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. 2022 Nov 30;45(6):188–192. doi: 10.18773/austprescr.2022.067

Table 1. Common recommendations and precautions for administering medicines to children.

Recommendations Precautions
Oral liquids, suspensions and elixirs
Use metric measures, such as a medicine syringe or cup Do NOT use everyday utensils, such as teaspoons or tablespoons
Count oral drops on a spoon before administering Do NOT administer drops directly from the bottle into the child’s mouth
Mix oral liquids with a small amount of water or juice Do NOT mix the medicine in large volumes
If the medicine is available in multiple flavours, ask the child for their preference Do NOT mix the medicine with a child’s essential foods (e.g. milk or formula), as the altered taste may cause future aversion to the essential foods
Tablets, capsules and solid dosage formulations
Place the tablet in the middle of the tongue and follow with a large volume of liquid Do NOT mix with honey in children younger than one year of age due to the potential risk of infant botulism
Try drinking a small amount of liquid from a bottle or using a straw Do NOT give large volumes (i.e. aim for one mouthful)
Try halving or quartering tablets Do NOT break modified-release, cytotoxic or hazardous medicines
Crush tablets between two spoons and mix with a small amount of soft food such as yoghurt, cold custard, fruit puree or jam Do NOT crush modified-release, cytotoxic or hazardous medicines
Try dispersing the tablet in a small volume of liquid (water or juice)
Check with a pharmacist if the tablets can be crushed or the capsules opened
Encourage parents and caregivers to teach children how to swallow tablets. There are several resources to assist with teaching children to swallow solid dosage forms (see Box)