Instructions for Use, Handling and Disposal: Tablet: Administration Through Gastric Tube: Put the tablet into an appropriate syringe and fill the syringe with approximately 25 mL water and approximately 5 mL air.
For some tubes, dispersion in 50 mL water is needed to prevent the pellets from clogging the tube.
Immediately shake the syringe for approximately 2 min to disperse the tablet.
Hold the syringe with the tip up and check that the tip has not clogged.
Attach the syringe to the tube whilst maintaining the above position.
Shake the syringe and position it with the tip pointing down. Immediately inject 5-10 mL into the tube. Invert the syringe after injection and shake (the syringe must be held with the tip pointing up to avoid clogging of the tip).
Turn the syringe with the tip down and immediately inject another 5-10 mL into the tube. Repeat this procedure until the syringe is empty.
Fill the syringe with 25 mL of water and 5 mL of air and repeat step 5 if necessary to wash down any sediment left in the syringe. For some tubes, 50 mL water is needed.
Granules: For Patients who have a Nasogastric or Gastric Tube in Place: For a 10-mg dose, add the contents of a 10-mg sachet into 15 mL of water.
For a 20-mg dose, add the contents of a two 10-mg sachets into 30 mL of water. Stir.
Leave for a few minutes to thicken. Stir again.
Draw the suspension into a syringe.
Inject through the enteric tube, French size-6 or larger, into the stomach within 30 min after reconstitution.
Refill the syringe with 15 mL water for a 10-mg dose and 30 mL for a 20-mg dose.
Shake and flush any remaining contents from the enteric tube into the stomach.
Any unused suspension should be discarded.