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I have always been under the impression that the Sinemet CR is a solid
matrix and that the rate of dissolution is roughly proportional to the
surface area of the pill - among other things.  Breaking a pill into two or
more pieces gives the pill a greater surface area, so it dissolves faster.
Since you are paying more for the slow dissolving feature, breaking a pill
reduces the value of the CR characteristic.

In order to get a pill that would dissolve at a constant rate, you might
expect the pill to be shaped like a lozenge - flat and  thin, so that the
surface area  does not change appreciably as the pill dissolves.  This
would be fine  until the pill gets so  thin  that it falls apart.  I would
guess that this is why the  pills are shaped like flat (U.S.) footballs -
to give them a backbone so they won't disintegrate all at once when they
are mostly dissolved.

However I share Cari Barrett's concern that the options for dosages are so
few that she feels it necessary to break pills.  For our designer's
disease, it would seem that we should also have more nearly designer dosages.

Art

At 05:23 PM 4/5/00 -0400, Michel M. wrote:
>The label CR indicates a controlled release medication.  One method to
achieve
>the controlled release is to coat the tablet with a special coating of a
>substance that dissolves slowly, but the tablet is broken, the slow release
>effect is destroyed and that broken tablet works just like any other NON CR
>medication.
>Michel
>
>