Eating That Elephant

The Straw Trick

My son takes quite a few supplements despite having a very strong gag reflex. Here is a trick that he figured out that makes taking pills so much easier, as well as some other ways of getting in supplements.

Find a big, fat straw – I got them from Amazon (here’s a direct link) but my MIL has straws that were used to hold up flower stems and they work OK – check a florist. (I don’t know what kind of plastic they are, and they crack quickly, so if the trick works, it’s worth a pack of straws). Sometimes you can get fat straws from a quick-mart type place in a drink. We wash and reuse ours for quite a while.

Put the straw in juice (we use a tall, skinny glass), and put a capsule into the straw. Try it yourself first. Put the pill all the way down the straw – most pills float but keep the straw firmly touching the glass. The child can practice with small candies, but they must be slippery – no chewables or tablets, even if they taste good! (This is important at first, because if the pill gets stuck at the back of the throat, it feels strange and the child may not want to try anything else for a while.

Now, simply suck up juice and pill together. The straw puts it right on the perfect place of the tongue for swallowing. Some people are concerned the child might choke, but our mouths are trained from an early age to swallow whatever the straw puts there.

Why must it be a capsule to start? These are so much more slippery than tablets plus they don’t have any flavor. Softgels work well too, but do often have flavor, so try these after capsules. There are three ways to deal with tablets:

• If the child takes other large capsules (for example 1g Vit C) we open it up, and stuff a small tablet inside it. Because the capsule has powder in it, there is a little extra space, plus there is more overlap between the two halves of the capsule than is truly needed so the capsule just gets a bit longer. This works well for many medications, as the pills are fairly small, and often have a “split line” so you can easily break them into halves.
• If a larger pill is not a capsule, I cut it in half if needed (as long as it isn’t time release), and I put it into an empty capsule (you can dump out one of a less-expensive supplement to to see if the trick works). Empty capsules can be saved from when you make fruit smoothies, or can be purchased in different sizes from most health food stores and vitamin shops.
• Lastly, some children, especially after using this method a while, can take capsules straight into the straw. (We have a B complex that doesn’t fit in a capsule that my son now takes this way). What I do with most tablets is go to a health food / vitamin store and look for empty capsules. put the straw in juice, the pill down the straw, and suck it up into the mouth. Find a capsule that will fit your pill.

I’ve started buying everything I can in capsules, but for those that I can’t I have mastered the art of squeezing in lots of different things into capsules.

Other Tricks

Splitting capsules: If you have two capsules the same size (one might be empty), you can split them into 2 doses fairly easily by opening the capsule and distributing the powder between the two halves, and then putting an empty half capsule on each end. You can repeat for smaller splits, though you will use a lot of empties. It’s not exact, of course, but many things absorb better in multiple doses.

Distraction: I find my son takes his supplements more easily if he is watching TV and I put the straw under his mouth (once he knows the trick of course) because he is not thinking about it or tensing up his body. (Ditto with not-so-great tasting fruit shakes).