15/11/2016
LIQUID MEDICATION FOR DYSPHAGIA SUFFERERS
Dysphagia, a difficulty in swallowing, is common in individuals with neurological disease and
dementia. It is a result of behavioural, sensory or motor problems, or a combination of these.
The inability to swallow food, liquids, saliva and pills lead to numerous problems, including
malnutrition, dehydration, aspiration pneumonia and malabsorption of medications, to name
but a few.
It is estimated that 45% of institutionalised dementia patients have dysphagia[1] As there are
850 000 dementia sufferers[2] and 127 000 Parkinson's patients[3] in the Uk, that means
at least half a million people are battling to swallow their prescribed tablets on a daily basis.
Although some medications are available in liquids or patches, very few GPs/Consultants
inform their patients that this alternative is available.
Technically, crushing patients' medication is illegal according to the Medicines Act 1968
(Griffith, 2003), yet hospitals, nursing and care homes face this dilemna on a daily basis.
So why are medicines not being offered and dispensed in liquid or patch form when they
are available?
For medication such as Sinemet, that are only available in tablet form, I appeal to Merck
and all the pharmaceutical companies to make dementia and parkinson's specific drugs
available in liquid form asap. Individual tube-like satchets for easy administration would easily
compliment the current dossett box system used by patients and carers.
By ensuring the patients consumption of their meds would increase the drugs effectiveness,
decreasing symptoms thereby improving quality of life and reduce wastage of valuable drugs
not swallowed or spat out by dysphagic patients.
As Emily Dickinson quoted " If you take care of the small things, the big things take care of
themselves. You gain more control over your life by paying closer attention to the little things"
This article was written by Marina Allen
References
[1] Facts for the media, http://www.alzheimers.org.uk
[2] Facts for the media, http://www.alzheimers.org.uk
[3] Facts for journalists, http://www.parkinsons.org.uk
We are the UK's leading dementia support and research charity, here for anyone affected by any form of dementia in England, Wales and Northern Ireland.