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"anybody had any experience with, have any helpful hints about swallowing difficulties?" Try crushing the pills and adding them to applesauce. Be very careful, give a little at a time. If it goes down into the lungs instead of the stomach, it can cause pneumonia. If Sinemet in either liquid or something like applesauce spills on clothing , towels, etc., it makes a very black stain that absolutely nothing will remove. It's the equivalent of black dye. This scared me at first as it didn't turn black right away and I thought the black was coming from his mouth. His mouth looked fine and I realized it was the Sinemet. Marge Green [log in to unmask]