Is it possible to divide the tablets and how to choose the right dosage? Is it possible to open capsules and use powder in them to prepare a suspension?
Modern medications usually do not require any division. I define this very simply if the tablet has a dividing line in the middle, then you can divide if there is no such feature, then the tablet is indivisible and you need to look for other dosages of this medication, as you will not be able to divide it accurately in half. Also, instructions for smaller dosages (for example, for children) are indicated in the drug instructions, provided that there are no smaller dosage forms, and they are indicated in the instructions.
Composite drugs that can contain two or more components in their composition are also not recommended to divide or take double doses, since additional components may contain different dosages. For example, antibiotic Amoxiclav contains in its composition two components: Amoxicillin and Clavulanic acid, but in different dosages of tablets, contains a different amount of these components.
There are the following dosages: 250 + 125 mg (250 mg of Amoxicillin and 125 mg of Clavulanic acid), 500 + 125 mg, 875 + 125 mg. It's natural for people to question: if there is no dosage of 500 + 125 mg in the pharmacy, can a double dose of 250 + 125 mg be used? The answer: no, it is impossible, because by Amoxicillin we go to the desired dosage (500 mg), but for Clavulanic acid the excess, instead of 125 mg, 250 mg will be obtained, the final tablet will be 500 + 250 mg.
The difference is obvious, it is also impossible to predict the effects. Therefore, always follow the dosage regimen prescribed by your doctor. There is no medicine in one pharmacy - go to another.
And do not try to replace drugs with cheaper generics, as well as non-obvious benefit in terms of price, can adversely affect recovery. After all, not always the substance for such drugs is completely identical to the original, plus additional components from manufacturers of cheap medicines, may also be of a worse quality than the original.
About opening the capsule and using powder to prepare the suspension.This is often like making moms for their children. This is also an incorrect approach. Capsule largely protects the contents from the acidic environment of the stomach, where the drug can break down or modify their properties and breaks down in the alkaline environment of the intestine where the drug active ingredient is freely absorbed and starts acting. Thus, the preparation of the suspension from the components of the capsule is incorrect.
There are preparations in the form of dispersible tablets (antibiotics Flemoclav solute or Ceforal solutab), so they can be dissolved in water and use the resulting suspension for use in pediatrics or in people who can not swallow large tablets. But this is a special case, also mentioned in the instructions to these drugs.
I want to believe that now there will be less questions about the division or multiplication of dosages of tablet formulations, as well as the use of capsule contents for the preparation of the suspension.