Evidence map›Paper›PMID 30100710›Full record

ReviewPatient preference and adherence2018

A spoonful of sugar helps the medicine go down? A review of strategies for making pills easier to swallow.

Aida Sefidani Forough, Esther Tl Lau, Kathryn J Steadman, Julie Ay Cichero, Greg J Kyle, Jose Manuel Serrano Santos, Lisa M Nissen

Registry-linked trialAbstract readReview
In one paragraph

Review in Patient preference and adherence, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05173051 (Medication Intake of Solid Dosage Forms), which is not on this map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05173051 nacompletednot on this mapstarted 2022, after this paper: background citation

Medication Intake of Solid Dosage Forms: A Risk Factor for Patients With Stroke-induced Dysphagia?

TypeinterventionalSponsorKarl Landsteiner University of Health SciencesRan2022 to 2023Enrolled60ConditionsCerebral Infarction, Stroke, Acute, Stroke, DysphagiaArmsSolid Medication intake vs. crushed medication intake
3 · Its place in the literature

Who cites it

27 citing papers in PubMed.

  1. Trial
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  5. Observational
  6. Observational
  7. Review
  8. Article
  9. Recent opportunities and application of gellan gum based drug delivery system for intranasal route.Daru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences · 2024
    Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Aida Sefidani ForoughSchool of Clinical Sciences, Faculty of Health, Queensland University of Technology, Brisbane, QLD, Australia, a.sefidaniforough@qut.edu.au.
Esther Tl LauSchool of Clinical Sciences, Faculty of Health, Queensland University of Technology, Brisbane, QLD, Australia, a.sefidaniforough@qut.edu.au.
Kathryn J SteadmanSchool of Clinical Sciences, Faculty of Health, Queensland University of Technology, Brisbane, QLD, Australia, a.sefidaniforough@qut.edu.au.
Julie Ay CicheroSchool of Clinical Sciences, Faculty of Health, Queensland University of Technology, Brisbane, QLD, Australia, a.sefidaniforough@qut.edu.au.
Greg J KyleSchool of Clinical Sciences, Faculty of Health, Queensland University of Technology, Brisbane, QLD, Australia, a.sefidaniforough@qut.edu.au.
Jose Manuel Serrano SantosSchool of Clinical Sciences, Faculty of Health, Queensland University of Technology, Brisbane, QLD, Australia, a.sefidaniforough@qut.edu.au.
Lisa M NissenSchool of Clinical Sciences, Faculty of Health, Queensland University of Technology, Brisbane, QLD, Australia, a.sefidaniforough@qut.edu.au.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Solid oral dosage forms such as tablets and capsules are generally the preferred method of drug delivery due to their convenience, cost, and acceptability. However, for many people, it can be a challenge to swallow solid oral medications, even those with healthy swallowing function. This review describes current strategies available to facilitate medication administration to otherwise healthy people with pill-swallowing difficulties. In general, restoring and maintaining the ability to swallow pills whole should ideally be the first choice in managing people with pill-swallowing difficulties. A number of strategies can potentially make it easier to swallow pills whole. These include postural adjustments, using pill-swallowing aids, and teaching pill-swallowing techniques. Where these are not successful or appropriate, then other approaches have to be considered using alternative formulations/routes of administration or deprescribing. If there is no other option, and it is not directly contraindicated for each specific medication dosage form, pills may be modified and mixed in foods and drinks to aid swallowing. In conclusion, people with pill-swallowing difficulties can benefit from a number of strategies designed to facilitate swallowing medications. However, these strategies should be further evaluated with regard to the evidence relating to both their efficacy and safety.

Indexed as

capsulesmedication administrationoral dosage formspill swallowingswallowing difficultiestablets

Identifiers

PMID30100710
PMCPMC6065591

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.