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Considerations when mixing medications with Fruit, Yoghurt, Thickened Fluids


Don’t take your medicine with fruit juice! Dr Geraldine Moses BPharm, DClinPharm, AACPA

Crushed Tablets: Does the Administration of Food Vehicles and Thickened Fluids to Aid Medication Swallowing Alter Drug Release? Journal of Pharmacy & Pharmaceutical Sciences, 17(2), pp. 207-219.

Juice interactions: What patients need to know. Maria G. Tanzi, PharmD

Fruit Juices Block Common Drugs. Daniel J. DeNoon

Potential risks resulting from fruit/vegetable-drug interactions: effects on drug-metabolizing enzymes and drug transporters. J Food Sci.

Fruit Juices as Perpetrators of Drug Interactions: The Role of Organic Anion–Transporting Polypeptides

Thickening agents used for dysphagia management: effect on bioavailability of water, medication and feelings of satiety. Julie AY Cichero


Medication alteration – Don’t Rush to Crush!


Don’t Rush to Crush – 2nd edition Australia’s most comprehensive guide to giving solid oral medicines to people who are unable to swallow.
Available here –

AJP article -Nurses Benefit From Don’t Rush To Crush Training. Megan Haggan

The Nurse Path – Don’t rush to crush. Ian Miller

Can I Crush It? Jill Huntley, Clinical Pharmacist


Medication Administration Guidelines


Nursing Guidelines – Management of Medicines in Aged Care. Australian Nursing and Midwifery Federation. Nursing Guidelines: Management of Medicines in Aged Care. Melbourne: ANMF, 2013.

Guiding principles for medication management in residential aged care facilities.  Department of Health and Ageing$File/Guiding%20principles%20for%20medication%20management%20in%20residential%20aged%20care%20facilities.pdf

Don’t Rush to Crush – 2nd edition – Australia’s most comprehensive guide to giving solid oral medicines to people who are unable to swallow. The Society of Hospital Pharmacists Australia, 2015, Australian Don’t Rush to Crush Handbook, 2nd ed