Knowledge, Attitudes, and Practices of Pills Splitting in Malaysia: A Cross-Sectional Study

    Published on:December 2021
    Journal of Young Pharmacists, 2021; 13(4):411-416
    Original Article | doi:10.5530/jyp.2021.13.99

    Ahmed Ibrahim Nouri1,*, Maha Aldraimly2, Nahid Ahmad Lamfon3, Nourah Awdah Naytoul AlEnazi2, Nawaf Talal Alenazi4, Manahel Mohammed Alshair2 , Mohamed Ahmed5

    1School of Pharmaceutical Sciences, Universiti Sains Malaysia, Penang, MALAYSIA.

    2Department of Pharmacy, National Gaurd Hospital, Riyadh, SAUDI ARABIA.

    3College of Medicine, King Saudi University for Health and Science, Riyadh, SAUDI ARABIA.

    4College of Medicine, Alfaisal University, Riyadh, SAUDI ARABIA.

    5Faculty of Medicine, Paris-Saclay University, Paris, FRANCE.


    Background: Tablet‐splitting is a common practice in all sectors of healthcare. However, there are certain types of tablets that are not suitable to be split. Reasons to practice tablet splitting are improving dose flexibility, saving cost, and easing swallowing action of the tablets. The study aims to examine and describe the knowledge and practices of tablet splitting, identify the techniques applied by the patients for tablet splitting, and analyze the reasons behind this practice. Methods: This study was conducted as a cross-sectional study using convenient sampling. In total, 390 question-naires were filled by the respondents throughout the areas in Penang Island within two and half months. Results: About 50 % of the respondents have taken a tablet after splitting it and they were aware of the consequences of inaccurate tablet splitting. Concerning attitudes and practices of the general public towards tablet splitting, most of the respondents (40.26%) split their tablets by hand, followed by knife (28.72%), tablet-splitter (22.05%), teeth (10.77%), and dissolve the whole tablet in the water and drink it (3.08%). Conclusion: Tablet splitting has a major role in dosage adjustment and should be limited to the specific clinical situation. If tablet splitting is still necessary, patient counseling is recommended, and phar-macies should deliver the appropriate tools or pharmacist split tablets for the patients and repackages them.

    Key words: Pharmacy practice, Tablet splitting, Attitude, Knowledge, Clinical perspective.

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