hormone drugs: Crushing these medications can lead to inhaling airborne particles. Cytotoxic drugs include chemotherapy treatments and teratogenic drugs include ACE inhibitors. Finasteride is an example of a hormone drug that should not be crushed. If crushing is necessary and approved, caregivers should use caution by wearing gloves and a mask when handling the medication.
Pill crusher: The easiest way to crush pills is to use a pill crusher. The gadget works by reducing the pill into a fine, powdery substance to be mixed with food or a beverage. Using a pill crusher is simple and requires little physical effort. Plus, the process is very time efficient, as most pills are relatively small and take mere seconds to crush.
Avoid This Method
Some people feel tempted to crush their medication by placing pills inside a plastic bag and bludgeoning them with a hammer or other heavy object, but there are so many things that can go wrong with this method.
It can make holes in the bag and you could lose some of the medication, which throws off dosing.
The crushed-up medication can collect in the corners of the bag, making it difficult to get every bit of medication out.
It may leave chunky pill fragments, rather than a smooth powder.
It's more time-consuming than any other method.
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