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How Different Pill Shapes & Sizes Affect Swallowability?

How Different Pill Shapes & Sizes Affect Swallowability?

Table des matières

From classic rounds and practical ovals to unique triangles and caplets, types of tablets come in a variety of pill shapes and sizes. The physical design of a small round tablet plays a crucial role in patient acceptability and pharmaceutical industrial compliance. Factors such as ease of swallowing, dose identification, and even aesthetic preference are directly influenced by pill shapes. Emballage Ruida will explore how these varied tablet shapes and pill sizes are intentionally designed to impact the experience of end users, ultimately supporting successful treatment outcomes.

pill shapes
different shapes of pills

What Are Different Tablet Shapes?

When you think of medication tablets, the image of a simple round pill often runs through your mind. However, shapes of pills in the pharmaceutical sphere is far more diverse. Tablet design is a precise science where the pill shape is a critical factor that influences tablet manufacturing, medicine efficacy, and most importantly, patient experience. The geometry of tablet shape is deliberately chosen to optimize performance and usability of drug tablets.

Round Tablets

The most common shapes of pills include round tablets, easy to manufacture and coat. Their smooth edges generally make these pharmaceutical tablets easier to swallow than other pill shapes with sharp angles.

Oval Tablets

A variation is the oval tablet, often called as a caplet for being similarly capsule-shaped. This tablet shape is specifically engineered for easier swallowing, as its elongated pill form aligns with the natural swallowing motion, reducing the risk of getting stuck in the esophagus.

Flat Tablets

Flat-faced tablets, often with beveled edges, are typically used for scored medications. The score line allows for easy and accurate pill splitting, crucial for dose titration. However, larger surface areas of scored medication tablets sometimes make them more difficult for end users to swallow.

Irregular-Shaped Tablets

For unique brand identification and to prevent user confusion, companies develop irregularly-shaped tablets. These can be triangular, square, heart-shaped, or even customized pill shapes. While excellent for branding and patient recognition, unique angles of these drug tablets sometimes present swallowing challenges for some individuals, potentially affecting patient compliance.

pharmaceutical tablets

Beyond these, other different shapes of pills serve specialized purposes. For example, spherical tablets, or pellets, are often used in gelatin capsules that contain multiple tiny beads for timed-release formulations. Cylindrical shapes of pills are sometimes used for suppositories or chewable tablets.

Choice of Tablet Shape jempacts Comprimé Swallowability

The shape of a pill impacts patients at aspects below.

Easiness of Swallowing: Oval and flat pill shapes are practically considered the easiest to swallow, according to an industry guidance issued by US FDA. Larger or irregularly shaped medicine tablets with edges can trigger Dysphagia.

Esophagus Tolerance: Large or poorly designed medication tablets can lodge in the esophagus, causing irritation or tissue damage. In comparison, smoother, smaller tablet shapes mitigate this risk.

Conformité des patients: A tablet that is easy and comfortable to swallow improves adherence to a medication regimen. Conversely, difficult-to-swallow pills and capsules can result in patients skipping essential doses. For children, fun shapes can improve acceptance, while for adults, distinct shapes aid in distinguishing between multiple medications.

Pill shapes diverse according to different functions and purposes. Pill shape design is a carefully considered element that balances tablet manufacturing efficiency, drug release profiles, safety, and ultimately, patients’ ability to take pharmaceutical pills comfortably and correctly. This hidden science of medication design is a vital part of modern healthcare, ensuring that tablet forms effectively supports their pharmaceutical functions.

Pill Sizes Also Affect Comprimé Swallowability

Many people struggle with ingesting pills, a challenge that can result in negative health outcomes. In U.S., nearly 4.6% of the population are affected by dysphagia, or swallowing difficulty, making the act of taking solid oral medication tablets difficult.

pilules et capsules

Pill sizes significantly influence the pill passage through throats and esophageal tracts, which impacts a patient’s capacity to ingest medication pills. Pharmaceutical tablets with larger pill sizes have been demonstrated to move more slowly through the esophagus. This delay of movement may cause the pharmaceutical ingredient to break down prematurely or inflict damage on the esophageal tract, leading to discomfort, localized inflammation, or even ulcers.

Swallowing difficulty is independent of variables like patients’ postures, or the use of water to aid swallowing. Researches indicate that more compact tablets pass through more quickly. According to an Industry Guidance issued by FDA, a study has demonstrated that an 8 mm round tablet had a markedly shorter transit time than both a larger 11 mm round tablet and an oval tablet with a pill size of 14 mm x 9 mm. The study also noted that a big number of patients could physically feel larger round tablets >8mm becoming lodged in the esophagus, an issue that occurred less frequently with the smaller 8 mm tablet option.

Patient Factors that Affect Pill Swallowing

The ability to swallow solid medication tablets is influenced by several patient-specific variables. Key factors include a patient’s: 

●Age

●Physical positioning during health administration

●The volume of fluid used

●Underlying medical conditions.

While not all these challenges can be fully resolved through pharmaceutical product design and the tablet manufacturing process, a strategic focus on physical attributes of tablets and capsules can significantly improve a patient’s swallowability. By prioritizing optimal pill sizes and tablet shapes during the pharmaceutical manufacturing process, manufacturers can create smaller, more easily ingested drug pills. This patient-centric approach to medicine design, also encouraged by regulatory organizations like the FDA, is crucial for minimizing swallowing difficulties, and it enhances medication adherence and improves treatment outcomes.

drug tablets

Other Tablet Attributes that Affect Tablet Swallowing

Beyond patient factors, there are other characteristics of pharmaceutical tablets that also affect patient swallowability:

●Tablet coating

●Tablet weight

●Surface area

●Disintegration rate

●Propensity for swelling

Physical characteristics of a pill or tablet, particularly its coating, are critical factors influencing patient compliance and product efficacy. The pill coating, a tablet’s outer layer, can alter a pill’s swallowability by providing a smoother surface. For instance, uncoated tablets may exhibit less efficient esophageal mobility than coated tablets of identical dimensions due to increased surface friction. Besides helping achieve smooth tablet surface, tablet coatings serve to mask unpleasant drug tastes or odors, thereby enhancing palatability and overall patient acceptance.

Beyond the tablet coating, other attributes directly impact gastrointestinal transit of pills and capsules. To begin with, denser tablets and capsules typically navigate the esophagus more rapidly than their lighter, similarly sized counterparts. Additional influential parameters include the tablet’s surface area, its rate of disintegration, and its capacity to absorb moisture and swell upon ingestion (also known as Propensity for Swelling). Each of these variables can alter transit duration inside a human’s body and affect the drug’s dissolution and absorption profile.

Therefore, when establishing a Quality Target Product Profile (QTPP) for a generic drug meant to be swallowed whole, it is essential to thoroughly evaluate these physicochemical attributes to ensure equivalent therapeutic performance and patient safety.

Benefits of Tablets over Other Dosage Forms

Despite potential swallowing difficulty caused by tablets of abnormal tablet shapes or large sizes, tablets remain one of the most ubiquitous and trusted choice for both patients and healthcare providers compared to other dosage forms. The tablet’s combination of stability, convenience, ease of use, and precise dosing solidifies its position as a cornerstone of modern medicine industry.

Storage Avantages

The solid, compact nature makes types of tablets exceptionally stable, often having a longer shelf life than liquid suspensions or creams which can degrade or separate over time. Medical pills are less susceptible to high temperatures and humidity when compared to other medicine forms like liquid or capsules, and their uniform shapes allow for efficient, space-saving packaging in bottles, blister packs, or dispensers.

tablet in a blister pack

Medicine Portabilité

Tablets are the epitome of convenience. A small vial or a blister pack of drug tablets can easily fit in a pocket, purse, or travel bag without risk of leakage or spillage—a common concern with liquid medicines, allowing patients to maintain their medication regimen effortlessly while at work, traveling, or simply going about their daily routine, promoting daily adherence to treatment.

Facile UNdministration

Swallowing a tablet with water is a simple and familiar process. For those who have swallowing difficulty, many tablets are designed to be scored, allowing for easy splitting, or can be crushed and mixed with food. This is a stark contrast to the more complex administration of injections or the often unpleasant taste of liquid syrups that require precise measurement.

Dosage UNccuracy

During tablet manufacturing, each tablet is produced to contain an exact pre-measured dose of active pharmaceutical ingredient. This eliminates the potential for human error that comes with measuring a dose from a liquid bottle by using a cup or dropper. This precision guarantees that patients receive the correct therapeutic amount every single time, fundamental for both patient safety and medicine efficacy.

What Is the Prime Equipment that Produces Tablets?

In the landscape of pharmaceutical tablet manufacturing, have you ever considered sophisticated machinery behind each precisely dosed pill? The prime tablet manufacturing machine responsible for transforming powdered or granular pharmaceutical ingredients into solid, compressed tablets is the tablet press machine that combines immense tablet compression force with precision.

pressage de comprimés
Upper and lower punches press powdered or granular ingredient into compressed tablets

Upper and lower punches press powdered or granular ingredient into compressed tablets

UN pill machine tablet press is designed to press powder or granules into compressed tablets of uniform pill size, weight, and hardness. The tablet pressing process begins when drug powder is fed into die cavities. Then upper and lower punches come together with compression force to compact medication powder, ejecting finished tablets.

Pill Press Categorized by Mechanisms

Tablet presses are primarily classified by their operational mechanisms.

A single punch tablet pill press, also known as an eccentric mini tablet press, operates with a single set of tooling—one die and one pair of punches. It uses a straightforward cam mechanism to compress one tablet per cycle. This small tablet press is excellent for small-batch production, lab research, and trial runs due to its simplicity and lower cost.

In contrast, the automatic rotary tablet press is the workhorse of tablet production. It features a rotating turret holding multiple punches and dies. As the turret spins, punches are guided between upper and lower compression wheels, creating a continuous, high-volume output of pharmaceutical tablets. The multi-station design of a rotary tablet press is what enables the massive scale of modern tablet manufacturing.

presse à comprimés automatique
A high-speed rotary tablet press machine RD HZP 17D

Pill Press Categorized By Speeds

Further classification is based on operational speed.

Medium-speed pill presses are robust machines ideal for manufacturing standard-release tablets where precise control over compression force is paramount. Tablet presses with the turret speed lower than 50 rounds/min are classified as medium-speed models.

Tablet presses with the turret speed higher than 50 rounds/min are classified as high-speed models. High-speed pill presses are technological marvels equipped with advanced features like automated tablet weight control, forced feeding systems, and extensive data monitoring. A high-speed tablet making machine pill press is engineered for producing tens of thousands of tablets per hour, meeting the global demand for medication pills and vitamin tablets. 

Final words

In conclusion, tablets’ swallowability is profoundly influenced by their design, particularly pill shapes and sizes. Therefore, selecting the optimal form, manufactured precisely by an auto tablet press, is crucial for ensuring patient adherence and leveraging the inherent benefits of this dosage form.

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