It can cause you to split them unevenly resulting in two pieces with very different dosages, which can be dangerous. Tablets and tablet parts were weighed using an analytical balance before and after splitting. On the basis of their results, the researchers recommend that a splitting device is used when splitting cannot be avoided. Warfarin and phenprocoumon were chosen because they are anticoagulants and, therefore, need meticulous dosage adjustment (titration) and frequent splitting. You can change your choices at any time by visiting Your Privacy Controls. “Splitting pills could lead to patients taking the wrong doses,” according to the Daily Express. However, they argue that this combination of methods is usual practice. This means that the researchers were unable to compare scissors as a technique on its own. Now the 1000mg of that same medicine is less expensive because i was gonna cut them in half thinking that i was gonna make 500mg. We and our partners will store and/or access information on your device through the use of cookies and similar technologies, to display personalised ads and content, for ad and content measurement, audience insights and product development. If a pill has any of these features, don’t try to cut it in half: A hard outer coat: Splitting a coated pill can make it harder to swallow and may change the way your body absorbs the medicine. Lower costs for patients. It was published in the peer-reviewed Journal of Advanced Nursing. The researchers call for three changes that could improve practice in this area. on Monday i went to the doctor and he told me i needed x medicine (500mg). Having the right equipment is very important too. Pill splitting allows the consumer to buy two doses of medicine for the cost of one dose - the equivalent to getting two months of medications for the price of one. Capsules are another form of the drug that cannot be cut in half. Pros of pill splitting. Don't use a knife or scissors to cut your pills in half. The authors say that after a tablet is split, the parts are often not equal in size, and that a portion of a tablet can be lost during splitting if the tablet fragments. - Lung cancer. Method two included two distinct techniques: using scissors for unscored tablets and manual breaking for scored tablets. How does pill splitting work? Cutting TKI pills in half to lower dosage- is it OK? When my doctor prescribed Eliquis 5mg I had no idea it would cause so much bleeding. For all tablets, the Pilomat device (method one) gave the lower average change from the unsplit weight. The BBC and Daily Express reported this research fairly. So far, research has only looked at individual splitting methods and, according to the researchers, no one has compared the accuracy of a range of methods to see which is best. The researchers found that the dose potentially given to patients when tablets were split could deviate from the recommended dose by at least 15%, and sometimes by more than 25%. To enable Verizon Media and our partners to process your personal data select 'I agree', or select 'Manage settings' for more information and to manage your choices. Many psychotropics come in multiple strengths, and one larger pill often costs less than 2 smaller pills of equivalent dosage. By cutting these medications, you may cause a lot of the drug to be released outside of the capsule, which would result in a very low dose of your cholesterol-lowering medication. An FDA study found that the thyroid drug levothyroxine should not be cut even when tablets are scored (AAPS PharmSciTech, Sept., 2010). Only one had previous experience of splitting. Patients currently sometimes require a dose of medication that can only be provided through splitting a tablet. when i asked the doctor he said, that i should never do that, because even if i was cutting the 1000mg medicine in half, i was still taking 1000mg but in a smaller dosage..and just … Splitting tablets 'may mean patients take wrong doses', Tablet-splitting: a common yet not so innocent practice, Journal of Advanced Nursing, Volume 67(1), 26–32, method 1: a dedicated splitting device, called Pilomat, method 2: scissors for unscored tablets or manual splitting for scored tablets, 9.5% reduction with the splitting device (method one), 15.2% reduction with scissors and manual breaking (method two), 13.7% reduction with the kitchen knife (method three). Large dose deviations or weight losses can occur while splitting tablets. For example: say you take 10 milligram (mg) of a cholesterol-lowering drug every day, but the 20 mg tablet costs just about the same. The small study looked at typical drugs prescribed for diseases such as Parkinson’s disease, congestive heart failure, thrombosis and arthritis. Find out more about how we use your information in our Privacy Policy and Cookie Policy. The difference between method two and method three was not statistically significant. Some pills cannot; for instance, extended release tablets cut in half will not dissolve properly. I take the lowest dose of a drug with the pill split in half and can still feel the effects if I don’t take it. Tablets of the brand-name drug Synthroid are scored, but this is considered a dose-critical drug. On this topic, I have explicitly advised a few clients to cut the chosen dosage pills in half so as to reduce the peak anticoagulant effect and take the reduced dosage twice (rarely 3 times) daily so as to both better even out their response (so as to reduce recurrent nuisance bleeding issues, e.g. Having the right equipment is very important too. At home, you cut the pills in half and take half … They split tablets that were round or oblong, flat or not, scored or not. The newspaper said that research into the practice showed it could be risky for drugs where the difference between a recommended and toxic dose is small. The study did not receive specific grants from any funding source. The drug is usually contained in an oval-type covering. If you have a 25mg Hydroxyzine HCL white pill, then yes, you can cut it in half. HuffPost is part of Verizon Media. By using volunteers from their department rather than nurses, they are unable to say that nurses in a nursing home environment would have performed the splitting in the same way or with the same results. Purchase a proper pill cutter that has a cover and a V-shaped pill grip that holds the pill securely in place.