Often the way medicines are taken is crucial to their successful use. Whether an active ingredient as a tablet, dragee or juice comes along, depends on when it should act at what place and at what time in the body. Around 1.4 billion packs of medicines are sold annually in German pharmacies, including 749 million prescriptions.When handing over the medication, pharmacists and employees point out special income regulations. We have summarized what to consider when taking pills, capsules & Co.
For tablets that are swallowed, the active ingredient is absorbed in the stomach or intestine. These tablets contain fillers (auxiliaries) such as lactose and so-called "disintegrants", which facilitate the dissolution of the tablet.
For the tablet to dissolve completely, it must with a lot of fluid be taken.
What should you take tablets with?
Best suited for tablet intake Tap water or still mineral water in room temperature. Warmer water would dissolve the tablet already in the mouth or during swallowing in the throat and then trigger an unpleasant gagging. Milk and fruit juices are unsuitable because they can lead to interactions with the drug of the drug.
Tablets with alcohol are more likely to cause liver damage than successful recovery.
How to take tablets best?
Tablets are best taken with the upper body raised.
If you swallow tablets lying down or only halfway up, you may be swallowed. Of course, this also applies to all drugs that are taken "orally" (through the mouth), including dragees, capsules, juices, drops, teas or syrups.
In order to take the tablet easily, the head should be light Forward (!) tend. If you put the head backwards, the liquid can run ahead and the agent in the mouth or in the esophagus get stuck.
When to take? Note leaflet!
If the doctor or pharmacist does not recommend it, the leaflet will provide information on how to treat it optimal intake time. Because you should definitely take into account, because while a drug is swallowed on an empty stomach, another must be taken because of its stomach irritant effect together with a meal.
Why not split tablets?
Only divide tablets if they have an extra scored groove and the package leaflet provides a half or quarter tablet for dosing.
Because not all tablets can be shared: Film-coated tablets, dragées and sustained-release tablets release their active ingredients in a targeted manner and often over a long period of time. The outer layers of a tablet may include bittering agents that would be released upon parting.
- at tablets The film protects the drug from attack by stomach acid. The film itself first dissolves in the small intestine and the active ingredient can then be absorbed by the body. Thus, if tablets are broken, the stomach acid destroys the drug and the drug becomes ineffective.
- Also the long-acting sustained-release tablets may not be shared; because they deliver the active ingredient to the body for hours. Breaking the tablet would release the drug abruptly in the body and act as an unwanted overdose.
- dragees consist of a core and a layer that completely surrounds the core. They are best swallowed whole with liquid.
- capsules have a gelatin shell that can be hard or soft. The interior of the capsule contains the solid, liquid or paste-like active ingredient. Also capsules must be taken with plenty of fluid.
Tablet divider from the pharmacy
Sometimes the doctor only prescribes half or a quarter tablets. Then the tablet has to be shared. The experience with this is universal: Rarely, the drug can be divided smoothly. The package leaflet reveals how the respective tablets can best be divided.
In the pharmacy you can also buy a tablet divider, which makes it easier to share the drug. It is advisable to take a look at the tablets when buying the tablets or when redeeming the prescription. If you have trouble picking up, then they can be competently cleared up on the spot.
Swallow large tablets more easily
With some tricks you can swallow especially large tablets more easily. A sip of water before ingesting moistened the mouth. The tablet should then be placed as far back on the tongue as possible and washed down with plenty of water.
Especially with large tablets one should take the head when ingestion - as described above - easily to tilt forward (!)so that the water does not run out of the mouth and the tablet does not lie on the tongue. If the tablets can not be swallowed, another dosage form may be possible.
Not all tablets are swallowed
Some tablets only work if they are melt under the tongue. The mucous membrane is extremely thin there and smaller drug molecules can therefore easily penetrate them. In this way, the drug gets directly into the blood and the drug is very fast.
Such tablets are used inter alia in the treatment of severe pain or acute attacks of angina pectoris.
Melt tablets on the tongue - what to consider?
For the effect to be sufficiently strong, the drug must have contact with the oral mucosa for a sufficient period of time. That's why the appropriate tablets are allowed not sucked but have to slowly melt away.
The tablets that melt under the tongue (sublingual) or between the gum and cheek (buccal) also become lozenges called.
You should also note the following tips:
- Prosthesis wearers should insert a lozenge above the bit into the upper cheek pouch.
- Careful eating and drinking cold drinks are possible.
- However, smoking with a pill in the mouth should not be allowed. If drugs are prescribed for mouth or throat inflammation, the pollutants from cigarettes prevent the healing process in the mouth and throat anyway.
Assistance from the pharmacy
Taking medication properly is often particularly difficult for the elderly. Child-resistant closures, for example, are sometimes insurmountable when the lid has to be pushed down and turned with trembling hands at the same time. Here, the pharmacist can transfer the contents into a normal glass jar and label this accordingly.
With a push-through aid tablets from so-called "blister packs" can be easily removed.
Effervescent tablets: Let it roar calmly!
Effervescent tablets are dissolved in water and then drunk. They contain, in contrast to normal tablets, for example, sodium carbonate for rapid dissolution and flavorings such as berry, lemon or orange flavor.
Also effervescent tablets will be Not dissolved in hot drinks, milk or juice - unless the package leaflet expressly requests this.
In the case of effervescent tablets, which have an expectorant effect, you should also drink plenty of water between the individual receipts. This allows the loosened mucus to be transported away better.
When the effervescent tablet completely dissolved is, it should be drunk directly. If you drink it sooner, not all of the active ingredient will be absorbed and the desired effect will be delayed or completely eliminated. Again, your pharmacy will advise you on all medication issues competently and with pleasure.