Hi Colette, It is absolutely ok to grind the pill to a powder and add it to juice, apple sauce, milk, anything that she will find more paletable. We have been doing this for a few months now and things are going well and he is well controlled. Moon face is something that happens when someone is on steroids such as Cortef. It usually happens when the child is being over medicated and can correct itself once the proper dosage is reached. You may have to change the dose a couple of times before reaching the right one for your child. This is not unusual, but is a bit frustrating. Remember, it is only temporary. You may also see a bit of an increase in appetite from your daughter. That is also common in making the switch but I found that, once the doctors titrated his dose, things went back to a more "normal" routine. If I can answer any other questions please don't hesitate to email me at ltorony@CT2.nai.net anytime. I hope you, your daughter and the rest of the family have a great 4th of July! Lynn