roxanol

  1. 0
    I have a question about roxanol. I am new to hospice and was orientating on a continuous care case. The rn who came out to do the 24 hr visit told me and the other lvn there that roxanol is only effective/ absorbed in the stomach . This is contrary to what I have always been taught, Called pharmacist later who said that was not correct.
    Any one have any insight to offer? Is there new research or findings about roxanol?
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  3. 13 Comments so far...

  4. 1
    Hmmm....not that I know of. The directions from our pharmacy indicate that it can be absorbed through the mucous membranes, so if it's placed under the tongue or in the cheek it can still be absorbed.
    calliesue likes this.
  5. 3
    roxanol is given either po or sl.
    these nurses need to refresh their knowledge base.

    leslie
    tewdles, Chris81, and calliesue like this.
  6. 1
    I agree that it is absorbed through sub lingual use as well as oral, only through my experiences with using it for so many years and seeing the effects of using it in patients who cannot swallow. Our pharmacist would also agree with me.
    calliesue likes this.
  7. 1
    Yes, it is absorbed through the mucous membrane...that's the whole point of using it after the patient can no longer swallow medications.
    calliesue likes this.
  8. 0
    Thanks everyone. This is what I thought too. I just wondered if there was some little known study or something that backed up her position.

    I figured this was the place to come to get good info.
  9. 1
    Roxanol, non sugar based can also be used as a neb to relax the lining of the lungs and decrease respiratory discomfort. It can be mixed with Albuterol, Atrovent, combination of the two, Xopenex, or plain old Saline. Works very well.
    GrumpyRN63 likes this.
  10. 0
    My father-in-law is taking Roxanol liquid. The posts seem to indicate that there is no difference between taking it SL or PO and the literature says it can be taken with or without food, but my question is: Is there any difference between giving medication with food and mixing it into food? Thanks.
  11. 0
    Quote from garyd11
    My father-in-law is taking Roxanol liquid. The posts seem to indicate that there is no difference between taking it SL or PO and the literature says it can be taken with or without food, but my question is: Is there any difference between giving medication with food and mixing it into food? Thanks.
    I guess that would depend on whether he's actually eating. If you mix it into the food and he doesn't eat it all, he'll miss some of his dose. As far as absorption goes, it's all ending up in the stomach anyway so I don't think it would make a difference if you take it in between bites or within a bite, kwim?
  12. 0
    Thanks for your reply.

    Is there a difference in absorption between taking it sublinguallyor by mouth, irrespective of food?

    You ended your answer with "kwim?" What does that mean?


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