there are liquid forms of both alpha lipoic and r lipoic acid as well as acetyl l carnitine. if you do a search for that on the internet several sites come up for each. you can also get methycobalamin b12 from jarrows and leave it under your tongue or chew it so you dont have to swallow it. Amitriptylene (elevil) is a very small pill. Wellbutrin which is also an antidepressant and a very small pill worked very well on my nerve pain.