These are exactly the same in shape, size and dosage as Citracal+D and for the identical quantity, these cost less than half the price of that name brand. They're also non-constipating, being calcium citrate instead of calcium carbonate. So these get a high rating. I myself have no trouble swallowing them. They're perfectly smooth, but I suppose those who have difficulty swallowing tablets, capsules and caplets of any size might have problems, so such people should avoid these. (I've seen larger caplets than these with which even I have had trouble.) But for most adults who can readily swallow caplets with water, I don't think these will present a problem, and certainly no more than those Citracal+D's would.

I found this product to be very affordable at sometimes half the price of other brand named products. I think it's a great value. As to tablet size? I suppose it is large but it's the same exact size of the multi-vitamin and omega-3 capsules I take daily. It's not a problem for me. If it is for you, try this trick: take a swig of water, hold it in the back of your throat, pop the pill to the back of your throat and swallow all together. I've taken vitamins and pills like this since I was a kid and I've never had a problem.

I agree with a previous review- these pills are so HUGE they are dangerous. How can a company release such a product to the public? I am tossing the remainder of mine in the garbage.

These are the best calcium citrate pills I've taken. I have a very sensitive stomach and I have absolutely no stomach problems with them at all. Plus they have a nice amount of Vitamin D. Pills are on the large side - but I'd expected them to be on the large side, and I don't have a problem swallowing them.

These are huge, uncoated pills. Both my wife and I frequently gag trying to swallow these monsters. From now on I will switch to Citracal petites or some chewable form of this drug. If you have any trouble swallowing big pills stay away from these.