ARKRAY USA

Assure® Slide is a SIMPLE option for those who have pill swallowing difficulties.

Clinical Need

  • 15-33% of long-term residents have some level of swallowing difficulty.1
  • Patients with swallowing difficulties may need extra care when taking solid form oral medications and supplements.
  • Crushing, splitting or mixing medications with apple sauce or other carriers are common solutions. But this takes time, and, in some cases, crushing and/or mixing medications can adversely affect their efficacy. 2
  • Some antibiotics should not be taken with dairy products. 3
  • Some medications should not be taken with fruit juices, which can increase or decrease drug levels. 4
  • Assure Slide may replace food carriers, such as applesauce or pudding, which can adversely affect the therapeutic benefit of the medication. 4,5
  • A teaspoon of Assure Slide has less sugar than applesauce: 0.55g/1 tsp. Assure Slide compared to 1.06g/1 tsp. Mott's brand applesauce*
  • Assure Slide guides the medication from the mouth to the stomach, easing the swallowing process and may provide more comfort for the patient.
  • Assure Slide can provide a simple, quick solution to both medication administration challenges experienced in professional healthcare facilities
  • CMS guidelines published November 2017 address medication administration procedures:
    • The revisions now dictate that the standard of practice prohibits combining crushed medications or mixing them in food for administration orally or by feeding tube. 6
When to use Assure Slide

(click image to enlarge)

Assure Slide Forte and Assure Slide Zero

  • Assure Slide Forte, Level 4**, extremely thick, is sweetened with sugar and has a pleasant vanilla taste.
  • Assure Slide Zero, Level 3**, moderately thick, is sweetened with xylitol and has a pleasant raspberry taste.
  • Assure Slide acts as a carrier and stimulates saliva in the mouth and throat cavity and may help to minimize the chance that the dose will get stuck during swallowing.
  • The slippery lubricating gel encapsulates the tablet or capsule, making it easier to swallow and more likely to reach the stomach without delay.
  • Assure Slide can be used with tablets, capsules and powders.
  • The natural flavor and aroma of Assure Slide may mask the unpleasant taste and smell of medications providing a more pleasant experience for your residents.
  • Assure Slide comes in easy-to-dispense 500ml pump bottles.

Assure Slide is safe to use

  • Assure Slide breaks down quickly in the stomach by the gastric acid and does not form a barrier for the body to absorb the medication or supplement; hence, Assure Slide does not affect the absorption rate or effectiveness of medication.
  • Assure Slide has no known interactions.
    • Assure Slide is formulated with food-based ingredients that do not interact with medications.
  • Assure Slide can be used when an empty stomach is required.

Assure Slide is easy to use

  • Assure Slide is a clear, gel-like substance, lightly flavored, that is taken with a spoon.
  • A small amount is dispensed, via a pump, into a med cup or spoon along with the capsule/tablet and then consumed in one swallow.
  • Over time, you may increase the number of tablets you take per mouthful, increase the number of doses, and reduce the amount of Assure Slide required per tablet.
  • Making medications easier to take may result in less coaching and time to take medications.
  • Easy to have nearby on the med cart. No refrigeration or ice needed like food carriers. 
References
  1. Morris H., Administering drugs to patients with swallowing difficulties. www.nursingtimes.net/clinical-archive/medicine-management/administering-drugs-to-patients-with-swallowing-difficulties-27-09-2005/
  2. Forough, A. A spoonful of sugar helps the medicine go down? A review of strategies for making pills easier to swallow. Patient Preference and Adherence. 2018:12: 1337-1346.
  3. Bushra, R, Aslam N, and Yar Khan, A. Food-Drug Interactions. Oman Medical Journal. Jan 2011: 26(2): 77-83.
  4. Moses, G., Don’t Take Your Medicine With Fruit Juice! MIMS Matters. www.gloup.eu/files/geraldine-moses-dont-take-your-medicine-with-fruit-juice.pdf
  5. McCabe-Sellers B., Frankel E.H., Wolfe J. Handbook of Food-Drug Interactions. Boca Raton, FL: CRC Press. 2003; 12: 262-266.
  6. Department of Health & Human Services (DHHS), Centers for Medicare & Medicaid Services (CMS). (2017). Medication Errors of the CMS Manual System, Pub. 100-07 State Operations Manual. www.arkrayusa.com/diabetes-management/sites/arkrayusa.com.diabetes-management/files/CMS_Manual_System-Pub_100-07.pdf
*www.motts.com/products/regular-applesauce/apple-applesauce
**See IDDSI.org

Instructions for use

Intended use: For people with swallowing difficulties, a gel that helps to swallow tablets, capsules and powders.

1. Remove bottle cap and replace with pump assembly before initial use.
2. Place tablet/capsule on spoon or in med cup.
3. Add one complete pump of Assure Slide (approximately ½ tbsp, 1 tsp, or 5mL) to cover tablet/capsule.
4. Swallow.

Tips for Use

  • It may or may not be necessary to crush tablets or open capsules when using this product to help swallow.
  • Assure Slide may assist with the swallowing reflex if chilled.
  • If using Assure Slide for the first time, try it first without tablets.
  • Drink liquids as prescribed before or after swallowing tablets and capsules with Assure Slide.
  • Assure Slide is gelatin-free.
  • Assure Slide is gluten-free.
  • Assure Slide Zero is sugar-free.

Cautions

  • Store between 35-77°F (2-25°C).
  • Do not use if cap seal is broken or missing.
  • Use Assure Slide within 2 months of opening the bottle.
  • Keep out of reach of children.
  • Use medication as directed.
  • Assure Slide is for all patients who can swallow independently and is not suitable for children younger than 2 years old.
  • Do not use in the case of known hypersensitivity to any of the ingredients.

FAQ

  • Assure Slide is a swallowing gel designed to help those with difficulty swallowing tablets, capsules, and powders.
    • If the text refers to `tablets and capsules' it is referring to all medications or supplements in solid form, such as pills, tablets, lozenges and capsules, as well as pre-packaged powders.
    • Assure Slide is not intended to be used with water soluble tablets, dispersible tablets, liquid medication, liquid supplements.
  • If you have questions about this information or this product, please contact ARKRAY.
  • Use medication as directed.
  1. Place tablet, capsule or powder to be taken on a teaspoon.
  2. Apply a full pump from the 500mL bottle onto the tablet, capsule or powder.
    • Approximately 1 teaspoon, one half tablespoon, or 5mL
  3. Place in your mouth and swallow at once.
Assure Slide Forte has a vanilla flavor. It contains the following ingredients: raspberry flavor, water, xylitol, maltodextrin, carrageenan, potassium sorbate (preservative), citric acid, sodium citrate, carmine, natural flavor. It has an extremely thick consistency.
Assure Slide Zero has a raspberry flavor. It contains the following ingredients: water, xylitol, maltodextrin, seaweed extract, potassium sorbate, citric acid, sodium citrate, carmine, and natural flavor. It has a moderately thick consistency.
  1. The gel is thick and smooth to allow for easy swallowing of tablets and a smooth passing through the esophagus to the stomach and can be used with tablets, capsules and powders.
  2. Assure Slide moistens the mucous membranes in the mouth and throat cavity allowing the tablet, capsules or powders to pass smoothly through the esophagus.
  3. Assure Slide breaks down quickly in the stomach and does not affect the absorption rate of medication.
  4. The fresh flavor and aroma of Assure Slide may mask the unpleasant taste and smell of tablets, capsules and powders.
Assure Slide breaks down quickly in the stomach and does not affect absorption rate of medication. Consult with your physician or pharmacist for more information.
  • Assure Slide can be used by anyone who has difficulty swallowing tablets, capsules and powders but can swallow independently.
  • Assure Slide is suitable for anyone over the age of 2.
  • Assure Slide does not contain gluten, common allergens or gelatin. For a list of common allergens reviewed, contact us.
  • Assure Slide Zero is sugar-free.
Consult with a physician or pharmacist if using Assure Slide with capsules. It may or may not be necessary to open the capsule.
Consult with a physician or pharmacist if using Assure Slide with tablets. It may or may not be necessary to crush your medication.
  • Approximately 1 teaspoon, ½ tablespoon, or 5mL of Assure Slide is the recommended dosage. With this volume of Assure Slide, tablets, capsules and powders may go down smoothly.
  • A larger quantity of Assure Slide can be used with larger quantities of tablets, capsules and powders.
  • Assure Slide can also be used in several doses.
  • Chilling Assure Slide before use may assist with the swallowing reflex.
  • Chilling Assure Slide will have a positive thickening effect on the consistency,
  • A maximum of three doses per day is recommended for children between two and six years of age.
  • It is recommended that Assure Slide is used by adults as often as pills are taken. Assure Slide is made with food-safe ingredients and presents a low health risk if consumed in large quantities by mistake.
It is not necessary to take water with Assure Slide, but it may be necessary to take water with your medication. Follow complete instructions provided by the manufacturer for taking any medications or supplements and consult with your physician or pharmacist.
You may take more than one tablet or capsule with Assure Slide. Consult with your physician or pharmacist when taking more than one medication or supplement at a time.
  • Assure Slide has not been developed specifically for patients with an impaired swallowing reflex.
  • Assure Slide is not a solution for patients who choke on solid substances.
  • Assure Slide should not be used for swallowing medicines in liquid or effervescent form.
  • Assure Slide Forte contains sugar. Consult with your physician or pharmacist before using.
  • Assure Slide Zero contains xylitol. Consult with your physician or pharmacist before using.
There is insufficient data available to establish the safety of Assure Slide during pregnancy or breastfeeding. Consult with your physician or pharmacist.
  • Keep out of reach of children.
  • Stored between 35°F and 77°F (2°C and 25°C).
  • Use Assure Slide be the use-by date is printed on the packaging.
  • Once opened (bottle seal broken), Assure Slide should be used within 60 days.
  • Assure Slide can be disposed of with ordinary household waste.
Healthcare professionals may consider the use of Assure Slide to address the concerns in this section, §483.45(f) Medication Errors, of the CMS Manual System, Pub. 100-07 State Operations, published by the DHHS, Centers for Medicare and Medicaid Services, effective November 28, 2017. See this section for further information: F760 The facility must ensure that its— §483.45(f)(2) Residents are free of any significant medication errors.1

1. Department of Health & Human Services (DHHS), Centers for Medicare & Medicaid Services (CMS). (2017). Medication Errors of the CMS Manual System, Pub. 100-07 State Operations Manual.

Events

Events

Date

Location

Venue

April 2020      
Pennsylvania Directors of Nursing Administration  (PADONA) -cancelled 4/1/2020 - 4/3/2020 Hershey, PA Hotel Hershey
American Jail Association (AJA) -Postponed TBD Aurora, CO Gaylord Rockies Resort & Convention Center
Concordance Health Solutions -cancelled 4/20/2020 - 4/23/2020 Pittsburg, PA Wyndham Grand Hotel
Ohio Health Care Association (OHCA) -cancelled 4/27/2020 - 4/30/2020 Columbus, OH Columbus Convention Center
       
May 2020      
National Commission on Correctional Health Care (NCCHC) -cancelled 5/2/2020 - 5/5/2020 Atlanta, GA Hyatt Regency-Atlanta
McKesson National Sales Meeting-cancelled 5/12/2020 - 5/15/2020 National Harbor, MD Gaylord National Resort and Convention Center
Washington Health Care Association (WHCA) -cancelled 5/18/2020 - 5/21/2020 Spokane, WA The Davenport Grand
       
June 2020      
       
July 2020      
Florida Health Care Association (FHCA) 7/12/2020 - 7/16/2020 Orlando, FL Hyatt Regency
Florida Association Directors of Nursing Administration (FADONA) 7/26/20-7/30/20 Orlando, FL Rosen Plaza Hotel
Tennessee Health Care/Tennessee Center for Assisted Living (THCA/TNCAL) 7/29/2020 - 7/31/2020 Nashville, TN Music City Center
       
August 2020      
Avera PACE  8/4/20-8/5/20 Sioux Falls, SD Best Western Ramkota Hotel
Indiana Health Care Assoc Annual Meeting (INHCA) 8/10/2020 - 8/12/2020 Indianapolis, IN JW Marriott Indy Downtown
EMS - MI (Michigan) 8/26/20-8/28/20 Frankenmuth, MI Bavarian Inn Lodge
South Carolina Health Care Association (SCHCA) 08/30/20-09/2/20 Myrtle Beach, SC Kingston Plantation
       
September 2020      
Association of Health Facility Survey Agencies (AHFSA) 9/27/2020 - 9/29/2020 Chicago, IL Radisson Aqua Blu
IMCO National Sales Meeting 9/30/20-10/3/20 Orlando, FL Hilton Orlando Buena Vista Palace
       
October 2020      
American Home Care Association (AHCA) 10/4/2020 - 10/7/2020 Austin, TX Austin Convention Center
Arkansas Health Care Association (AHCA-AALA) 10/20/20-10/21/20 Hot Springs, AR Hot Springs Convention Center
NCCHC Fall Conference 10/31/2020 - 11/4/2020 Las Vegas, NV Paris Hotel
NADONA 10/31/20-11/4/20 Niagara Falls, NY The Conference & Event Center Niagara Falls – Sheraton Niagara Falls
       

Ordering Information

Product Flavor Oz Case Qty. Product # UPC 015482-
Assure Slide Swallowing Aid - Forte Vanilla 16.9 6 1000002 10002-5
Assure Slide Swallowing Aid - Zero Raspberry 16.9 6 1000003 10003-2

Assure Products are available through most national and regional distributors. To find a distributor call 800.818.8877

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