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New Guidance Offers Simple, Evidence-Backed Ways to Swallow Pills

Heidelberg researchers report a PET bottle technique that carries tablets to the tongue base for easier swallowing.

Overview

  • Pharmacist Friederike Habighorst-Klemm advises tilting the head slightly forward, noting that throwing the head back can narrow the esophagus and hinder swallowing.
  • The PET bottle method involves sealing lips around a flexible bottle, sucking as you drink so it collapses, and swallowing immediately.
  • Researchers at University Hospital Heidelberg report that the method works because gravity moves the tablet to the tongue base, where it is flushed down with the liquid.
  • Applesauce, thicker drinks, and gel-based swallowing aids can improve glide and reduce bitterness, but patients should confirm whether their medication is compatible with food.
  • Crushing or splitting tablets can be unsafe—especially with extended-release forms—and even scored pills may not be intended to be divided, so pharmacists should be consulted for safe alternatives such as syrups or effervescent tablets.