Hi caroline, my partner had the same problem. patches made her sick, our doctor put her on Amitrityline hydrochloride tablets, we started at 10mg and worked up to 20mg, which seemed to do the trick, i would recomend your mum has the peg fitted, it does alliviate the distress caused by swallowing, she can still try juice, and ice cream as treats, but it also means that all the drugs can be administered through it. hope this is of some help. we just have to make life as easy and as comfortable for them.