I use my electric can opener. Those pull tops look dangerous.I hate all these child proof caps. I was picking up a prescription for a friend at Walmart and I picked up a couple bottles of their tylenols and made the comment that they should have the option for otc's like they do with scripts. The girl opened the bottles-took off the foil and put a regular cap on the bottles. I use a family owned home town pharmacy for my med's and they will open them for me and they actually put them in a clear script bottle and printed out a label for my otc's. She said they do this all the time because so many of their customers ask for child proof caps.