Do I give the med or hold?

  1. 1
    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 the other nurses give this med and not worry about this.
    Joe V likes this.
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  3. 79 Comments so far...

  4. 2
    If it is in the capsule can't you open it in applesauce. I would consult the doctor or pharmacist to get another form of the drug the patient can manage.
    turnforthenurseRN and elprup like this.
  5. 4
    Maybe get the order changed to a non timed release version? In the meantime I wouldn't hold it. He still needs the med for his neuropathy pain (or whatever). It obviously is doing him no harm if he's been taking it that way forever. It's just not optimal.
  6. 1
    Quote from jacquelyn.
    If it is in the capsule can't you open it in applesauce. I would consult the doctor or pharmacist to get another form of the drug the patient can manage.
    If he opened the capsule, then the time release mechanism wouldn't work.
    amoLucia likes this.
  7. 1
    everything I am reading is the chewing crushes the time release beads and causes the med to be released all at once flooding the body to quickly. I will take it up with my charge when she is back in the facility.
    CaitlinLiz likes this.
  8. 1
    I would clarify with the doctor. They can change the form or it may be okay. I once had to put pradaxa down a g-tube and the bottle said do not open, swallow whole but the doctor said it was fine to send it down the tube. Try giving in pudding or applesauce until then if possible.
    spectrabrite likes this.
  9. 1
    Ill try that tonight till I can speak with someone to clarify it

    Quote from bubblejet50
    I would clarify with the doctor. They can change the form or it may be okay. I once had to put pradaxa down a g-tube and the bottle said do not open, swallow whole but the doctor said it was fine to send it down the tube. Try giving in pudding or applesauce until then if possible.
    Esme12 likes this.
  10. 4
    I agree to try to put the whole pill in pudding or applesauce. Some people are just terrible at swallowing pills. I wouldn't hold neurontin. We give neurontin and open the capsule to put it down the peg all the time. Our MAR has no warning about not doing so.
  11. 4
    It's not the best thing to do but I have opened Gabapentin ans put it in applesauce or pudding. It's either that or they don't get it at all.
    ktliz, SE_BSN_RN, spectrabrite, and 1 other like this.
  12. 1
    I believe it also comes in a liquid suspension form- obviously not time released so he would just have to get it more often. I agree though, don't hold.
    spectrabrite likes this.


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