We would not recommend crushing tablets or opening capsules unless the Patient Information Leaflet (PIL) or Summary of Product Characteristics (SmPC) specifically states that you can. Crushing a tablet or emptying a capsule can change the way in which the medicine works, possibly altering the bioavailability, efficacy and safety of it.

If the patient continues to have difficulties and you are not the prescriber, we suggest that you refer them back to their prescriber to discuss an alternative.