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April 14, 1975

Crushed Aspirin Tablets

Author Affiliations

Tucson, Ariz

JAMA. 1975;232(2):134-135. doi:10.1001/jama.1975.03250020012008

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To the Editor.—  I was interested in the letter by Martin I. Blake, PhD (230:1385, 1974), concerning the proper way of prescribing aspirin tablets.Blake suggests that the patient be instructed to chew the tablets and to then swallow them with an adequate amount of water or to crush the tablets and suspend the powder in orange juice.Anyone who has chewed aspirin knows that this is so unpleasant as to lead to the preference of swallowing the tablets whole.For many years, I have advised patients, when taking aspirin, to place the tablets in the mouth, to follow this with a large mouthful of milk and, while the milk is held in the oral cavity, to chew the tablets. This bolus is then swallowed and followed by two or three mouthfuls of milk. By this method the unpleasant taste is almost completely masked. The only objection to this suggestion