I tried pushing the pill back and holding up his head until he swallows because that's how I pill the cats. But maybe I'm doing it wrong or something because he still manages to spit it out when I let go of him! He hasn't vomited at all except for that one time when he spit up after Alexa tried to give him the pill. I'm sure with time we'll get better! I'm going to try buying some hotdogs and see if maybe that will work.