Evidence map›Paper›PMID 39610063›Full record

ArticleBritish journal of clinical pharmacology2025

Exploring the factors associated with difficulties in extracting tablets or capsules from press-through-package sheets.

Masami Tsuchiya, Shungo Imai, Masaki Asano, Yuri Shimizu, Hayato Kizaki, Yukiko Ito, Makoto Tsuchiya, Ryoko Kuriyama, Nao Yoshida, Masanori Shimada and 3 more

Abstract read
In one paragraph

Article in British journal of clinical pharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

13 authors.

Masami TsuchiyaDivision of Drug Informatics, Keio University Faculty of Pharmacy, Tokyo, Japan.ORCID https://orcid.org/0000-0003-3846-0435
Shungo ImaiDivision of Drug Informatics, Keio University Faculty of Pharmacy, Tokyo, Japan.ORCID https://orcid.org/0000-0001-5706-613X
Masaki AsanoDivision of Drug Informatics, Keio University Faculty of Pharmacy, Tokyo, Japan.
Yuri ShimizuDivision of Drug Informatics, Keio University Faculty of Pharmacy, Tokyo, Japan.
Hayato KizakiDivision of Drug Informatics, Keio University Faculty of Pharmacy, Tokyo, Japan.ORCID https://orcid.org/0000-0002-4572-1333
Yukiko Itoharmo Co., Ltd., Tokyo, Japan.
Makoto Tsuchiyaharmo Co., Ltd., Tokyo, Japan.
Ryoko Kuriyamaharmo Co., Ltd., Tokyo, Japan.
Nao Yoshidaharmo Co., Ltd., Tokyo, Japan.
Masanori Shimadaharmo Co., Ltd., Tokyo, Japan.
Takanori Sandoharmo Co., Ltd., Tokyo, Japan.
Tomo Ishijimaharmo Co., Ltd., Tokyo, Japan.
Satoko HoriDivision of Drug Informatics, Keio University Faculty of Pharmacy, Tokyo, Japan.ORCID https://orcid.org/0000-0002-4596-5418

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Exploring factors related to difficulties in extracting tablets or capsules from press-through-packages is essential for optimizing the dosage form. To achieve this, the involvement of patient insight is important. In the present study, the preferences of patients regarding drugs that are difficult to extract from their packaging were collected using an electronic medication notebook ('harmo®') based on dispensing data. We found that approximately 30% of respondents had difficulty removing tablets or capsules from their packaging, with 125 specific drugs identified as 'hard to push out'. Independent factors related to 'hard-to-push-out' drugs were female sex and feeling of weakness in the hands or fingers. Furthermore, several 'hard-to-push-out' drugs had characteristics such as a spherical shape or small major axis or small major axis drug-to-pocket size ratio. The findings of this study may help improve the quality of drug packaging, thus enhancing the patients' medication experience.

Indexed as

Drug PackagingPatient PreferenceTabletsAdultAgedCapsulesFemaleHumansMaleMiddle AgedSex FactorsYoung AdultCapsulesTabletscapsuleelectronic medication notebookpatient preferencepersonal health recordsizetablet

Identifiers

PMID39610063
PMCPMC11773092

What OpenQuestion holds

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Registered trials

None linked

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.