February 2016: To Research and form a Plan to Share with your Doctor:
Most doctors start a baby off on a H2 Blocker. This is a med like zantac, axid and pepcid. Most babies seem to ‘pleateau’ on this kind of med.
Ranitidine usually works at first but infants rapidly develop “tolerance” to the effect of ranitidine (Zantac) as well as the other H2 blockers (such as Pepcid, Axid). You cannot overcome the “tolerance” by increasing the dose. You need a PPI – but just to prepare you – many physicians are completely unaware of the “real world” dosing requirements for infants. At 11 lbs, 4 months, a dose of 8 mg per dose, three doses per day is what will control the acid reflux. It is likely that the physician will prescribe something like 5 mg per day. Renowned PharmD, Dr. Jefrey Phillips