A pill crusher has a ram and an anvil member having opposed pill crushing faces, and an electric ram drive operable to displace the ram towards the anvil member. The anvil member is rotatable and displaceable in response to pressure from the ram, to ensure the crushing of a pill located between the crushing faces of the ram and the anvil member. The anvil member, the ram and the ram drive are provided in a housing having a pill pouch reception opening which is upwardly open and extends above the crushing face of the anvil member.