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Message Icon Topic: Novo-Ranitidine (Zantac) and Domperidone Post Reply Post New Topic
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Jsquared
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Quote Jsquared Replybullet Topic: Novo-Ranitidine (Zantac) and Domperidone
    Posted: 08 October 2008 at 6:23pm
Has anyone every used this combination?  I think I've heard that Domperidone isn't available in the US but is in Canada...

We've just been prescribed 1m of the Novo-R and 4ml of the Dom x2 per day and I'm a little concerned as she's already on Phenobarb for seizure but at least we're working on weaning her off of that. 

She's on alot of meds and I can't help but wonder if the Pheno is making her GERD symptoms worse Ouch


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Quote Cooper's mom Replybullet Posted: 08 October 2008 at 8:54pm
I don't know much in this area, but if I were you I would pm Sheri (MFPIX2) she is a pharmacist and in Canada so she will be a great resource for you with the meds for your little girl. She may see this, but she has been busy lately so I don't know how often she is getting on lately. HTH.
Beth
Cooper 2/07 (former refluxer and MSPI. out grew egg allergy at 3.5yrs old)
Caroline 1/10 (so far so good!!!)
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s&h's mum
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Quote s&h's mum Replybullet Posted: 09 October 2008 at 4:11pm
We tried zantac, then did losec, then losec 2x/day + domperidone 4x/day, then prevacid.  In the end, a GOOD dose of prevacid worked for my daughter.  My understanding is that it's typically best practice to move up to a PPI before adding a motility drug.  You might want to ask your GI about that.  About the phenobarb, I'd speak to your child's neurologist if your concerned.  From what I've read, I haven't come across GERD as side effects for any of the seizure meds, even in my travels in the epilepsy boards.  You might want to ask there though.  I like epilepsyfoundation.org .  The parents there would be willing to help you.  Good luck.
LORI, mom to:

Sarah-09/03-My sweet princess.

Hailey-05/05- My funny little girl. 4 years old, but still my baby.
Past feeding aversion. Now typical eater, off prevacid for 1.5 years!

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Jsquared
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Quote Jsquared Replybullet Posted: 09 October 2008 at 5:50pm
Originally posted by s&h's mum

  My understanding is that it's typically best practice to move up to a PPI before adding a motility drug.  You might want to ask your GI about that. 


That's my understanding as well.  We're still waiting to see the GI, the meds were prescribed by our pediatrician.

I've started her on the Zantac and have chosen to hold off on the dom until we hear back from our neurologist about a GI referral.

The H2 seems to be helping a bit, she's no longer writhing in pain as much but she still does not sleep very long.
Jennifer mom to
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Phenobarb/Vigabatrin(Seizures)
Thickened Alimentum Nutramigen increased calorie Formula & EBM
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hellbennt
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Quote hellbennt Replybullet Posted: 09 October 2008 at 7:28pm
I'm sure you've had this checked, but I can't help but askEmbarrassed,
any chance the seizure are from Sandifer's Syndrome?
 

from: http://www.infantreflux.org/Forum/forum_posts.asp?TID=627&PN=1

sandifer threads:http://www.infantreflux.org/Forum/forum_posts.asp?TID=195&KW=sandifer

http://www.infantreflux.org/Forum/forum_posts.asp?TID=417&KW=sandifer

it's symptoms like back arching, stiffening a leg, twisting the head in one direction, & can also include seizure type episodes...

i always use the symptoms as a barometer- as we got the meds figured out, the symptoms pretty much disappeared...

~laura

tic dance search results: http://www.infantreflux.org/forum/search.asp?KW=tic+dance+trance&SM=1&SI=PT&FM=0&OB=2

~laura~
Jonah 7/03:GERDfree@12mos! Silent Reflux@birth(apnea episodes/NICU);Past Sandifer Symptoms, breastfed->15mos
Ari 7/06 REFLUX FREE, so miracles do happen!
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Quote Jsquared Replybullet Posted: 09 October 2008 at 8:06pm
Yeah I've considered that.  I've never seen a seizure but our Ped (incidentally the on call ped at L&D) Witnessed what she called a quite intense seizure 12 hours after birth.

My daughter was maxed out on meds to try and stop the seizure and we were helilifted to children's hospital and in NICU for two weeks.  She was comatose from the meds (3x Pheno and 1X Dylantin) for 4 days.

She was clear of seizures for the two weeks were were in NICU but they want to keep her on the Pheno just in case for the next month after which we have an EEG scheduled and we'll see where we go from there.

She had three MRI's (we enrolled her in a medical study as it gave us access to some of the best Neurologists in the province)  and they did find she has had damage to her brain due to an apoxic event that occurred during L&D.  We still have not found out what caused the lack of oxygen.

So yeah I've considered Sandifers and will discuss this with her neurologist however seizures are common where there has been brain trauma so taking her off the pheno before the next EEG is a bit of a difficult call.





Edited by Jsquared - 09 October 2008 at 8:10pm
Jennifer mom to
Janna
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Phenobarb/Vigabatrin(Seizures)
Thickened Alimentum Nutramigen increased calorie Formula & EBM
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monty123
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Quote monty123 Replybullet Posted: 09 October 2008 at 9:43pm

I answered the other post, but also have to tell you we were warned that a side effect of the lack of O2 episode with C was siezures.  Some start them right away, some start at 2 and three years old and some never start, but seizures are very common with the lack of oxygen episodes....

 
Can not believe how much you have been through, Jennifer!!!!
Ann Marie
Dylan 2/28/03 (27 wkr, past GERD, NEC, ROP, GBS/meningitis, brain bleed)
Carter 3/25/06 (29 wkr, past GERD, Cardiac arrest w/Immunizations, syndromic features?, all neg tests so far)
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Quote hellbennt Replybullet Posted: 10 October 2008 at 7:55am
Confused poor baby!
I agree w/ Ann Marie: you (all!) have been through so much!
 
Here's to finding some answers (holding my imaginary cup up in hte air...)
~laura~
Jonah 7/03:GERDfree@12mos! Silent Reflux@birth(apnea episodes/NICU);Past Sandifer Symptoms, breastfed->15mos
Ari 7/06 REFLUX FREE, so miracles do happen!
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Quote s&h's mum Replybullet Posted: 10 October 2008 at 12:30pm
I'm sorry to hear about all that you've been through with your daughter.  Are you guys in TO? 
Hopefully your daughter's EEG gives you some answers.  If she has damage shown on the MRI, then hopefully the EEG will clear things up further.  But I agree... wouldn't try off the meds until you speak to your neuro after the EEG.
My older daughter has tonic clonic seizures that were predominantly febrile until she had one without cause in April of last year.  My younger daughter has had BAD Sandifer's when her reflux was at it's worst.   They didn't look at all alike.  Though I have heard of some docs mistaking Sandifer's for seizures, usually myoclonic, I believe.
I hope that all goes well for your daughter.
LORI, mom to:

Sarah-09/03-My sweet princess.

Hailey-05/05- My funny little girl. 4 years old, but still my baby.
Past feeding aversion. Now typical eater, off prevacid for 1.5 years!

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Jsquared
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Quote Jsquared Replybullet Posted: 10 October 2008 at 12:43pm
We're out west in BC. 

The other kicker is that when we left BCCH neurology told us we could start weaning Janna off the Pheno at the discretion of our ped.  Our ped is reluctant to do, she's the one who observed the seizure in the hospital nursery 12 hrs after birth and maxed Janna out on Seizure meds.
Jennifer mom to
Janna
30/07/2008
Phenobarb/Vigabatrin(Seizures)
Thickened Alimentum Nutramigen increased calorie Formula & EBM
Omeprazole
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