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Difficulty Swallowing Pill

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1. Use of Xtampza ER to Overcome Difficulties in Swallowing Opioid Pills

Use of Xtampza ER to Overcome Difficulties in Swallowing Opioid Pills Use of Xtampza ER to Overcome Difficulties in Swallowing Opioid Pills - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Use of Xtampza ER (...) to Overcome Difficulties in Swallowing Opioid Pills The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03588806 Recruitment Status : Recruiting First Posted : July 17, 2018 Last Update Posted : July 17, 2018 See Sponsor: Ajay

2018 Clinical Trials

2. Behavioral training for pill-swallowing difficulties in young children with autistic disorder. (PubMed)

Behavioral training for pill-swallowing difficulties in young children with autistic disorder. Difficulty with swallowing pills is a common problem, leading to noncompliance with treatment recommendations. Many young children with autistic disorder (AD) who also show comorbid symptoms associated with attention deficit hyperactivity disorder (ADHD) have difficulty swallowing pills. This pilot study describes our experience in teaching pill-swallowing skills to 4 children with AD who also had (...) of the pilot study, 2 children (50%) successfully learned to swallow the study capsules, 1 child (25%) was able to swallow the study capsules with the behavior therapist but had difficulty with the caregiver, and 1 child (25%) made slow progress and was withdrawn by the caregiver in favor of proceeding with a crushable medication for clinical care.Caregivers were appreciative of the opportunity for this short intervention. Behavioral training for pill swallowing may be indicated in some circumstances

2017 Journal of Child and Adolescent Psychopharmacology

3. Difficulty Swallowing Pill

Difficulty Swallowing Pill Difficulty Swallowing Pill Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Difficulty Swallowing Pill (...) Difficulty Swallowing Pill Aka: Difficulty Swallowing Pill , Difficulty Swallowing Tablet , Difficulty Swallowing Capsule From Related Chapters II. Approach: Pearls Change head position Tip head forward Turn head to one side (left or right) Counter-intuitively, tipping the head back may exacerbate swallowing difficulties Take pills with food Place the pill in soft, mushy food that is meant to be partially chewed (e.g. bananas) Swallow with water in a different way Swallow the pill with water sucked

2018 FP Notebook

4. A spoonful of sugar helps the medicine go down? A review of strategies for making pills easier to swallow (PubMed)

healthy people with pill-swallowing difficulties. In general, restoring and maintaining the ability to swallow pills whole should ideally be the first choice in managing people with pill-swallowing difficulties. A number of strategies can potentially make it easier to swallow pills whole. These include postural adjustments, using pill-swallowing aids, and teaching pill-swallowing techniques. Where these are not successful or appropriate, then other approaches have to be considered using alternative (...) formulations/routes of administration or deprescribing. If there is no other option, and it is not directly contraindicated for each specific medication dosage form, pills may be modified and mixed in foods and drinks to aid swallowing. In conclusion, people with pill-swallowing difficulties can benefit from a number of strategies designed to facilitate swallowing medications. However, these strategies should be further evaluated with regard to the evidence relating to both their efficacy and safety.

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2018 Patient preference and adherence

5. Zidovudine continuous infusion in an HIV-infected pregnant woman with a phobia of swallowing pills. (PubMed)

Zidovudine continuous infusion in an HIV-infected pregnant woman with a phobia of swallowing pills. The authors report the difficulties of preventing mother-to-child transmission in a pregnant HIV-infected woman with a phobia of swallowing pills. After multiple attempts and just as many failures, the authors ended up with cART consisting of small tablets of nevirapine, lamivudine and a continuous intravenous infusion of zidovudine given via an elastomeric pump at home. This case demonstrates (...) the difficulties that HIV physicians can encounter in pregnant women who have difficulties in swallowing tablets. In exceptional circumstances, continuous infusion of zidovudine may be an option, even in an outpatient setting.

2017 Antiviral Therapy

6. Can a Flavored Spray (Pill Glide) Help Children Swallow Their Medicines? A Pilot Study. (PubMed)

Can a Flavored Spray (Pill Glide) Help Children Swallow Their Medicines? A Pilot Study. Pediatric pharmacists are constantly faced with the challenges of supporting children and caregivers for whom the difficulties of swallowing medicines can be a daily struggle. Most medicines are only available as tablets and capsules, and where liquid alternatives exist, these products often have issues with palatability and high costs. The objective of this study was to evaluate whether the swallowing spray (...) , Pill Glide, could help children in taking their solid and liquid medicines. This open label pilot study compared the spray with a behavioral approach alone, the current standard of care at the pediatric hospital. Patients were children on long-term drug therapies, either transitioning from liquid preparations to tablets and capsules, or known to be experiencing swallowing difficulties. Using age-adapted diaries, patients self-reported the difficulty of taking medicines on a 6-point hedonic scale

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2016 Pediatrics

7. Difficulty Swallowing Pill

Difficulty Swallowing Pill Difficulty Swallowing Pill Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Difficulty Swallowing Pill (...) Difficulty Swallowing Pill Aka: Difficulty Swallowing Pill , Difficulty Swallowing Tablet , Difficulty Swallowing Capsule From Related Chapters II. Approach: Pearls Change head position Tip head forward Turn head to one side (left or right) Counter-intuitively, tipping the head back may exacerbate swallowing difficulties Take pills with food Place the pill in soft, mushy food that is meant to be partially chewed (e.g. bananas) Swallow with water in a different way Swallow the pill with water sucked

2015 FP Notebook

8. A tough pill to swallow? The evidence on taking medicine

struggle — for a variety of reasons —to swallow pills. , anywhere from 20 to 40 percent of people in the U.S., regardless of age, have difficulty swallowing a standard-sized pill. Reasons include anxiety about having a pill stuck in their throat, a hypersensitive gag reflex, acid reflux disease or emotional reaction to an illness. Whatever the reasons, there are ways to work though these types of swallowing difficulties. looks at interventions that can help children and adolescents overcome pill (...) -swallowing difficulties. The review is on the small side, including only five studies in total. And one of them was considered of poor quality. But it did identify some interventions that can help people as young as 4 years old, and probably adults too, have an easier time swallowing pills. Among them: A flavored throat spray used before putting a pill into someone’s mouth can make swallowing easier. Using verbal cues can help children learn how to swallow pills. For example, children can imagine

2015 Evidence Based Living blog

9. Effectiveness of Pediatric Pill Swallowing Interventions: A Systematic Review. (PubMed)

Effectiveness of Pediatric Pill Swallowing Interventions: A Systematic Review. Pediatric patients commonly have difficulty swallowing pills. Targeted interventions have shown to improve medication administration and treatment compliance. The objective was to evaluate studies performed on pill swallowing interventions in the pediatric population since 1987.We performed a comprehensive PubMed search and a bibliography review to identify articles for our review. We selected articles published (...) in English between December 1986 and December 2013 that included >10 participants aged 0 to 21 years with pill swallowing difficulties without a comorbid condition affecting their swallowing. Reviewers extracted the relevant information and rated the quality of each study as "poor," "fair," or "good" based on the sample size and study design.We identified 4 cohort studies and 1 case series that met our criteria. All 5 studies found their intervention to be successful in teaching children how to swallow

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2015 Pediatrics

10. Two Techniques to Make Swallowing Pills Easier (PubMed)

the appropriate technique. The pop-bottle method substantially improved swallowing of tablets in 59.7% (169/283) and the lean-forward technique for capsules in 88.6% (31/35). Both techniques were remarkably effective in participants with and without reported difficulties swallowing pills and should be recommended regularly.© 2014 Annals of Family Medicine, Inc. (...) Two Techniques to Make Swallowing Pills Easier To evaluate whether 2 techniques (the pop-bottle method for tablets and the lean-forward technique for capsules) ease swallowing of tablets and capsules, we conducted a cross-sectional study including 151 adults of the general German population. Participants swallowed 16 differently shaped placebos, rated their ease of swallowing on an 8-point Likert scale, and swallowed the 2 dosage forms that they had rated most difficult again using

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2014 Annals of family medicine

11. PILL AVERSION IN HIV-INFECTED PREGNANT WOMEN: THEORY TO PRACTICE (PubMed)

PILL AVERSION IN HIV-INFECTED PREGNANT WOMEN: THEORY TO PRACTICE In our perinatal HIV cohort, we have observed difficulty swallowing pills as a frequent and significant barrier to adherence to highly active antiretroviral therapy. We refer to this problem as pill aversion and define it as difficulty swallowing pills with no persistent medical or structural cause as well as the anxiety and physical symptoms associated with pill swallowing. By applying cognitive behavioral theory to behavioral (...) patterns within our pregnant HIV-infected population, we seek to better understand the development and reinforcement of pill aversion behavior. On the basis of this theory, our experience, and the pediatric pill-swallowing literature, we propose a conceptual framework for understanding the multiple causes of pill aversion and applying therapeutic interventions to a perinatal population. In a theoretical discussion, we address the roles of classical conditioning and cognitive theory in the development

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2016 Journal of perinatology : official journal of the California Perinatal Association

12. Fiber-optic endoscopic evaluation of swallowing to assess swallowing outcomes as a function of head position in a normal population (PubMed)

pharyngeal residue as assessed by FEES. Documenting the incidence of pharyngeal residue and laryngeal penetration and aspiration in a normal population was a secondary goal.Adults without swallowing difficulties (N = 84) were taught a pill swallowing technique based on learning five head positions and were asked to practice with small, hard candies (e.g., TicTacs) for two weeks. Then they demonstrated swallowing in each of the head positions for two conditions, liquid and purée, while undergoing FEES.Out (...) Fiber-optic endoscopic evaluation of swallowing to assess swallowing outcomes as a function of head position in a normal population Head position practice has been shown to influence pill-swallowing ability, but the impact of head position on measures of swallowing outcomes has not yet been studied with fiber-optic endoscopic evaluation of swallowing (FEES). The primary purpose of this study was to determine whether head position impacts penetration-aspiration scale scores and/or post-swallow

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2014 Journal of Otolaryngology - Head & Neck Surgery

13. Pill Study Hyperthermia Device (Heckel HT 3000): Monitoring Core Body Temperature Using Wireless Technology

/alcohol in the last 2 months (with the exception of marijuana use). Individuals with a history of having difficulty swallowing food or large capsules will be excluded from participating in the assessment of core body temperature (because swallowing a large sensor pill is required). The indigestible temperature capsules will not be used in subjects with any known or suspected obstructive disease of the gastrointestinal tract including, but not limited to esophageal stricture, diverticulosis (...) to swallow. The pill sends radio signals to a small recording device that participants wear that send a signal to a monitor and records the participant's internal body temperature. The pill will exit the participant's body in one of his/her bowel movements approximately 1-5 days after ingestion. Pills are not reused. Other Name: Core body temperature indigestible measuring device Outcome Measures Go to Primary Outcome Measures : Difference in core body temperature [ Time Frame: WBH Heating Session

2015 Clinical Trials

14. Sexualized drug use (chemsex and methamphetamine) and men who have sex with men

on sexualized drug use. The use of heterogeneous sampling techniques produced prevalence estimates that varied considerably (1, 2, 9). Authors also found that studies recruited participants from sexual health or drug treatment services, which likely produced inaccurate estimates of prevalence (1). Two reviews also discussed the difficulty of defining chemsex (1, 9), with one review noting that definitions can vary based on participant preferences, availability of specific drugs, and diverse subcultures (1 (...) intercourse. HIV-positive men who have sex with men are more likely to engage in chemsex. Chemsex behaviours are associated with increased risk of acquiring HIV and other sexually transmitted infections. The social functioning and mental well-being of men who engage in chemsex may be negatively impacted by this behaviour. Authors discuss the difficulty of conducting a systematic review on chemsex behaviours. It is challenging to identify and reach representative populations, to classify and measure

2019 Ontario HIV Treatment Network

15. A Case Management Tool for TB Prevention, Care and Control in the UK

(butanol) are a simple tool for monitoring adherence. If no commercial tests are available, a visual check for discolouration may be performed if soon after ingestion. • Counselling on the importance of treatment continuity and completion. • Re-supply medications from the TB service (only one month should be given to ensure early identification of non-attendance and pill counts) and check arrangements for future prescriptions and clinical follow-up appointments. 3.3 What is directly observed treatment (...) (DOT)? DOT includes watching the patient swallow the prescribed medication, documenting this on a clear log/chart of observations and checking for adverse effects. DOT is a daily process and not thrice weekly (WHO, 2017). DOT is part of a patient-centred enhanced case management approach and includes: • support to encourage attendance of medical appointments • ongoing patient education • offering incentives and/or enablers • assisting with transport • connecting patients with social services

2019 Royal College of Nursing

16. Management of opioid use disorders: a national clinical practice guideline

of the pharmacology of buprenorphine (i.e., high affinity for opioid receptors and long half-life) 31 • Patients require education on how to take sublingual doses correctly (i.e., hold under tongue until dissolved — up to 10 minutes; do not drink or smoke, and minimize swallowing) • Nonadherence to treatment may require frequent reinductions Note: QTc = corrected QT .GUIDELINE E252 CMAJ | MARCH 5, 2018 | VOLUME 190 | ISSUE 9 with antiretrovirals, antibiotics and some antidepressants) than buprenorphine–naloxone (...) and appropriate strategies should be employed to reduce the risk of diversion (e.g., random urine drug testing, unannounced pill counts). Approach to avoid Offering withdrawal management alone (i.e., detoxification with- out immediate transition to long-term addiction treatment) should be avoided, because this approach has been associated with increased rates of relapse, morbidity and death (strong recom- mendation; moderate-quality evidence). This guideline strongly recommends against a treatment strat- egy

2018 CPG Infobase

17. Assessment of dysphagia

Assessment of dysphagia Assessment of dysphagia - Differential diagnosis of symptoms | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Assessment of dysphagia Last reviewed: February 2019 Last updated: June 2018 Summary The exact definition of dysphagia varies, but, in brief, dysphagia is difficulty with the act of swallowing solids or liquids. It may be subjective or objective and can refer to the sensation of not being able to swallow, food 'sticking (...) ://www.worldgastroenterology.org/guidelines/global-guidelines/dysphagia Dysphagia may be treated by various specialties or ideally by a multi-specialty team. The core of such a team includes the patient’s primary care physician, otolaryngologists, speech and swallowing therapists, gastroenterologists, and radiologists. In addition, neurologists, dieticians, oncologists, general surgeons, and thoracic surgeons are often involved in the patient’s care. Swallowing and therefore difficulty swallowing can be anatomically

2018 BMJ Best Practice

18. Diagnosis and management of epilepsy in adults

or intranasally, or y lorazepam 4 mg IV if midazolam is unavailable, or y diazepam 10 mg if midazolam and lorazepam are unavailable. B Administer a repeat dose of benzodiazepine in hospital after 10 minutes if there is no response. Diagnosis and management of epilepsy in adults| 5 2.4 EPILEPSY AND WOMEN’S HEALTH C T o minimise the risk of contraceptive failure, a woman using any combined hormonal contraception, or a combined oral contraceptive pill, or a progesterone-only pill should be prescribed (...) investigations (including polysomnography with full EEG montages) should be available for patients who present diagnostic difficulties. Diagnosis and management of epilepsy in adults 2 + 1 - 3 2 + 3 2 + 3 4| 11 ? Access to urgent EEG (within 24 hours of request) should be available in all acute medical units for the diagnosis of suspected non-convulsive status epilepticus. 3.5 HAND-HELD VIDEO There is good evidence that epileptic seizures can be distinguished from non-epileptic attack disorder based

2018 SIGN

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