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Can I crush paracetamol?

Published in Medication Administration 2 mins read

Whether you can crush paracetamol depends on the type of tablet you have. Here's a breakdown:

Understanding Different Types of Paracetamol Tablets

Paracetamol comes in various forms, each designed for specific release patterns. It's crucial to identify what kind you have before attempting to crush it.

Types of Paracetamol Tablets

Tablet Type Can You Crush It? How to Take
Rapidly-Dissolving Yes Chew or let dissolve on the tongue, then swallow.
Chewable Yes Chew thoroughly before swallowing.
Extended-Release No Swallow whole. Do not crush or chew.


Why You Can't Crush Extended-Release Paracetamol

Extended-release (ER) paracetamol tablets are designed to release the medicine slowly over time. This provides longer-lasting pain relief and reduces the need for frequent doses. If you crush an ER tablet, you:

  • Release all the medication at once: This leads to a rapid surge in the paracetamol level in your body, which can increase the risk of side effects.
  • Negate the purpose of the extended release: The drug will not last as long, potentially causing breakthrough pain.

When Crushing is Okay

  • Rapidly-dissolving paracetamol tablets: These are meant to dissolve quickly. You can either chew them or let them dissolve on your tongue before swallowing with or without water.
  • Chewable tablets: These should be chewed thoroughly before swallowing. They are designed to be easily broken down in the mouth.

Important Considerations

  • Always check the packaging: Look for labels like "extended-release," "ER," "SR," or "modified-release." If you are unsure, consult your pharmacist.
  • Follow your doctor's or pharmacist’s instructions: They can advise you on the best way to take your medication.
  • Never crush tablets without specific instructions: If you have difficulty swallowing tablets, discuss alternatives with your doctor or pharmacist.
  • Keep paracetamol out of reach of children.

In conclusion, you can crush rapidly-dissolving and chewable paracetamol tablets, but you should never crush extended-release tablets. Doing so could be unsafe and ineffective.

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