Exploring the Practice and Implications of Tablet Splitting in Pharmaceutical Care
Abstract
Tablet splitting is a widely practised method for adjusting medication doses, reducing costs, and improving patient compliance. However, concerns regarding dose accuracy and content uniformity remain, especially for medications with a narrow therapeutic index, such as alprazolam. This study evaluates the weight variation, content uniformity, mechanical properties, and dissolution profiles of split alprazolam tablets. Scored and unscored alprazolam tablets were assessed using manual splitting and tablet cutters to determine the impact on dose accuracy. The results revealed significant variability in weight distribution and active pharmaceutical ingredient (API) content, particularly in unscored tablets. Additionally, the splitting method and tablet formulation affected the fragmentation and loss of mass. These findings underscore the need for caution when splitting alprazolam tablets, as inconsistent dosing may impact therapeutic efficacy and patient safety. The study emphasises the importance of regulatory guidelines and patient education to ensure safe and effective tablet splitting practices.
Keywords: Split tablets, Alprazolam, Scored and underscored
Keywords:
Split tablets, Alprazolam, Scored and underscoredDOI
https://doi.org/10.22270/jddt.v16i3.7624References
[1] Greenblatt DJ, Wright CE. Clinical pharmacokinetics of alprazolam: therapeutic implications. Clinical pharmacokinetics. 1993 Jun;24(6):453-71.
[2] Alprazolam (Xanax): Uses & Side Effects n.d. https://my.clevelandclinic.org/health/drugs/19498-alprazolam-tablets (accessed March 5, 2025).
[3] Kimaro E, Tibalinda P, Shedafa R, Temu M, Kaale E. Formulation development of chewable albendazole tablets with improved dissolution rate. Heliyon. 2019 Dec 1;5(12).
[4] Rahman M, Akter K, Rahman M, Shorna J, Lahiry A. Comparative Analysis of In vitro Quality Parameters of Different Brands of Marketed Ciprofloxacin Tablets Available in Bangladesh. AcademiaEdu n.d.
[5] Teshome Y, Kassahun H, Said Y, Wondesen A. In vitro Comparative Quality Assessment of Different Brands of Hydrochlorothiazide Tablets Marketed in Northeast Ethiopia 2023.
[6] Freeman M, … WW-TCP, 2012 undefined. Tablet splitting: A review of weight and content uniformity part 1 of a 2-part series. Next month: Table splitting—A review of the clinical and economic outcomes and. IngentaconnectCom n.d.
[7] Quinzler R, Gasse C, Schneider A, Kaufmann-Kolle P, Szecsenyi J, Haefeli WE. The frequency of inappropriate tablet splitting in primary care. Eur J Clin Pharmacol 2006;62:1065–73. https://doi.org/10.1007/S00228-006-0202-3.
[8] Habib WA, Alanizi AS, Abdelhamid MM, Alanizi FK. Accuracy of tablet splitting: Comparison study between hand splitting and tablet cutter. Saudi Pharmaceutical Journal : SPJ 2013;22:454. https://doi.org/10.1016/J.JSPS.2013.12.014.
[9] Tahaineh LM, Gharaibeh SF. Tablet splitting and weight uniformity of half-tablets of 4 medications in pharmacy practice. J Pharm Pract 2012;25:471–6. https://doi.org/10.1177/0897190012442716.
[10] Olgac S, Yilmaz Usta D, Incecayir T. Comparison of tablet splitting techniques for dosing accuracy of nebivolol tablets: Hand splitting versus tablet cutter and knife. Saudi Pharm J 2021;29:1486–91. https://doi.org/10.1016/J.JSPS.2021.11.005.
[11] Introduction to Tablet Splitting n.d. https://chatgpt.com/c/683a8a4e-a07c-8013-87f8-5bb1fe2c09c6 (accessed May 31, 2025).
[12] Okamoto N, Higashino M, Yamamoto H, Sugano K. Dissolution Profiles of Immediate Release Products of Various Drugs in Biorelevant Bicarbonate Buffer: Comparison with Compendial Phosphate Buffer. Pharmaceutical Research 2024;41:959–66. https://doi.org/10.1007/S11095-024-03701-6.
[13] Machado JC, Lange AD, Todeschini V, Volpato NM. Development and Validation of a Discriminative Dissolution Method for Atorvastatin Calcium Tablets using in vivo Data by LC and UV Methods. AAPS PharmSciTech 2013;15:189. https://doi.org/10.1208/S12249-013-0053-Z.
[14] Vranić E, Uzunović A. INFLUENCE OF TABLET SPLITTING ON CONTENT UNIFORMITY OF LISINOPRIL/ HYDROCHLORTHIAZIDE TABLETS. Bosn J Basic Med Sci 2007; 7:328. https://doi.org/10.17305/BJBMS.2007.3022.
[15] Rosenberg JM, Nathan JP, Plakogiannis F. Weight Variability of Pharmacist-Dispensed Split Tablets. Journal of the American Pharmaceutical Association (1996) 2002; 42:200–5. https://doi.org/10.1331/108658002763508498.
[16] Chaity NI, Archie SR, Ahmed N. Preparation and In vitro Evaluation of Orally Disintegrating Tablets (ODTs) of Alprazolam. Dhaka University Journal of Pharmaceutical Sciences 2019; 18:129–33. https://doi.org/10.3329/dujps.v18i1.41430.
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Copyright (c) 2026 Vijay Pujar , Prashanth Kotrappara Umesha , T H Nirmal , H K Pradeep , A M Yashwanth

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