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Teaching Pill Swallowing

Show your child the steps in swallowing a pill.

  1. Place a pill on the back of your tongue.
  2. Keep the tongue flat.
  3. Take liquid in the mouth.
  4. Tilt the head backward slightly.
  5. Swallow.

Use candy pills for practice.

Start with the smallest cake sprinkles you can find. Gradually increase the size of the candy in the following order:

  1. Oblong, multicolored sprinkle used for cake decoration
  2. Round, silver cake decoration
  3. Round, multicolored candy that is 1/8 to 1/4 inch (0.3 to 0.7 centimeter) in diameter
  4. Red licorice whip cut to a length of about 1/4 inch (1 centimeter)
  5. Capsule-shaped candy, multicolored, sold as Tic Tacs or Dynamints
  6. Normal-sized capsule: the child's actual pill of medicine.

Have your child practice swallowing each size of sprinkle or candy as many times as it takes for him or her to get used to it. These procedures usually take about 45 minutes to 1 hour but may take you a little longer.

Written by Edward R. Christophersen, Ph.D., author of "Pediatric Compliance: A Guide for the Primary Care Physician."
Published by McKesson Provider Technologies.
Last modified: 2005-08-22
Last reviewed: 2003-04-17
This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional.
Copyright © 2006 McKesson Corporation and/or one of its subsidiaries. All Rights Reserved.
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