Evidence map›Paper›PMID 41443608›Full record

SynthesisClinical and translational science2026

Stability of Medications Administered via Enteral Feeding Tubes: A Systematic Review.

Lena Alodat, Wejdan Shahin, Lina Breik, Ayman Allahham

Abstract readSystematic Review
In one paragraph

Synthesis in Clinical and translational science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  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

4 authors.

Lena AlodatSchool of Pharmacy and Pharmaceutical Science, Monash University, Melbourne, Victoria, Australia.ORCID 0009-0005-8217-7153
Wejdan ShahinPharmacy Discipline, School of Health and Biomedical Science, RMIT University, Melbourne, Victoria, Australia.
Lina BreikHome Enteral Nutrition Care, Tube Dietitian, Melbourne, Victoria, Australia.ORCID 0000-0002-9294-6690
Ayman AllahhamPharmacy Discipline, School of Health and Biomedical Science, RMIT University, Melbourne, Victoria, Australia.ORCID 0000-0001-7999-8077

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Feeding tubes are essential for patients unable to maintain adequate oral intake, serving multiple purposes including nutrition delivery and medication administration. The impact of administering medications through feeding tubes on their stability requires systematic investigation. This review aims to systematically evaluate factors affecting medication stability when administered via enteral feeding tubes versus oral administration in healthy populations, focusing on solid dosage forms converted to liquid formulations. A comprehensive search was conducted across PubMed/MEDLINE, Embase, and CINAHL databases from July to October 2024, using a combination of MeSH and non-MeSH terms. Studies that assessed medication stability in enteral feeding tubes were included, while those that did not report on this outcome were excluded. The risk of bias was evaluated using ROBINS-I, RoB- II, Cochrane tools, and the QUIN tool. From 2368 articles, 115 were retained for further assessment, and finally 24 met the inclusion criteria and were included, comprising 16 in vivo, 4 in vitro, and 4 combined studies. Approximately 20.8% of the studies found reduced stability/bioavailability for certain medications, such as warfarin and tolvaptan, while 8.3% of the studies found enhanced absorption, as observed with clopidogrel. Most medications maintained their stability. This systematic review suggests that enteral feeding tube administration can variably affect medication stability, influenced by factors such as tube material and preparation methods. Although most medications remain stable, concerns regarding instability and quality persist. The findings of this review provide a foundation for developing evidence-based guidelines to optimize clinical practice and improve patient outcomes.

Indexed as

Enteral NutritionAdministration, OralBiological AvailabilityDrug StabilityHumansfeeding tubeshealthystabilitysystematic review

Identifiers

PMID41443608
PMCPMC12737946

What OpenQuestion holds

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Registered trials

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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.