Seven pills a day, for a dog who weighed five pounds. That was the reality of caring for Joseph, my Yorkshire Terrier, once he passed ten years old and his heart and airway problems both needed daily medication to keep him comfortable. If you’re standing in your kitchen right now holding a pill your dog has already learned to spot and refuse, I want you to know that the standoff you’re in is not a failure of willpower. Finding a workable routine for Joseph took trial and error.
Personal experience: this is Joseph’s story, not a veterinary-tested medication method. His medicines, capsule handling, and head position should not be copied as instructions for another dog. Ask your veterinarian to demonstrate a method suited to your dog, especially with breathing or swallowing problems.
Why Seven Pills Became the Daily Reality
Joseph’s medication load didn’t start out this heavy. In the beginning it was just a heart medication and a bronchodilator, twice a day, to manage early heart failure alongside tracheal collapse. But as his condition progressed, a diuretic and a stomach protectant joined the morning dose, and a liver-and-joint support supplement joined the evening dose.
By the time the routine settled, it looked like this: four pills in the morning (heart medication, bronchodilator, diuretic, stomach protectant) and three in the evening (heart medication, bronchodilator, and a combined liver-and-joint supplement). Seven pills, twice-daily heart and airway medication doing the heavy lifting of both totals.
Keeping to the schedule was harder than it sounded. For a dog under five pounds, giving seven pills across two daily medication sessions was a genuine test of patience for both of us.
Every “Easy” Trick Joseph Outsmarted
Like most new caregivers, I started with the tips everyone recommends. Joseph’s nose and tongue defeated every one of them within about a week.
- Sausage and cheese: worked for a few days, then Joseph figured out he could lick off the fatty sausage and leave the bitter diuretic pill sitting untouched on the floor.
- Pill pockets: by day three, he wouldn’t even approach one. He’d turn his head and growl at the smell, and forcing it into his mouth just made him foam at the mouth and spit it back out. This was a failed attempt, not a technique to copy.
- Crushing pills into wet food: the worst failure of all. No canned food could mask the bitterness of the heart medication and diuretic. One bite in, he’d cough it back up and then refuse the entire bowl, food he’d normally loved, out of suspicion. Do not crush or open a medicine unless your veterinarian has confirmed that this is appropriate for that exact formulation. (FDA medication-safety guidance)
Every clumsy attempt to disguise the medication didn’t just fail. It cost me an entire mealtime and chipped away at his trust in me.
The Principle That Ended the Standoff
For Joseph, I eventually stopped trying to hide his medicines in food and found a routine he accepted. That experience does not show that taste is irrelevant or that one pilling technique suits every dog.
What I eventually settled into was a routine that took about 30 seconds when I first learned it, and dropped to roughly 10 seconds once it became second nature. Before changing how a medicine is given, get your veterinarian or pharmacist’s instructions for every medicine and formulation. Do not crush, open, mix, or repackage them on the strength of this story. (FDA medication-safety guidance)
- What I did with capsules. I consolidated each round of medications into one or two small gelatin capsules. I am describing what happened with Joseph, not recommending a capsule size or confirming that his combination was safe. A veterinarian or pharmacist must check each medicine before any mixing or repackaging.
- What I used as a coating. I used a thin layer of unsalted butter. That is part of Joseph’s story, not a recommendation to use butter or oil with another dog’s medication. Check food and medicine compatibility first. (Cornell: oral medications)
- What I noticed about handling. I kept Joseph’s head close to level, and I did not observe coughing with that routine. I cannot infer an airway mechanism or a safe head angle for other dogs from that experience. The same caution applies to my account of Joseph and his ramp. Ask your veterinarian for an individualized demonstration; do not use this story as a mouth-placement or restraint guide.
- What I tried to encourage swallowing. A short puff of air on Joseph’s nose was part of my routine. It is not a reliable test that a pill has been swallowed, and this account does not establish that it is suitable for a dog with airway disease.
- The reward. After he swallowed, I offered a small piece of meat or a lick of squeeze treat. He came to wait for his treat afterward. For another dog, ask which rewards fit the medication instructions and diet.
Once this became routine, what used to be a 30-minute standoff shrank to about 10 seconds. Joseph stopped running from me at pill time and started waiting for his treat right after.
What’s Different for Caregivers Today
Back in 2012, I was hand-filling human gelatin capsules because that was what was available. The tools have improved a lot since then.
- Pill dispensers: ask your veterinary team whether a dispenser suits your dog and to demonstrate its use. This account does not establish that a particular mechanism is safer for a small mouth or a compromised airway.
- Flavored formulations or capsules: ask your veterinarian or pharmacist whether an appropriate option exists for the specific medicine. A flavored capsule is not permission to crush, open, or combine the contents of other medicines.
- Food or water after a pill: follow the instructions for that medicine and your dog. A lick of gel treat does not prove that a capsule has reached the stomach. Ask your veterinary team what, if anything, should follow each dose; do not force a chaser into a dog that is coughing or struggling to swallow.
When to Talk to Your Veterinarian
Ask your veterinarian for help if your dog coughs, gags, spits out medicine, vomits after a dose, or refuses food. Do not keep forcing the attempt or guess how much to give again when a dose may have been partly swallowed. Ask whether another formulation is suitable rather than changing or compounding it yourself. (Cornell: oral medications) Breathing difficulty, blue gums or tongue, or fainting requires immediate emergency veterinary care. (Cornell: tracheal collapse)
Quick Takeaways
- What worked for Joseph does not establish a safe technique for another dog; taste, handling, the medicine, and the dog’s health all need consideration.
- Do not crush, open, mix, or repackage medications unless your veterinarian or pharmacist has checked every specific medicine and formulation.
- For dogs with breathing or swallowing problems, ask the veterinarian to demonstrate an appropriate method instead of copying a head angle from this story.
- Do not assume a puff of air or a lick proves the full dose was swallowed; contact the veterinary team if you are unsure how much was taken.
- A suitable reward may help make medication time less stressful; check that it fits the medicine and your dog’s diet.
If you’re wondering why a pet care site spends this much time on one routine from over a decade ago, more about why I write this.
This article is for general informational purposes only and is not a substitute for professional veterinary advice, diagnosis, or treatment. Always consult your veterinarian regarding your pet’s specific health needs.
Aging gracefully, together.


