Norfolk and Suffolk NHS Foundation Trust
Pharmacy, Hellesdon Hospital, Norwich, NR6 5BE
http://www.nsft.nhs.uk/

Professor Stephen Bazire
01603-421452
steve.bazire@nsft.nhs.uk

What are the different ways in which I can take medication?

There are many ways of taking medicines, from tablets and capsules through to suppositories, through the skin and different types of injection.

The choice of how you take your medication should be offered to you. The advantages and disadvantages should also be explained. Below are a few advantages and disadvantages of each of the different types.

Not all medicines are available in each of the forms. You will need to consult the specific question relating to that medication e.g. How should I take medication x? Consult the following pages to help you find your answer:


Tablets and capsules | Syrups and liquids | Dispersible tablets | Injections | Skin patches


Tablets and capsules

Advantages Disdvantages

Your choice to take a dose every day.

Easy to take and carry around

Can change your dose (up or down) quickly and usually easily

“Sustained release” (SR, XL, MR etc) tablets and capsules can help reduce side effects and reduce the number of times a day you need to take a dose

Can easily forget a dose (or accidentally take two doses)

You need a glass of water or liquid to swallow a dose, so is a reminder that you’re “taking a tablet”

Some can be difficult to swallow

Not all medicines can be given by mouth, as they have to be able to survive the acid in the stomach

Sometimes they have to be taken with or after food

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Syrups and liquids

Advantages Disdvantages

Your choice to take a dose every day.

Easy to swallow

Can change your dose (up or down) quickly and usually easily

Can easily forget a dose (or accidentally take two doses)

Might not taste very nice

Difficult and heavy to carry around and you need a way of measuring the liquid

Not all medicines can be given by mouth, as they have to be able to survive the acid in the stomach

Sometimes they have to be taken with or after food

May enter the body quickly so might give you more side effects.

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Dispersible tablets (melt-in-the-mouth)

Advantages Disdvantages

Your choice to take a dose every day.

Easy to take and carry around (unless you don’t like the taste)

You don’t need a glass of water or liquid to swallow a dose, so doesn’t feel like you’re “taking a tablet”

Can change your dose (up or down) quickly and usually easily

Can easily forget a dose (or accidentally take two doses)

Not all medicines can be given by this type of tablet, as they don’t taste very nice

May enter the body quickly so might give you more side effects.

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Injections (depot or long-acting)

Advantages Disdvantages

Your choice, but only every few weeks

Can live life between injections without reminder of illness

No worrying about forgetting a dose (or taking a double dose), especially if you know the medicine keeps you well

Some medicines can’t be given by mouth but can be injected

Regular contact with nurses and the service every couple of weeks

Because the medicine is released slowly and gradually, there may be fewer side effects

You get an injection (usually into your bum) every fortnight or so, which can be painful and distressing

The effects last several weeks so you can’t change your mind between doses

You can’t stop the drug or reduce the dose suddenly (although if you do stop, your blood levels do reduce gradually)

Needs someone to do it for you

Although generally the side effects may not be as marked, you may get more side effects for the few days after an injection

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Skin patches

Advantages Disdvantages

Your choice every day or two

You always know if you’re having a dose

Some medicines can’t be given by mouth but can be given by patches

Because the medicine is released slowly and gradually, there may be fewer side effects

The patch can be taken off if you need to stop a medicine quickly

Can fall off (and stick to someone else!)

New technology so not many drugs can be given this way yet

Have to remember how long ago a patch went on and when the next one is due

Can get a rash when the patch is stuck on

 

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Glossary terms

NICE

NICE stands for the National Institute for Health and Clinical Excellence. NICE is an independent organisation responsible for providing national guidance on promoting good health and preventing and treating ill health.

Find out more

Main pharmacy contact points

Main Trust switchboard in Norwich, tel: 01603-421421
Dispensary and all enquiries, tel: 01603-421212, fax: 01603-421365
Pharmacy office tel: 01603-421319
Medicines Information tel: 01603-421212
Unthank Road pharmacy tel: 01603-750031
Deputy Director and Clinical Pharmacy Manager John Hunter, tel: 01603-421364

Opening hours:
Main pharmacy open Monday to Friday: 8.30-16.30 (open at 9.15 on Wednesdays for staff meeting)
Unthank Road pharmacy tel: 01603-671917 open 9.15-12.00 Monday to Friday, also Tuesday and Wednesday afternoons for dose assessments.

Service objectives:
The pharmacy service to Norfolk and Suffolk NHS Foundation Trust has five main aims:

  1. Efficient drug distribution and purchasing
  2. Provision of accurate and independent education and information about medicine therapy to service users and carers
  3. Information and education for Trust and other professionals, and voluntary helpers
  4. Clinical activities to help ensure the optimum use of drug therapies
  5. Medicine management to ensure the most cost-effective use is made of resources