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For administration via a nasogastric tube (CH8 or greater), crush the tablets as stated above and use approximately 50 mL of water to disperse the crushed powder before withdrawing the dispersion into a suitable syringe. Always consult with a physician before taking lisinopril with any other prescription drug herbal supplements, or substance like alcohol. In order to use the crushing option, the patient should grind the pill up into a fine powder (like with a mortar and pestle) and then add the powder to a glass of water. Since we are a CIPA certified pharmacy we follow the same standards asother reputable pharmacies such as your local pharmacy. The IPA induced by ticagrelor has less variability at peak plasma concentrations of ticagrelor observed with the 90 mg twice daily dose compared to clopidogrel 75 mg once daily. 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