I have just been reading the German language documentation for Aristo Levothyroxine.
Unlike most products, it has express instructions on how to divide a tablet evenly.
Does anyone reading have Aristo Levothyroxine on which they could try this?
The Levothyroxine Aristo tablets can be divided into equal doses
Note on Divisibility
Place the tablet on a firm, flat surface with the score line facing up. To break the tablet, press directly in the center of the tablet with your thumb
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not got aristo , but just dug out one of the Teva 25mcg that i no longer take ... tried it ..and lo and behold if you press firmly for long enough.. you do get a little 'crack' and 2 equal halves
I have TEVA but I’m not sure mine are scored. I’ll have to check now and snap some in half just to see if I can. 😂😂 Six years. They’ve got a score mark and do snap 25 and 100’s but 1 crumbled a bit.
But we have a whole load of statements about score lines.
Such as, they have no function and are just to identify tablets. Or, they can be used for breaking but are not accurate enough for dose splitting. (Pretty much, only useful to make big tablets easier to swallow.)
I've just tried this with Aristo 100mcg. At first I thought it hadn't worked because I'd expected to feel it break, which I didn't.........so, I picked it up and held it like I'd hold something that I wanted to snap in 2, and it broke apart really easily. Not perfect, but good enough in my opinion.
ThyroidS has no score line and pressing it in the middle does nothing at all it just stubbornly sits there whole. Score lines clearly matter a lot. I suppose one could do a diy score mark in a pill cutter which rather defeats the object of a pill cutter….which is to halve it completely in one press
I was thinking more like, um, a Pringle! A slightly curved surface. Such that when you press on the scoreline, the middle of the tablet has a tiny amount of space - it will start by deforming a little, then break.
ok . Soooo.... earlier on, when you said 'you wonder if it works for quarters' ,i pressed my Teva half in the middle and thought ..nope ,nothing happened... tried the other half just for good measure ....nope ......which didn't surprise me cos they are obviously not scored for quarters.However ... curiosity (following on from the pringles /bevel comments) made me go to pick the halves up, to check if my tablet was flat or rounded on the bottom.... and whaddaya know .... i do actually have 4 quarters.
Tablet was rounded on both sides (outwards ,not inwards)
I can see how this can work with the score line , but am very surprised it worked without... but it did .
Does anybody want to swap 4 x 6.25mcg's Teva for 4 Pringles ?
Please excuse my English. I‘m a german native speaker and always skipped my english lessons.
Your question contains two parts:
1) can I break the tablet in two parts with equal ingredient content and 2) how can I do that.
1) depends on what the manufacturer says. Sometimes the information is not mentioned in the package insert for the general public but only in the specialized information for doctors and pharmacists. (Sanofi only writes in the specialized information that the tablets have a ‚Bruchrille‘ (score line) and that you can split them into equal dose parts.)
2) depends on surface of tablet and/or kind of score line. With a wedge-shaped score you can often break it on a table, with a small one on a flat tablet you better divide it with your hands or cut it with a sharp knive.
Luckily, Sanofi does allow online access to their professional and patient information. But some German companies claim it is illegal to make the information accessible.
In the UK, all these documents are required to be available online. And none of the UK tablets say they can be split!
I use Aristo and I break my tablet up into 4, cutting the tablet is easy and seems pretty equal, but cutting into 4 they do shatter and are not perfect in anyway. My local chemist says they can no longer source Aristo and really didn’t seem to help me at all.
The score line is in the centre and definitely allow an easy cut, but try and cut again and it dose crumble.
well blow me .. from this mornings experiment, it also works with mercury 25's which are pretty small and don't have any score line. (convex ,both sides)
Press for a long time , you feel it 'give' slightly ...it seems to be still whole, but when you pick it up you can then snap it in half extremely easily.
It probably depends on having a very hard surface to press it on, my bedside table has a very hard oak top ... i suspect it may not work so well on a soft pine surface.
edit : have since tried it with wockhardt 25's ....also very small with no score line ... it works on them too .
Can you describe how they made you feel poorly, thanks. I have just started 25mcg and have Hashimotos and a fairly high TSH. They are TEVA, I was sort of okay the first 3 or 4 days but by the time i got to day 12, yesterday, felt so ill and wracked with pains I can only think this has caused some sort of flare up. Anway, this morning I have cut it in half to see how i go. I used a pill cutter.
Tried it on a Sinemet tablet (for Parkinson's) and it worked. Then tried a Mexican Cynomel tablet - two perfect halves! Frustrated at all those years of piddling about with T3 tabs and a pill cutter or scalpel trying to get a quarter of a tiny bleeding tablet... Grrr!
You're most welcome. I'm amazed too! I hope it works on paracetamol the next time I have a headache. Shame it won't work on my film-coated horse-pill-size vitamin C tablets!
In the interests of research, I tried 20mcg mercury pharma liothyronine (which are scored) first one even split, second attempt fairly even quarters. 50 mcg accord (scored) quarterd, then did half and 2 quarters.Not very consistent but neither is my pill cutter.
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