Swallowing Disorders

SWA L L OWING DISORDE RS A ND
PIL L G L IDE

FLAVORx Inc, 9475 Gerwig Lane, Columbia, MD 21046 | 800.884.5771 | www.flavorx.com 1

Table of C ontents

SECTION SECTION TITLE SLIDE#

1 What is Dysphagia? 4
2 Etiology 5&6
3 Associations and Non Profits 7&8
4 To Crush or Not To Crush 9
5 Pill Glide Can Help! 10 & 11
6 Step By Step 12
7 Who Can Benefit From Pill Glide? 13 &14 &15
8 Final Thoughts 16 & 17


What is Dysphagia?

Difficulty swallowing is also called dysphagia.

It is usually a sign of a problem with your
throat or esophagus, the muscular tube that
moves food and liquids from the back of your
mouth to your stomach.

Although dysphagia can happen to anyone, it
is most common in older adults, premature
babies, and people with problems of the brain
or nervous system.


E tiology

Any condition that weakens or damages the muscles and nerves used for swallowing may
cause dysphagia. Dysphagia has many possible causes and happens most frequently in
older adults. The following slide identifies possible conditions or disease states linked to
swallowing difficulty:


E tiology
• People born with abnormalities of the swallowing mechanism may not be able to
swallow normally.

• People with diseases of the nervous system, such as cerebral palsy or Parkinson’s
disease, often have problems swallowing.

• Stroke or head injury may weaken or affect the coordination of the swallowing
muscles or limit sensation in the mouth and throat.

• Cancer of the head, neck, or esophagus may cause swallowing problems and even
sometimes the treatment for these types of cancers can cause dysphagia.

• Injuries of the head, neck, and chest may also create swallowing problems.

• Degenerative neurological disorders such as multiple sclerosis, ALS, Huntington
disease, and myasthenia gravis can cause swallowing difficulties.

• An infection or irritation can cause narrowing of the esophagus.

• People with dementia, memory loss and cognitive decline may find it difficult to
chew and swallow.


A ssociations and Non Profits
The following groups, associations and
websites listed on the next slide, are great
sources of information for anyone having
difficulty swallowing their medications and/or
the people entrusted with their care.

•Dysphagia Research Society
•National Institutes of Neurological Disorders and Stroke
•American Stroke Association
•American Cancer Society
•Child Life Council
•National Family Caregivers Association
•American Speech-Language-Hearing Association
•National Parkinson Foundation
•Autism Society of America


To C rush or Not To C rush

Most patients who have trouble taking pills describe the sensation of having something
stuck in their throat, having a bad smell and/or taste and aftertaste, or gagging due to
the size of a pill. These sensations causes people to feel like they are helpless and
choking which in turns leads to anxiety about taking medication.

People often resort to crushing tablets or opening capsules in order to take medicines.
This can be dangerous! You should always check with the doctor and the pharmacist
before crushing pills and opening capsules. Many pills or capsules have an enteric
coating to prevent irritation or degradation of the medication from the acids in your
stomach. Others are carefully designed to release medication at a very specific rate,
and crushing or opening them defeats this purpose.

Please refer to the following link for a complete alphabetical list of oral dosage forms
that should not be crushed published by the Institute For Safe Medication Practices (
http://www.ismp.org/tools/donotcrush.pdf ).


Pill Glide C an Help!

Pill Glide is a new solution to a universal
problem. In order to avoid the need for
crushing tablets or opening capsules, Pill Glide
enables you to take the medication as
commercially intended. Pill Glide helps
overcome these hurdles or swallowing
difficulties by combining two of FLAVORx’s
top flavors, Strawberry and Grape, with a
special formulation that allows pills to glide
down the throat. Whether a patient is simply
looking for a better way to swallow tablets and
capsules, or cringes at the thought of the
never ending task of staying on schedule with
their medications, Pill Glide may be the
solution.


Pill Glide C an Help!
• Pill Glide is a non-prescription flavored spray designed to help people swallow
tablets and capsules easily with no discomfort.

• It is a water-based lubricating spray that creates a frictionless barrier between pills
and the tongue/throat. This helps prevent the “stuck in the throat” feeling many
people experience, and it prevents bad tasting/smelling tablets from contacting the
taste buds.

• There are no active ingredients in Pill Glide and no numbing sensation on the tongue
or throat.

• Each 1 ounce bottle contains 200+ sprays, enough for 75 to 100 uses.

• Pill Glide is sugar-free, dye-free, and gluten-free.


Who C an Benefits Pill Glide

Groups that have found Pill Glide particularly useful in their lives:

•Children transitioning from liquid medications to tablets and capsules. Pill Glide can be
a fun tool for parents to use as a way to get their children accustomed to swallowing
tablets and capsules.

•People with specific medical conditions, or even treatments, that lead to swallowing
disorders. Pill Glide is one potential way to alleviate the stress come medication time.

•People taking multiple medications daily. Pill Glide is a welcome addition to the daily
routine of taking all your tablets and capsules.

•People taking medications, vitamins or supplements that are large or have a bad taste
or smell.

•Caregivers. Pill Glide can make it easier for you to administer tablets and capsules to
your loved ones.


Testimonials
Ted H.
Pill Glide saved my life! As a throat cancer patient it became impossible for me to take any pills after
my surgery, chemotherapy, and radiation. The gagging and vomiting would leave me exhausted until I
found Pill Glide. Now I spray Pill Glide into my mouth, take a glass of water, and I am able to swallow
up to 6 pills at the same time. It’s changed my life…I recommend it to everyone that I know that has a
problem swallowing pills.

Maureen S.
My 9 year old daughter could never swallow pills. Each time we tried, she became anxious and upset.
The very first time we tried Pill Glide, she was able to swallow medication with no problem at all. We
were delighted that it was so easy! Now, whenever she has to take a pill, we give her two sprays of Pill
Glide, and she swallows medication easily, without any concern. I highly recommend Pill Glide to any
parent whose child has difficulty taking medication.

Judy S.
Before purchasing Pill Glide, I could not swallow my pill that I have to take every night. I always had to
crush the pill. Using Pill Glide I can swallow the pill with no problems. Would recommend Pill Glide to
anyone who has problems swallowing pills.

Erica D.
It is so nice to find a product which actually works as promised! I take a tablet every day which is odd
shaped and has corners; it also starts dissolving immediately upon being placed on my tongue. Blech! I
recently tried Pill Glide, and not only does the pill slide right down after a couple of sprays of the
product, but Pill Glide tastes really yummy, too. I no longer dread the funky-shaped tablets. In fact, I
look forward to my night time "dessert!"


Final Thoughts

Promoting Pill Glide should become a routine part of retail pharmacy practice.

Merchandising is key. Merchandising activities may include display techniques
(on the pharmacy counter or on a clipstrip near the vitamins/ supplements),
shelf talkers, on-the-spot demonstrations, special pricing and/or special offers,
and other point-of-sale methods.

Mentioning Pill Glide for specific medications like Metformin or Potassium
Chloride would be beneficial to patients, given the large size and foul
smell/taste of these known culprits. Over the counter medications like Multi-
Vitamins, Calcium, and Fish Oil also pose a daily swallowing challenge to the
average consumer.

Finally, identify customers that could benefit from the swallowing assistance
provided by Pill Glide. As mentioned earlier on, chemotherapy patients,
patients taking multiple medications daily, elderly patients, and children
learning to take pills for the first time could all use a little help. Be proactive-
Just Offer!


Final Thoughts

Pill Glide is a flavored spray that makes swallowing tablets and capsules easier
for you and everyone in your family.

Studies show that over 25% of the population and 40% over 65 years of age
have some difficulty swallowing their medicine due to the size, taste, or smell
of the tablets and capsules.

It's ideal for people taking multiple pills & supplements, children learning to
swallow tablets and capsules, caregivers who administer medication, and
people who suffer from dysphagia (difficulty swallowing).

Pill Glide was developed by a pharmacist and is brought to you by FLAVORx,
the global leader in medicinal flavoring.

Our products are used in over 35,000 pharmacies worldwide, with over 47
million medications flavored to date.


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