Struggling with Pill Swallowing? Tips for Managing Orthopedic Medications - Orthopedics

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Medication issues


Hello, doctor.
I have difficulty swallowing pills and am always afraid they might get stuck.
After injuring my hand, I went to see an orthopedic doctor, who prescribed me MUSLEX TABLETS (orange-pink) and ECOPAIN Capsules 200mg (also orange-pink).
Both the tablets and capsules are quite large, and I am unable to swallow them.
Can I crush the MUSLEX tablets into powder, and can I open the capsule and only take the contents inside? The MUSLEX is to be taken before bedtime, and the capsule is to be taken after breakfast.
Is there a specific time by which I must take them? Does the MUSLEX need to be taken before midnight? I usually go to bed around 1 to 1:30 AM.
If I forget to take the capsule after breakfast and remember at noon, can I take it then? Thank you.

陌生人 (m, 20~29 year old female. Ask Date: 2018/07/31

Dr. Shi Guozheng reply Orthopedics


If you are unable to swallow pills, they can be opened and taken.
It is recommended to take them before bedtime, which means just before going to sleep.
You can also take a missed dose.

Reply Date: 2018/07/31

More Info


When it comes to managing orthopedic medications, particularly for patients who struggle with swallowing pills, there are several important considerations to keep in mind. Your concerns about the Muslex tablets and Ecopain capsules are valid, and I will address your questions regarding their administration, as well as provide some general tips for managing medication intake.

Firstly, regarding the Muslex tablets (a muscle relaxant) and Ecopain capsules (an analgesic), it is essential to consult with your healthcare provider or pharmacist before altering the form of any medication. In many cases, it is permissible to crush tablets or open capsules, but this is not universally applicable. Some medications are designed to be released slowly in the body (extended-release formulations), and altering their form can lead to an unintended rapid release of the drug, which may increase the risk of side effects or reduce efficacy.
For the Muslex tablets, if they are not specifically labeled as extended-release, you may be able to crush them into a powder and mix them with a soft food or liquid to facilitate swallowing. However, always confirm this with your pharmacist or doctor. As for the Ecopain capsules, if they are not enteric-coated or extended-release, you might be able to open the capsule and consume the powder inside. Again, checking with a healthcare professional is crucial to ensure safety and effectiveness.

In terms of timing for taking these medications, it is generally advisable to follow the prescribed schedule as closely as possible. For Muslex, if it is recommended to take it before sleep, it is best to take it within a reasonable time frame before you go to bed. While there is no strict rule that it must be taken by midnight, taking it too late may interfere with your sleep or lead to increased drowsiness the following day. If you typically sleep around 1 to 1:30 AM, aiming to take it by midnight would be a good practice.

For the Ecopain capsules, if you forget to take them after breakfast, it is usually acceptable to take them later in the day, but this depends on how much time has passed since your last dose and the specific instructions provided by your doctor. If it is close to the time for your next dose, it is often recommended to skip the missed dose rather than doubling up. This helps to avoid potential overdose or increased side effects.

Here are some additional tips for managing pill swallowing:
1. Use a Pill Crusher: If you have difficulty swallowing pills, a pill crusher can help turn tablets into a fine powder, which can then be mixed with applesauce, yogurt, or another soft food.

2. Drink Plenty of Water: When taking pills, drinking a full glass of water can help wash them down more easily. Some people find that taking a sip of water before placing the pill in their mouth can help.

3. Try Different Positions: Some individuals find it easier to swallow pills when tilting their head slightly forward or backward. Experimenting with different positions may help.

4. Practice with Smaller Pills: If you have access to smaller over-the-counter pills, practicing with them can help build your confidence and technique for swallowing larger medications.

5. Consult with a Speech Therapist: If swallowing pills continues to be a significant issue, a speech therapist can provide specialized techniques and exercises to improve swallowing skills.

In summary, always consult with your healthcare provider before making any changes to how you take your medications. They can provide personalized advice based on your specific medications and health needs. Managing your medications effectively is crucial for your recovery and overall health, so don't hesitate to reach out for help when needed.

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