Short answer: Section 2.7 of the Synjardy label says a missed dose is taken as soon as possible, without doubling up the next dose. The Medication Guide adds: if it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. The rule covers both Synjardy and Synjardy XR.
| Situation | What the label says |
|---|---|
| Schedule | Synjardy twice daily with meals; Synjardy XR once daily with the morning meal (2.2) |
| Missed a dose | Take it as soon as possible (2.7) |
| Almost time for the next dose | Skip the missed dose (Medication Guide) |
| Doubling up | Do not double up the next dose (2.7) |
Section 2.7 says: "If a dose is missed, instruct patients to take the dose as soon as possible. Advise patients not to double up the next dose."
The Medication Guide says: "If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take two doses of SYNJARDY or SYNJARDY XR at the same time."
No. The same wording covers both. Synjardy XR tablets are swallowed whole and never split, crushed, dissolved or chewed (section 2.2).
This page summarizes FDA labeling. It is not personalized medical advice; confirm what to do with your prescriber or pharmacist.