What Is a Tablet Medicine? Composition and Types

Tablet medicine is a widely used form of medication delivery. These solid dosage forms provide a precise and consistent way to administer various therapeutic agents. Their prevalence underscores their effectiveness and convenience for patients globally.

Defining Tablet Medicine

A tablet is a solid, oral dosage form, produced by compressing powdered ingredients into a specific shape and size. This manufacturing process ensures each tablet contains an exact amount of medication, making dosing accurate. Tablets are distinct from other forms like capsules or liquids due to their compacted, solid nature. This solid form contributes to their stability and ease of handling, facilitating oral administration for most individuals.

Composition of Tablets

Tablets consist of two main ingredients: the active pharmaceutical ingredient (API) and excipients. The API is the substance responsible for the medication’s therapeutic effect. Excipients are inactive ingredients that play various roles in the tablet’s form, stability, and drug release.

These excipients include:
Binders: Hold powdered ingredients together, giving the tablet its solid shape.
Fillers (diluents): Add bulk, making the tablet large enough to handle and ensuring consistent dosing.
Disintegrants: Help the tablet break apart into smaller particles in the digestive tract, allowing the API to dissolve and be absorbed.
Lubricants: Prevent the tablet mixture from sticking to manufacturing equipment during compression.
Coatings: Applied to improve taste, protect the drug from stomach acid, or control its release rate.

Common Tablet Types

The design of tablets varies widely to suit different medical needs and patient preferences. Standard or compressed tablets are the most common type, designed for immediate release of medication. These are swallowed whole with water, allowing absorption into the bloodstream.

Chewable Tablets

Chewable tablets are formulated to be chewed before swallowing, making them suitable for individuals who have difficulty swallowing pills, such as children or the elderly.

Sublingual and Buccal Tablets

Sublingual and buccal tablets are designed to dissolve rapidly under the tongue or in the cheek pouch, respectively. This allows the medication to be absorbed into the bloodstream through the mucous membranes, bypassing the digestive system and providing a quicker effect.

Enteric-Coated Tablets

Enteric-coated tablets feature an outer layer that resists stomach acid, dissolving instead in the intestines. This coating protects the drug from degradation by stomach acid or prevents stomach irritation.

Sustained-Release or Extended-Release Tablets

Sustained-release or extended-release tablets are engineered to release the medication slowly over an extended period, which helps maintain a stable concentration of the drug in the bloodstream and reduces the frequency of dosing.

Why Tablets Are So Common

Tablets are widely used in medicine due to characteristics that offer advantages for both manufacturers and patients. Each tablet contains a precise amount of medication, ensuring accurate dosing. This consistency is important for effective treatment and patient safety.

Tablets are more stable than liquid formulations, contributing to a longer shelf life and reducing the risk of degradation. Their compact and solid form makes them portable and convenient for patients to carry and take as needed. From a manufacturing perspective, tablets can be mass-produced efficiently and affordably, making them accessible for healthcare systems. The simple administration of tablets also contributes to better patient compliance, as individuals are more likely to adhere to an easy-to-follow treatment regimen.

Proper Handling and Storage

Proper handling and storage of tablet medicine maintain its effectiveness and ensure safety. Always follow dosage instructions from a healthcare professional or on the medication label, including whether to take the tablet with or without food. Know if a tablet can be crushed or split, as some specialized formulations, like extended-release tablets, should not be altered.

Tablets should be stored in a cool, dry place, away from direct sunlight, heat, and humidity. Exposure to these elements can cause the medication to degrade, making it less potent or harmful. Bathrooms are not ideal storage locations due to fluctuating heat and moisture from showers. Keeping medicines in original containers protects them from environmental factors and helps avoid mix-ups. Ensure tablets are stored out of reach of children and pets, and regularly check expiration dates, discarding any expired medication safely.