Recommendations

Oral Dosage Forms That Should Not Be Crushed

The List of Oral Dosage Forms That Should Not Be Crushed, commonly referred to as the "Do Not Crush" list, contains medications that should not be crushed because of their special pharmaceutical formulations or characteristics, such as oral dosage forms that are sustained-release in nature.

 

Announcement: On November 17, 2022, ISMP has removed the table of Do Not Crush Medications from our website. This is because ISMP does not own, update, or review new or existing content on the List of Oral Dosage Forms That Should Not Be Crushed. ISMP encourages that organizations maintain, update, and periodically review a list of oral dosage forms that may require alteration through evaluation of package inserts, drug manufacturer inquiries, tertiary drug information resources, and primary literature.

The List of Oral Dosage Forms That Should Not Be Crushed was originally compiled and updated by John Mitchell, PharmD. The list is now maintained and updated by Thomas Land Publishers. Any inquiries regarding the List of Oral Dosage Forms That Should Not Be Crushed should be directed to [email protected].

ISMP has discontinued the sale of wall charts. Please click here to purchase the List of Oral Dosage Forms That Should Not Be Crushed Wall Chart from Thomas Land Publishers.

Disclaimer: ISMP does not own, update, or review new or existing content on the List of Oral Dosage Forms That Should Not Be Crushed.


Frequently Asked Questions (FAQs):

  • Q: There used to be a Do Not Crush List in table form on ISMP’s website. Where can I find this?

    • A: ISMP no longer transposes the Oral Dosage Forms That Should Not Be Crushed into table form on the website. ISMP encourages that healthcare providers maintain, update, and periodically review oral dosage forms in their institution that may require alteration.

  • Q: Can I get an electronic copy/printable version of the list?

    • A: ISMP encourages that organizations maintain, update, and periodically review a list of oral dosage forms that may require alteration through evaluation of package inserts, drug manufacturer inquiries, tertiary drug information resources, and primary literature.

  • Q: Can [medication] be [added/removed] from the Do Not Crush List?

    • A: Any inquiries regarding content on the List of Oral Dosage Forms That Should Not Be Crushed should be directed to [email protected].

More Recommendations