Troches are medicated lozenges specifically designed to dissolve slowly in the mouth, delivering active ingredients directly into the bloodstream. This unique delivery method allows the medication to be absorbed through the rich network of blood vessels located close to the surface of the mucous membranes in the mouth, such as under the tongue or in the cheek. By entering the bloodstream directly, troches often bypass the digestive system and the liver’s initial processing, which can enhance the medication’s effectiveness and reduce potential side effects associated with oral pills.
Preparing for Administration
Before administering a troche, carefully examine its integrity to ensure it is not broken or damaged. Consult your prescriber regarding oral hygiene timing, as it can impact absorption. Always wash your hands thoroughly with soap and water before handling any medication to prevent contamination. It is also advisable to wait approximately 10 to 15 minutes after eating before using a troche, as food or drink immediately prior to administration may impact absorption.
Step-by-Step Guide for Taking Troches
Begin by placing the troche in the designated area of your mouth, as directed by your prescription or healthcare provider. Common placements include under the tongue (sublingual) or between the cheek and gum (buccal). Placing the troche under the tongue can lead to quicker absorption, while placement between the cheek and gum allows for a slower, more gradual release. Allow the troche to dissolve completely without chewing, sucking, or swallowing it prematurely. This dissolution process typically takes between 15 to 30 minutes, during which the medication is gradually absorbed through the oral mucosa.
Refrain from talking excessively or moving the troche around in your mouth, as this can interfere with the dissolution process and proper absorption. The slow dissolution allows the medication to be steadily absorbed directly into the bloodstream. To prevent localized saturation of the oral tissues and to promote consistent absorption, it is advisable to rotate the position of the troche to different areas of the mouth with each dose.
Common Questions and Troubleshooting
If a troche is accidentally chewed or swallowed, it is generally not a medical emergency, but its effectiveness may be reduced. When swallowed, the medication enters the digestive system, where it may be metabolized, leading to less efficient absorption. After the troche has fully dissolved, it is typically recommended to avoid eating, drinking, or brushing your teeth for about 15 to 30 minutes to allow for optimal absorption.
Store troches in a cool, dry place, away from direct sunlight and moisture, and out of reach of children. In warmer climates or during summer, storing them in an airtight container in the refrigerator may be necessary to prevent melting. If a dose is missed, take it as soon as you remember, unless it is almost time for your next scheduled dose. In such cases, it is generally advised to skip the missed dose and continue with your regular schedule, avoiding doubling up on doses. Consult your healthcare provider or pharmacist for specific guidance.