i opened up my pill and there were two tablets inside it

haromene
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Now cut up the two pills and see if there’s 4 tiny capsules inside

Easier than compounding a dose.

This is common, and there are various reasons why. The outer casing usually dissolves after the stomach, especially if taken with a meal. This might be necessary as the contents may be more/most effective if they are absorbed in the small intestine, rather than the stomach, especially if the medication is negatively impacted by stomach acid. It can also just act as a preventative for making you nauseous. The two tablets are likely the same base medication with different release times. For example, the small tablet might be fast acting, and give your body a big spike in medication so you feel better/start doing its job in overdrive. A problem with a fast acting drug is that it’s also fast to dissipate, so a secondary tablet is added that dissolves slowly and gives your body a shallower release curve. When you overlap/combine the two curves on a graph, you’ll see a big spike up front, the spike start to fall off, then rise again slowly, never reaching as high as the spike, but really drawn out like a speed bump, that way the medication lasts for several hours.

The external shell acts as a time-delay release to ensure the medicine doesn’t get absorbed by the bloodstream during an unintended stage of digestion

Yo dog I heard you like pills, so we put pills in yo pills so you can pop pills when you poppin pills

Different release times.

Oh shit, you just violated the warranty.

Two pills in a… trench coat?

“ pharmacist hate this one easy trick”

Probably to get the medication to “release” at the apropriate time/speed. Pharmacodynamics is interesting.

Put em back together before you take it lol, it might not be important that they’re in a gel capsule but it totally could be

2 in 1 like ke nescafe

Your pill is two pills in pill form

Medtryoshka!

It is Expro D 30/40 SR which is a combination of two different drugs, domperidone (30mg) + esomeprazole (40mg), combined in one capsule. The capsule is just there to hold a tablet of each drug. Since each drug was probably approved on it’s own in the tablet form before the combination was approved this is a simple and cheap way to make it easy to take. Since it is labeled SR this suggests at least one tablet is sustained release which would generally mean that they are not chemically compatible to be mixed together. Very possible both drugs were developed by the same company and were often used together. Getting them approved as a single dose unit will allow them to extend the patent. One generic domperidone (30mg) tablet and one generic esomeprazole (40mg) might be cheaper than one Expro D but you pay for “convenience” of only having to take one capsule and you don’t have to worry about forgetting to take one or the other.

This is how you take a $1 pill and a $2 pill and make it a $20 pill

What’s the medication?

Venlafaxine is like this too

2 kids in a trench coat ass pill

This is far more common than most people seem to realize. It’s to delay the dissolving of the tablets.

Usually mine has a sponge dinosaur

Cut a head off two more shall take it’s place.

r/twohealthbars

They’re coworkers, leave them be

There’s more pills in those bro…….

![gif](giphy|3oEjHWPTo7c0ajPwty)

This is normal for compounding pharmacies making special dosings.

Some of the [capsules](https://healthcare.evonik.com/en/drugdelivery/oral-drug-delivery/oral-excipients/eudragit-portfolio/attachment/332?rev=0ddfe7b1911aa5c38c36c9a0ded3b5df) can be engineered to dissolve at specific pH ranges so that it releases immediately, in the stomach, or in the intestines.

The capsule is so the medicine has a delayed release time into your system, since it takes a while for your stomach acid to get through it and start dissolving the pills

Now with more pill!

Is it the lighting or do you need to wash your hands (with soap)

What are they? Some pills for ants?

This was mildly interesting – thank you

yeah it takes away the bitterness

The pharmacy made a custom dosage for you and they packaged it

Which one of those is the 5G transmitter?

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