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Anyone vomit when swallowing pills wrong?

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I've always maintained that I have a small throat. Sometimes, especially when nervous or have too little of water to swallow them with, I will choke on my pills and that will send a gag reflex up and then.. whoosh! Away the contents of my stomach go.

 

Does this happen to anyone else, and is there a good fix/remedy/solution/advice?

 

Thanks!

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Yes, quite often. It's mostly the lithium, the capsules are light and trigger a gagging reflex.

I take my meds with cheez-its crackers. I crunch one up, and before I swallow I pop the pill in my mouth. Works 99% of the time, you've just gotta quit chewing so you don't chew the capsule.

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I've never vomited but I've certainly gagged. For me the solution is to take a big mouthful of water, enough that nothing can get caught, as it is swept away.

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You can also try this:  most people throw their head back to swallow pills.  However, if you bend your head forward (chin aiming to your chest), you are actually opening up the pathway for the pill.  This is something that is suggested for elderly people, who often have difficulty taking pills.

I would also increase the amount of water you're drinking with the pills.

olga

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17 minutes ago, olga said:

You can also try this:  most people throw their head back to swallow pills.  However, if you bend your head forward (chin aiming to your chest), you are actually opening up the pathway for the pill.  This is something that is suggested for elderly people, who often have difficulty taking pills.

I would also increase the amount of water you're drinking with the pills.

olga

Oh yes good point, I learned that by proxy from my mate who was going to be in the speech & hearing sciences field about tilting the chin forward to swallow, for those with dysphasia. Maybe I have a mild dysphasia. I choke on meat and cheese too.

51 minutes ago, Gearhead said:

I've never vomited but I've certainly gagged. For me the solution is to take a big mouthful of water, enough that nothing can get caught, as it is swept away.

This is what I try to do... a big huge gulp.. and then a heard and heavy swish back to the throat. But it doesn't always work... lol

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7 hours ago, 2Spirals said:

I've always maintained that I have a small throat. Sometimes, especially when nervous or have too little of water to swallow them with, I will choke on my pills and that will send a gag reflex up and then.. whoosh! Away the contents of my stomach go.

 

Does this happen to anyone else, and is there a good fix/remedy/solution/advice?

 

Thanks!

Fortunately I have a large throat.  But, sometimes when I am swallowing the pill, it will stick to the back of my esophagus.  And that is just not fun.  I don't gag usually, but the burning pain does not go away for awhile.  I have choked on pills in the past, and fortunately the gag reflex was enough to get them back up.  I haven't ever thrown up from swallowing pills.

However, I am able to swallow pills now without a problem for one reason:  I use one of those sports bottles (ie a Poland Springs one) with a flip cap.  When I put the pills in my mouth, I squeeze water into (READ: force) back into my throat, kind of let the pills all be surrounded in water for a few seconds, then force the water back (I force it by squeezing the sports bottle with my hands and don't actually drink from it) while "throwing" my head back, and usually every pill goes down.  It is the only way I can swallow pills.  Once in awhile one pill will get stuck, and it is ironic because all the bigger pills go down; it is the smaller ones that I could potentially have a hard time with, but other than that no problems (just as long as I use the poland springs (or whatever kind) water bottle with the cap). 

Hope this helps someone.

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I also think my gagging comes from anxiety about swallowing the pills themselves. I have to distrct myself while taking them, and then it seems ok. So is that also weird.

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1 hour ago, 2Spirals said:

I also think my gagging comes from anxiety about swallowing the pills themselves. I have to distrct myself while taking them, and then it seems ok. So is that also weird.

(in bold) No, you are not weird.  Everyone is different.

Edited by melissaw72

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2Spirals, one of the great things about CB is that you find other people who have experienced/suffered/survived the same things you are going through.  It kept me alive when I first came here. 

I hope you can overcome your swallowing issue.  I can see why this would be very upsetting.

olga

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Not with pills and not exactly the same problem, but whenever I go to the dentist, I worry I'm about to choke to death on that x-ray film they give you.  Never had anything happen physically, just pure irrational paranoia about choking and dying on the damn thing.  To be honest, I'm still scared of the dentist with all those sharp metal tools and all.  Never had any issues with pills even the larger ones, but the dentist absolutely scares the crap out of me even though I'm 25 and obviously know it's nothing to be scared of. 

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On 10/19/2016 at 3:11 PM, olga said:

2Spirals, one of the great things about CB is that you find other people who have experienced/suffered/survived the same things you are going through.  It kept me alive when I first came here. 

I hope you can overcome your swallowing issue.  I can see why this would be very upsetting.

olga

Agreed! I like when I'm not alone in my suffering -  oops that came out wrong, I don't want others to suffer, but you know what I mean. lol... getting perspective from others who have had the same issues is what I appreciate - that's what I meant. :-D

 

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I can usually swallow my pills without any issues other than a potentially unpleasant taste with some drugs (and only if I am too slow to swallow it). Methylphenidate IR and diazepam both taste especially nasty, but aren't gag-inducing. The only thing that makes me gag is my Adderall IR - the generic my that pharmacy uses dissolves extremely quickly and has a ridiculously sickly sweet taste that's very gag-inducing, especially so during the few times when it's gotten stuck in my throat when swallowing it. I'm surprised that I haven't ended up vomiting because of it yet, there have been a few close calls.

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2 hours ago, JustNuts said:

I can usually swallow my pills without any issues other than a potentially unpleasant taste with some drugs (and only if I am too slow to swallow it). Methylphenidate IR and diazepam both taste especially nasty, but aren't gag-inducing. The only thing that makes me gag is my Adderall IR - the generic my that pharmacy uses dissolves extremely quickly and has a ridiculously sickly sweet taste that's very gag-inducing, especially so during the few times when it's gotten stuck in my throat when swallowing it. I'm surprised that I haven't ended up vomiting because of it yet, there have been a few close calls.

Because it dissolves so quickly, could you put it under your tongue?  It would dissolve there fast anyway ... you still might have the gross taste, but it wouldn't be all over the back of your throat and might not make you gag because it is in the front of your mouth.  You could maybe eat something afterwards to take the bad taste away. 

The only meds I put under my tongue are the ODT meds that are supposed to go under your tongue, and they dissolve in maybe a 30 seconds, max ... they don't all have the best taste, so after I take them I get something to eat or drink that masks the taste.  Idk how long the med you are talking about would dissolve in, but from what you write it doesn't seem like it would take along time.

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4 hours ago, melissaw72 said:

Because it dissolves so quickly, could you put it under your tongue?  It would dissolve there fast anyway ... you still might have the gross taste, but it wouldn't be all over the back of your throat and might not make you gag because it is in the front of your mouth.  You could maybe eat something afterwards to take the bad taste away. 

The only meds I put under my tongue are the ODT meds that are supposed to go under your tongue, and they dissolve in maybe a 30 seconds, max ... they don't all have the best taste, so after I take them I get something to eat or drink that masks the taste.  Idk how long the med you are talking about would dissolve in, but from what you write it doesn't seem like it would take along time.

The horrific gag-inducing taste exists irregardless of where it is in my mouth. Dissolving the entire dosage would make things much, much worse. I have found the best strategy is to swallow it the instant it's in my mouth, which still results in a horrible taste irregardless of how fast I swallow it, but much less so than if I delay even a second before swallowing it (just mildly gag-inducing instead of "oh god I'm going to vomit").

I've considered asking for a different generic due to this issue, but I doubt my pharmacy would stock a different generic just for me, and I don't want to go pharmacy-shopping with a schedule II medication in the hopes of finding one that uses a different generic (it's inconvenient as hell and raises all sorts of red flags).

What I don't get is who the hell thought it was a good idea to formulate their generic like this. As far as I know, every single other Adderall IR generic on the market lacks this issue. I think it's intended to increase medication adherence for children, but the sickly sweet taste is so terrible that I'm not sure if anyone would consider it attractive. Dissolving the medication as soon as it encounters water makes some sense for people who have difficulty swallowing whole pills, but it'd be better to just fucking adhere to the industry standard for this and let those few people crush the tablets and mix it with something to facilitate swallowing.

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How about if you tip your head back so it pretty much is already in your throat ... would that make go down a little easier?  Then it wouldn't touch your tongue (if that matters even).  I find that with swallowing pills that are not ODT, I throw them into the back of my throat, and immediately I use a sports bottle with water and squeeze it hard, forcing the water out into the back of my mouth where the pills are, and the pills go down easily.  Otherwise the meds would get stuck in my throat.  Just an idea.  It is the only way I can get meds down, by the bunch ... if i took one pill at a time I'd be screwed.  I get nauseous enough swallowing the bunch of pills, let alone each individual one.  (I hope this is helpful, if not just disregard it).

20 minutes ago, JustNuts said:

I've considered asking for a different generic due to this issue, but I doubt my pharmacy would stock a different generic just for me,

Yes!  Check on this ... they might ... if the DR prescribes it and you'll pay for it/insurance pays for it, the pharmacy has to get it.  The pharm that I go to orders from a couple/few different places if one doesn't carry something. It might just be a matter of your pharmacy ordering it. 

If not, you wouldn't be pharmacy shopping if you got just the one med there because your main pharmacy couldn't get it.  IMO, pharmacy shopping is going from pharmacy to pharmacy to pharmacy, getting meds filled from each one.  ie, in the case where someone gets a benzo prescription from 3 different DRs, and they go to 3 different pharmacies to get the prescriptions filled (insurance might pay for one, but for the other 2 they'd pay out of pocket for them.  But you are only getting that one med, and you need to see which pharmacy carries it.  I don't think getting that one med that another pharm carries because your pharm doesn't.  (sorry if I repeated things).

Anyway, I think asking your pharm about it would not be a problem.  I think it is worth looking into anyway.

31 minutes ago, JustNuts said:

but it'd be better to just fucking adhere to the industry standard for this and let those few people crush the tablets and mix it with something to facilitate swallowing.

I agree with you.

 

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1 hour ago, melissaw72 said:

How about if you tip your head back so it pretty much is already in your throat ... would that make go down a little easier?

Yes!  Check on this ... they might ... if the DR prescribes it and you'll pay for it/insurance pays for it, the pharmacy has to get it.  The pharm that I go to orders from a couple/few different places if one doesn't carry something. It might just be a matter of your pharmacy ordering it. 

If not, you wouldn't be pharmacy shopping if you got just the one med there because your main pharmacy couldn't get it.  IMO, pharmacy shopping is going from pharmacy to pharmacy to pharmacy, getting meds filled from each one.  ie, in the case where someone gets a benzo prescription from 3 different DRs, and they go to 3 different pharmacies to get the prescriptions filled (insurance might pay for one, but for the other 2 they'd pay out of pocket for them.  But you are only getting that one med, and you need to see which pharmacy carries it.  I don't think getting that one med that another pharm carries because your pharm doesn't.  (sorry if I repeated things).

Anyway, I think asking your pharm about it would not be a problem.  I think it is worth looking into anyway.

I agree with you.

 

That's actually the technique I use for virtually all pills. Get just the right amount of water in my mouth, tip my head back, toss the pill straight towards the back of my throat, wait just long enough for it to sink to the point where it's all but guaranteed to go down when I swallow the water, then swallow. It's still horrible even like this.

I'm a little hesitant to ask for a different generic because I've asked for a different generic of another drug in the past after they switched generic manufacturers on me (previous one was easier to swallow, new one was oversized), and even though it was marked on the little drug info guide/receipt that the manufacturer had changed (this being directly after my request, NOT after they switched manufacturers originally), they didn't actually give me a different generic - it was exactly the same manufacturer and exactly the same pill. I hate complaining about anything so I never brought it up again and just dealt with the oversized generic.

Additionally, I know that it's a huge pain in the ass for a pharmacy to stock another generic specifically for one customer, and that insurers and/or pharmacy chains often have policies that make ordering/using a different generic difficult or impossible. Plus, I'd have to wait like a week for them to order the med and have it delivered (when I was briefly prescribed dextroamphetamine IR, I discovered that they didn't keep any stock of that drug, and it took at least a week for them to order and receive the meds, so I assume it would be the same for any other med). This means at least a week without meds, which is not really an attractive prospect.

I follow several pharmacy discussion sites, and I've noticed that a LOT of pharmacists say they refuse to give out any information on availability of any Schedule II medications to patients without a pre-existing and active patient file. Like not even telling people if they have stock, or lying to them about it. And asking about specific generics is apparently a red flag in these cases (as are a whole bunch of other things). So I don't particularly want to have to deal with all that bullshit.

If I end up actually vomiting from this at least once or twice, I'll reconsider, but otherwise, it seems like FAR more trouble than it's worth. In an ideal world, I'd definitely want to have different Adderall and diazepam generics (I know they make at least one diazepam generic that doesn't have the taste issue), but this is far from an ideal world.

Edited by JustNuts

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Sometimes I barf when swallowing pills. I'll gulp air, and then it makes a gagging sound, which leads to me heaving and then... barf. Yeah. And sometimes it is a harmless little tiny pill even. Like Abilify. But it makes me gag to think that I am taking medications at that very moment (not sure why -- it's like I am anxious that I'll puke, so I start to gag and then it makes me puke - if that makes any sense).

 

I hate vomiting. It is gross. So I try to avoid it all at costs, but that cannot mean stopping my meds. I even vomit sometimes when holding my Qvar (inhaler) puff in my lungs for 10 seconds! WTF

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