Don't Rush to Crush+ updates
Updates are released in March, June, September and December.
The General information section has been completely reviewed and updated, and includes new information about tablet technologies that are not suitable for crushing, and the size of tablets and capsules as a potential choking risk.
Extensive dispersion testing of more than 60 gastrointestinal medicines, including testing for suitability of administration into size 8 French enteral feeding tubes.
Monograph review and updates (141):
- gastrointestinal medicines, including new dispersion data and updated Comparative information for proton pump inhibitors
- cancer therapies
- electrolytes
- chelators and binders
- enzyme replacement therapies
- ivacaftor (and combinations)
New monographs (7):
- aluminium hydroxide
- Orkambi
- ritlecitinib
- selumetinib
- Symdeko
- tepotinib
- Trikafta
Monographs with significant changes (24):
- Balsalazide (dispersion data)
- Dabrafenib (formulation, administration)
- Entrectinib (administration)
- Esomeprazole (dispersion data)
- Gilteritinib (administration)
- Lansoprazole (dispersion data)
- Lenvatinib (administration)
- Mebeverine (dispersion data)
- Mesalazine (dispersion data)
- Metoclopramide (dispersion data)
- Midostaurin (compounded suspension)
- Nintedanib (administration)
- Nizatidine (dispersion data)
- Obeticholic acid (dispersion data)
- Omeprazole (formulation)
- Pantoprazole (dispersion data)
- Patiromer sobitex calcium (administration)
- Pomalidomide (administration)
- Ruxolitinib (compounded suspension)
- Sotorasib (administration)
- Trametinib (formulation)
- Ursodeoxycholic acid (dispersion data)
- Vemurafenib (administration)
- Vorinostat (hazard classification)
June 2025
Neurology
Analgesics
Immunosuppressants
September 2025
Cardiovascular
December 2025
Antimicrobials
March 2026
Mental health
June 2026
Genitourinary
Gynaecological
Hormones & Corticosteroids
September 2026
Diabetes
Rheumatology
December 2026
Antihistamines
Respiratory
Vaccines
Thyroid & bone
Vitamins and supplements