Do I give the med or hold? - page 3

by spectrabrite

11,252 Views | 79 Comments

I work in LTC, my resident is given gabapentin (time release capsule) along with a lot of other tablets. This resident chews all meds and will not listen that gabapentin states "swallow whole, do not chew, or crush". I see all... Read More


  1. 0
    Gabapentin does come in a liquid suspension, I would try that!
  2. 0
    [QUOTE=tyvin;6862915]
    Gabapentin absorption: effect of mixing wit... [Ann Pharmacother. 1998] - PubMed - NCBI



    CONCLUSIONS:

    Opening and mixing the contents of gabapentin capsules does not significantly impair drug absorption. This may be a viable administration option for patients who are unable to swallow intact capsules. Dietary macronutrient composition (i.e., protein) may favorably influence gabapentin oral absorption.

    If you still feel uneasy about mixing it in applesauce, explain the situation to the doc and suggest that he change it to a liquid form.




  3. 1
    consult with pharmacy and doc
    txredheadnurse likes this.
  4. 2
    this resident is chewing it, today I mixed it into applesauce and it went down without chewing

    I do plan to consult the doc on monday
    SL2014 and elprup like this.
  5. 0
    This medication should be given with food, but I would let the doctor know of your concerns. I could not locate any literature that voices your concerns other than what was learned in school.

    Natali L. Patterson, MSN, RN
  6. 0
    There is a liquid Gabapentin and it has to be refrigerated, ask the MD to order that.
  7. 0
    The med is always given with food to this patient. The patient thought always chews all medication no matter what it is even if we request it to be swallowed no chewing.
  8. 1
    There are other forms of the medication, including tablet, so talk to the pharmacy and then follow up with the doc. My experience is that the capsules are more commonly prescribed, so if a dr. wants to prescribe the med, that will be the first option just because it's the most common option.

    A lot of times I've seen it happen that drs. aren't aware that the patient likes to chew the med, or sometimes they forget when they prescribe it, because they've got so many patients to keep track of and they do rely on the nurse to keep them apprised of any issues.

    Just talk to the doc, and let him know what is going on. It really isn't that big of a deal.
    BrandonLPN likes this.
  9. 0
    Quote from BrandonLPN
    I've given pain narcotics rectally to hospice pts. Very rare. They didn't want the pt to have anything PO or SL. Not even roxanol.
    Yeah I've done this too for patients that were periodically unresponsive and unable to swallow and they did have the SL version on hand if it even came in SL. Things like Dexametasone and ER narcotics.

    I would just get it changed to a non ER and given more often.
  10. 0
    can the tablet form be chewed? This resident chews any and every medication, from ibuprofen, to vicodin, to atenolol.

    Quote from mazy
    There are other forms of the medication, including tablet, so talk to the pharmacy and then follow up with the doc. My experience is that the capsules are more commonly prescribed, so if a dr. wants to prescribe the med, that will be the first option just because it's the most common option.

    A lot of times I've seen it happen that drs. aren't aware that the patient likes to chew the med, or sometimes they forget when they prescribe it, because they've got so many patients to keep track of and they do rely on the nurse to keep them apprised of any issues.

    Just talk to the doc, and let him know what is going on. It really isn't that big of a deal.


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