Are you someone who takes more than four doses of medicine a day? If so it appears you are more likely to crush tablets or open capsules, potentially reducing their effectiveness, a study has revealed.

And even more worrying, almost half of those in the study (44%) did not think there would be an issue with crushing or modifying tablets. Most of those who modified their medicines didn’t seek advice from their pharmacist, instead turning to family and friends.

Had they asked their pharmacist they would have got some more sensible advice! Depending on the tablet or capsule, and the type of medicine, modifying the dosage form can lead to reduced effectiveness and increased risk of adverse effects.

For example, many tablets and capsules are film coated to prevent them disintegrating in the acid environment of the stomach, so that the active ingredient can be delivered into the intestine without being destroyed. Crush the tablet, and your medicine won’t be getting through.

If you have trouble taking your medicine talk to your pharmacist because there are often practical steps you can take or alternative preparations available.