Don't Rush to Crush

Don't Rush to Crush – 3rd edition

Australia’s essential guide to safely administering oral medicines to people with enteral feeding tubes or swallowing difficulties. When giving tablets and capsules to these patients, healthcare professionals need answers to these questions:

  • can I crush it?
  • can I disperse it?
  • can I open the capsule?
  • is there a liquid formulation?
  • can I give the injection orally?

The answers are available in SHPA’s Don’t Rush to Crush Handbook

Don't Rush to Crush is included in the Pharmacy Board of Australia’s list of essential references for pharmacy practice. The third edition includes 570 oral medicines, with 50 additions, and a new format enhancing focus on patient-centred care.

Based on feedback and to aid paediatric care, Don’t Rush to Crush 3 also includes a new section “What to do for doses less than a whole tablet” for selected medicines, assisting health professionals when giving very small doses, including instructions for preparing aliquots

It is available in the SHPA Bookshop, or online through eMIMSCloud and MIMS Online, and AusDI. Contact MIMS Client Services team on 1800 800 629 or AusDI sales on 1300 118 120

Order Don't Rush to Crush now 

Don't Rush to Crush – 4th edition

Seeking Editorial Committee members and monograph reviewers

The SHPA Publications team will soon commence work on the 4th edition of Don’t Rush to Crush. We are now seeking expressions of interest from SHPA Members for positions on the Editorial Committee and for monograph reviewers.

Editorial Committee 

There are two positions available:

  1. a clinical pharmacist with experience working with patients who have enteral feeding tubes
  2. an early-career pharmacist.

The Editorial Committee will meet once a month from November 2020 and throughout 2021, and will oversee the development and production of the 4th edition. Members are required to:

  • consider and set the scope of the new edition
  • consider global changes
  • review and update the front sections as required
  • monitor the progress of monograph review
  • review any issues that arise from individual monographs, or from error or omission within the handbook.

A willingness to be involved in the review of monographs will be an advantage when considering membership of the Editorial Committee. Please submit your expression on interest by COB Wednesday 16th September.

Monograph reviewers

Reviewers are responsible for approximately 20–30 medicine monographs, in a therapeutic category of their preference. Work will be required to be completed between February 1st and March 15th 2021, however the monographs can be supplied earlier if more convenient for individual reviewers.  

A reviewer guide and information pack will be supplied. The review process will include at least:

  • checking all current information for accuracy, currency and relevance
  • searching for new information, in databases and primary literature
  • drawing on your own practical experience with the challenges associated with enteral feeding tubes or people with swallowing difficulties.

 A small honorarium of $30 will be paid for each monograph and your contribution will be acknowledged in the text. You can also claim CPD points for your time.

We are particularly looking for pharmacists working with or who have an interest in:

  • HIV
  • Hepatitis C
  • Targeted oral cancer therapies
  • Stroke
  • Parkinsons’s disease

Please send a brief description of your interest and experience to

3rd Edition updates and new drugs

How to give your medicines by enteral tube

Don't Rush to Crush's supplementary resource 'How to give your medicine by enteral tube' provides useful information and easy to follow instructions for administering medications through an enteral tube.

SHPA welcomes feedback from those who use the Don’t Rush to Crush Handbook - nurses, pharmacists and others, about improvements in content and/or readability. Send your feedback to

2nd edition information and updates