Thank you for your recent review of the Pivotell Advance Dispenser and we are pleased to hear that the unit is working well for your mother.
With regards to the difficulty your mother is having dispensing the medication, we do sell a Tipper which is specifically designed for those with insufficient strength or limited dexterity to lift and dispense their medication.
Detailed below is a link to this product.
http://www.pivotell.co.uk/Pivotell%C2%AE+Dispenser+Tipper/0_CAAA001/PRAA008.htm
If you would like any further advice or information regarding the above please do contact the Pivotell Office and we will be happy to help.
With kind regards.
Elaine