408 KB36 KB200820252019Dolenšek, Melitaletnik:18str. 122-130številka:supl. 1ISSN:1580-9315COBISSID_HOST:2637417URN:URN:NBN:SI:doc-LCXU7XCFslUniverzitetni rehabilitacijski inštitut Slovenije - SočaRehabilitacija (Ljubljana)alternative formulationalternativna oblikaDeglutition Disordersdisfagijadrugdrug therapydrugsdysphagiamotnje požiranjaOrthotic Devicespripomočki za požiranjeswallowing aidsswallowing disorderszdravilaPripomočki za lažje in pravilno uživanje zdravil| Medical aids for easier and correct medication dosage|Background Solid oral pharmaceutical dosage forms, such as tablets and capsules, are generally the preferred method of drug delivery due to their convenience, cost, and acceptability. For 10-40 % of the people it can be a challenge to swallow solid oral medications, even to those with healthy swallowing function. Methods We searched the literature for methods and tools to reduce swallowing problems. We examined the 30 most frequently prescribed drugs in the solid oral form used at the University Rehabilitation Institute in Ljubljana. Results A number of strategies can potentially make it easier to swallow whole pills. These include teaching pill-swallowing techniques, using pill-swallowing aids, using alternative formulations or routes of administration, or the pills may be modified and mixed in foods and drinks to aid swallowing. Conclusions An integrated and interdisciplinary approach is needed to reduce inappropriate dosage-form modifications, and improve medication administration to people with swallowing problems. Altering a solid-dose formulation should be reserved as a last resortIzhodišča Trdna peroralna farmacevtska oblika doziranja zdravil, kot so tablete in kapsule, je najcenejša, najpogostejša in najprimernejša. Kar 10-40 % ljudi ima težave s požiranjem trdih oblik zdravil, tudi ljudje, ki sicer nimajo težav s požiranjem. Metode V literaturi smo poiskali metode in pripomočke, ki bi olajšali težave s požiranjem. Pregledali smo 30 najpogosteje predpisanih zdravil oziroma učinkovin v trdni peroralni obliki, uporabljenih v URI - Soča. Rezultati Požiranje lahko olajšamo z učenjem tehnik požiranja, s pripomočki, ki olajšajo požiranje, s predpisom alternativnih farmacevtskih oblik, s spremembo trdnih farmacevtskih oblik in z mešanjem zdravil med hrano in pijačo. Zaključek Z interdisciplinarnim pristopom k obravnavi pacientov s težavami pri požiranju lahko izboljšamo učinkovito uporabo zdravil. Spreminjanje trdne peroralne farmacevtske oblike je treba obravnavati kot zadnjo od možnostiTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaUniverzitetni rehabilitacijski inštitut RS – Soča