My gag reflex SUCKS....so I cant swallow more than three at one time. I used to be able to swallow like a whole bunch, but then I went on Bactrim (and I had to cut one of the pills in half) and I had the hardest time swallowing that half, lilke almost choking a few times because of the jagged egdes from being cut. In essence, I think that damaged my ability to swallow pills...