Can You Split Pravastatin Tablets?

In our latest question and answer, our pharmacist discusses whether or not pravastatin tablets can safely be split in half.

Question

Hi, I am currently taking pravastatin Sodium 20mg tablets. Can these Tablets without a line be split in half?

Asked by Gregory On Apr 04, 2023

Answered by
Medical Content Reviewed By HelloPharmacist Staff

Published Apr 08, 2023
Last updated May 02, 2024

Key points

  • Factors that can preclude some medications from being split in half include formulation (e.g. extended-release), coating, size, and potency.
  • Pravastatin tablets can safely be split in half, even though most don't have a score mark.

Answer

Yes, pravastatin tablets can safely be split in half, even the tablets that don't have a score mark down the middle of the tablet.

Pravastatin tablets are 'immediate-release', and don't have any special properties that would preclude them from being able to be safely split. In other words, splitting the tablets won't change how the medication works or is absorbed.

What Type Of Medications Should Not Be Split?

One of the most important factors in whether or not a tablet can be split is its formulation.

Some medications are designed to release their active ingredient over a specific period of time or at a particular location in the digestive system.

For example, extended-release tablets are formulated to slowly release their active ingredient over several hours or even days, ensuring a consistent and controlled dose. If these tablets are cut, they may release the active ingredient too quickly or not at all, which can result in adverse effects or reduced efficacy. These types of tablets go by many names, such as 'extended-release', 'sustained-release', and 'controlled-release'.

Similarly, enteric-coated tablets are formulated to resist stomach acid and dissolve in the small intestine, where they can be absorbed into the bloodstream. If these tablets are cut, they may not dissolve properly and can irritate the stomach lining or pass through the digestive system without releasing their active ingredient.

Additionally, some medications may also have a specific shape or size that doesn't lend themselves to be split evenly.

As a final example, some medications are very potent and have what is known as a narrow therapeutic window. Even a slight variation in dosage can have serious consequences. As it can often be difficult to evenly split these tablets, doing so is often not recommended.

Additional Comments From The Pharmacist

As mentioned, pravastatin tablets can safely be split, but, since they don't have a score mark, it is important to use a pill splitter to ensure an even split.

You also want to make sure you don't split all your tablets at once and store them for later use. Only split on a per-dose basis.

Lastly, it is important not to make any changes to your medication regimen unless directed by your doctor.

Final Words

I wanted to thank you for reaching out to us! Please feel free to do so again anytime.

About the Pharmacist

Dr. Brian Staiger, PharmD

Dr. Brian has been practicing pharmacy for over 13 years and has wide-ranging experiences in many different areas of the profession. From retail, clinical, program development, and administrative responsibilities, he's your knowledgeable and go-to source for all your pharmacy and medication-related questions! Dr. Brian Staiger also has herbalist training and educational certificates in the field of medical ethnobotany. Feel free to send him an email at [email protected]! You can also connect with Dr. Brian Staiger on LinkedIn.

Recent Questions