Lolagrace, I can't imagine. When I was on lamictal the taste of it made me gag so I was put on the children's "chewables". Those chewables tasted horrible too so I didn't chew them but mixed them into baby food fruits (variety so I didn't just become unable to tolerate applesauce or pudding which happened quickly) and took them one at a time for 7 pills and then my other 25 pills for the day in slightly larger numbers because I gagged really easily. I remember going on websites for parents of kids with cancer to learn how to swallow pills. I can't imagine even more than that and time contingent plus with other meds to manage. It would have been a 24 hr job for me. Now I swallow huge globs of them but those days when I was new to this and learning were tough.