lnu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Hur apotekskunden delar sina tabletter och hur de förvaras
Linnaeus University, Faculty of Health and Life Sciences, Department of Chemistry and Biomedical Sciences.
2018 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund: Läkemedelsordinationer som kräver delning av tabletter är vanligt och förekommer vid ca. 10 % av expedierade recept. Tabletter kan vara svåra att dela, ge smulor eller delas i olika stora delar vilket kan påverka patientens följsamhet till behandlingen och behandlingsresultat. Syftet med studien var att undersöka hur patienterna gör när den förskrivna tablettberedningen måste delas, samt hur kvarvarande delad tablett förvaras. Metod: Intervjustudie med apotekskunder som har ordination vilket kräver delning av tablettberedningar. Resultat: Av 7677 apotekskunder med recept, vid åtta apotek, hade 188 (2,4 %) dosering som krävde tablettdelning. 171 kunder deltog i intervjustudien angående upplevelser av tablettdelning. 66 % av deltagarna (113/171) var >65 år. 49 % (75/153) delade tabletten med fingrarna, 31 % (47/153) med kniv och 14 % (22/153) med tablettdelare. Sax, tång eller tänderna användes av 6 % (9/153). Fyra respondenter delade inte. Den kvarvarande tablettdelen förvarades i dosett av 50 % (69/139), 37 % (51/139) lade tillbaka tablettdelen i förpackningen, 8 % (11/139) använde en skål, fat eller ett glas. Slutsats: Hälften av respondenterna delade med verktyg, vilket tyder på att tabletterna var svåra att dela för hand. Andelen äldre och deras upplevelse av att tabletterna var små och svårhanterliga kan vara orsaken. Det övervägande användandet av dosett för förvaring av tabletthalvorna, kan bero på att fler läkemedel användes, vilket är vanligare vid högre ålder och förenklar läkemedelshanteringen.

Abstract [en]

Prescriptions that requires splitting tablets is common and occurs at 10 % of all prescriptions in Sweden. Causes why doctors prescribe dosages with split tablets could be the absence of appropriate strength when children and elderly people need lower dosages than those available on the market. Other reasons for splitting tablets can be problem with swallowing large tablets and economic considerations. Not all tablets are intended to be split and scored tablets do not always mean that the tablet can be split in two equal parts. Difficulties in splitting tablets, crumbling or different size of the tablet parts could affect the patient’s compliance and the outcome of the treatment.

The aim of this study was to examine how the pharmacy customers do when the tablet must be split and how the remaining divided tablet is stored.

Among 7677 customers with prescriptions, visiting eight pharmacies in Sweden, 188 (2,4%) were splitting tablets in half. Out of them 171 (2/3 women) accepted to participate in interviews to assess pros and cons in tablet splitting. 66% (113/171) of the respondents was at the age of 65 or older. 49% (75/153) split their tablets between the fingers, 31% (47/153) used a knife, 14% (22/153) used a tablet splitter. Scissor, pliers and teeth were used by 6% (9/153). Four respondents didn´t split their tablets. Medication for heart-/vessels and psychotropic drugs was used by 81% (139/171). The most commonly divided drug was Imovane® 7,5 mg (12%, 20/171), 50% (10/20) used a tool for splitting it, the rest used their fingers and many of them got different size of the parts. The split tablets were stored in a dosett for 50% (69/139) of the respondents, 37% (51/139) put it back in the packaging, 8% (11/139) laid it in a bowl, on a plate or in a glass.

Half of respondents used a tool, which indicate for difficulties in splitting. The proportion of older people and experience of small and difficult broken tablets could be a reason. The major use of dosett for storage, may be due to the use of several drugs, which are more common in older ages and facilitates the drug treatment.

Place, publisher, year, edition, pages
2018. , p. 29
Keywords [sv]
Delade tabletter, dosett, tablettdelare
National Category
Pharmaceutical Sciences
Identifiers
URN: urn:nbn:se:lnu:diva-75441OAI: oai:DiVA.org:lnu-75441DiVA, id: diva2:1215842
Subject / course
Pharmacy
Educational program
Bachelor of Science Programme in Pharmacy, 180 credits
Supervisors
Examiners
Available from: 2018-06-11 Created: 2018-06-09 Last updated: 2018-06-11Bibliographically approved

Open Access in DiVA

fulltext(645 kB)39 downloads
File information
File name FULLTEXT01.pdfFile size 645 kBChecksum SHA-512
67f04fc1d9872c48984688cbcc7af93cb302e1279ddcf388f7a9a6009aaabe91039537ed0fdf5a20e7fda895dddc98423899788c2cfd80fbcc5983aee0a0a9c7
Type fulltextMimetype application/pdf

Search in DiVA

By author/editor
Ragnarsson, Anna-Lisa
By organisation
Department of Chemistry and Biomedical Sciences
Pharmaceutical Sciences

Search outside of DiVA

GoogleGoogle Scholar
Total: 39 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

urn-nbn

Altmetric score

urn-nbn
Total: 30 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf