Guest guest Posted March 6, 2002 Report Share Posted March 6, 2002 Do the pills dissolve well in water? Jenn Summer on wrote: Hannah started the diet at Kennedy Krieger Institute (part of s Hopkins) last week. She's right now just on four feedings of ketocal a day (she feeds by gtube), although we'll be trying to introduce small amounts of solid food either the end of this week or early next week. I just wanted to say that the experience there was fantastic. Patti , their nutritionist, is wonderful, and worked out very detailed instructions and menus for us. While Hannah was hospitalized (five days), she also had pt, ot and s & l evals, although she wasn't at her best (to put it mildly!). By the time we were to fly home on Sunday, Hannah had pretty much adapted to the diet and was more awake and alert. She's now back to herself with one major exception -- no seizures since her glucose levels dropped in anticipation of the diet. Hannah has complex partials, they usually came in clusters, the clusters happening anywhere from once a day to several times a day. In addition, she has a lot of generalized slowing and copious spiking on her eeg that doesn't show as clinical seizures. Hannah's neuro at KKI said that he does not want us to even think about reducing her meds for at least two months, and warned that we might not in the end want to do so. He mentioned that Freeman has adopted this new attitude towards the meds weaning as well, as research is showing that the diet may work in conjunction with the meds. If and when we ever do wean, he said it should be over a period of two months, as Hannah has become physically dependent on the drugs and he wants us to avoid withdrawal seizures. This may sound stupid, but does anyone have any tips on how to crush these darn pills so as not to lose anything in the process? The pharmacy showed us to use filter paper and pound the things, but it seems like something always ends up sticking to the paper. Summer "The Ketogenic Diet....a realistic treatment option, NOT just a last resort!" List is for parent to parent support only. It is important to get medical advice from a professional keto team! Subscribe: ketogenic-subscribe Unsubscribe: ketogenic-unsubscribe Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 7, 2002 Report Share Posted March 7, 2002 We use a pill crusher that we bought from the pharmacy. Take the lid off, drop the pills in, put the lid back on and screw it on tightly, crushing the tabs underneath it. Take lid off and tip out powdered pills. Voila! Hope this helps (Hannah's mum, Australia) started the dietThis may sound stupid, but does anyone have any tips on how to crush these darn pills so as not to lose anything in the process? The pharmacy showed us to use filter paper and pound the things, but it seems like something always ends up sticking to the paper. Summer Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 7, 2002 Report Share Posted March 7, 2002 We broke down and bought a pharmacist's mortar and pestle, since we deal with such a volume of pills. I scrape it out with a rubber spatula when done and that wipes the powder out quite well. After using it about 2 months, I'm sold! Rose-Marie, 's mom This may sound stupid, but does anyone have any tips on how to crush these darn pills so as not to lose anything in the process? The pharmacy showed us to use filter paper and pound the things, but it seems like something always ends up sticking to the paper. Summer Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 7, 2002 Report Share Posted March 7, 2002 > Do the pills dissolve well in water? > > Jenn The zyrtec takes forever to dissolve but will eventually. The tranxene dissolves easily, but the tegretol is tough to dissolve. We've already had a couple of problems when the tegretol pieces were still a bit too large and almost jammed the feeding tube. We went yesterday and bought one of those plastic pill crushers, but we still ended up with some bigger pieces of tegretol, and still had the problem of pill dust that wouldn't come out of the crusher. Summer Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 7, 2002 Report Share Posted March 7, 2002 A friend of mine gave me a great idea. I dont know if this would work for you (we mix ours with water). I take the plunger part out of the syringe, put that little end thingie on the tip, and drop in the pills, add water and replace the plunger part- you will have to turn the syringe over and take off the little thingie for the plunger to go back in (have to be careful doing this or you will end up with water everywhere) Wait til the pills are dissolved and it is ready. We used to dissolve Mike' pills in meds cups but we were always leaving something behind. After I give Mike his meds I draw up a bit of plain water into the syringe to get the little bit remaining so he gets everything. It works really well when I remember to do it. Jenn "GAVAN J. CANAVAN" wrote: We use a pill crusher that we bought from the pharmacy. Take the lid off, drop the pills in, put the lid back on and screw it on tightly, crushing the tabs underneath it. Take lid off and tip out powdered pills. Voila! Hope this helps (Hannah's mum, Australia) started the diet This may sound stupid, but does anyone have any tips on how to crush these darn pills so as not to lose anything in the process? The pharmacy showed us to use filter paper and pound the things, but it seems like something always ends up sticking to the paper. Summer "The Ketogenic Diet....a realistic treatment option, NOT just a last resort!" List is for parent to parent support only. It is important to get medical advice from a professional keto team! Subscribe: ketogenic-subscribe Unsubscribe: ketogenic-unsubscribe Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 7, 2002 Report Share Posted March 7, 2002 > > Do the pills dissolve well in water? > > > > >>> Try using soda water. The bubbles help dissolve tablets. OGM Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 7, 2002 Report Share Posted March 7, 2002 > > Do the pills dissolve well in water? > > > > >>> Try using soda water. The bubbles help dissolve tablets. OGM Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 7, 2002 Report Share Posted March 7, 2002 To get the dust and crumbs out of the pill crusher (or mortar/pestle) I just drizzle a few mls of water around the sides, from a syringe, to wash all the excess down to the bottom, and then suck it back up into the syringe to give with the rest of the meds. I always check that the equipment is dry before using it again though. ----- Original Message ----- From: summerharrison We went yesterday and bought one of those plastic pill crushers, butwe still ended up with some bigger pieces of tegretol, and still hadthe problem of pill dust that wouldn't come out of the crusher. ----- Original Message ----- From: Don Gallagher We broke down and bought a pharmacist's mortar and pestle, since we deal with such a volume of pills. I scrape it out with a rubber spatula when done and that wipes the powder out quite well. Quote Link to comment Share on other sites More sharing options...
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