InfantReflux.Org Forums: Pediatrician’s Reference Guide

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hellbennt
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Topic: Pediatrician’s Reference Guide
Posted: 03 May 2007 at 9:32am

POST#6 of this thread explains the zantac dosing

POST#7 of this thread has pepcid & axid dosing

POST#7 of this thread has more zantac info & also how to make your own liquid zantac, using otc zantac

PAGE 3 of this thread has pound to kilo conversion chart

http://www.infantreflux.org/forum/forum_posts.asp?TID=8288&PN=3

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hey everyone,

I'm putting this here, not the Medicines forum, because I don't want to scare any newcomers...

anyway, I went to the peds office yesterday bcse Ari has an ear infection that won't clear up (grr & grrto my ownself bcse I haven't been doing as I say- w/ the saline- I've been slacking) & I was chatting w/ the ped about another mom who I've helped a bit w/ reflux and I showed off my knowledge by spouting off about zantac dose being 5-10mgs per kilo & she totally contridicted me, whipped out the Pediatrician's Reference Guide or whatever that book is, and showed me that Zantac dosing is 2-4mgs/kilo.

She told me my info must be outdated & I countered well that maybe Ped GIs go by something else?- she didn't respond to that...

SO: I don't have the time right now to sit & google, but if anyone (hey where's our resident pharmacist, LOL) wants to figure this thing out, please do (if anyone is contacting dr. philips for anything else could you aks about this too?). I feel really awful if I've been telling the wrong thing...on the otherhand, I don't 'feel' like 5-10mgs/kilo is wrong, that's why I'm posting to you fabulous folks

BACK TO PREVACID 101, last post on the page (if you need to go back!)http://www.infantreflux.org/forum/forum_posts.asp?TID=1936&PN=0&TPN=1

Here's a handy chart to convert lbs to kilos:

http://www.infantreflux.org/forum/forum_posts.asp?TID=8288&PN=3

Edited by hellbennt - 26 June 2012 at 5:40pm

~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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b's mom
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Posted: 03 May 2007 at 2:00pm

Laura,

When we first suspected reflux in Brianna, I was actually on an extended visit to my family. I called my ped from back home and she told me Zantac was the first thing to try and that the dosage was 5-10mg/kg...unless they have changed the dosage within the past year...that is what she said...actually, my ped GI has always (as of sept was the last time he wrote me a script) said 5-10...hum....

Emily
Luca 9/5/10 - 22mg Prevacid
McKenzie 2/4/08: Fomer Refluxer
Brianna 12/12/08 - former refluxer

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s&h's mum
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Posted: 03 May 2007 at 3:17pm

Laura,

I have a great article at work with the dosages considered recent from peer reviewed studies. But it's not marci-kids data. It's come from studies they've done on kids, they acknowledge higher dosing, but still not as high as marci-kids for PPIs, so I don't know about H2 blockers. I'll check it out anyhow. Dr. Phillips mentioned something called the Harriet Lane Handbook for dosing of medicine in children, but I've never heard of it.

I'll let you know what I find.

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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evergreenie
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Posted: 04 May 2007 at 2:12am

http://www.cryingoverspiltmilk.co.nz/MedicalTreatment/Medica tionwithDosages.htm

This website gives dosages from NZ...they say 4-8mg per kilo (so similar to what you are saying).

Therese

Alana Nearly 3-Former refluxer and Milk Intolerant. No meds and full milk!

Nick- 8 weeks and milk and soy intolerant (we think!)

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evergreenie
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Posted: 04 May 2007 at 2:17am

This pdf site is from one of the divisions of general practice in Aus...(family drs).

http://www.sdgp.com.au/client_images/18182.pdf

suggests mylanta at .5mg per kilo up t 5 x a day. Zantac at 5mg per kilo.

Therese

Alana Nearly 3-Former refluxer and Milk Intolerant. No meds and full milk!

Nick- 8 weeks and milk and soy intolerant (we think!)

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MFPIx2
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Posted: 04 May 2007 at 8:28am

As a pharmacist, I have a handy little electronic device called an ipharmacist which is updated regularly with all the current dosing. I have just checked it and this is what it says for oral pediatric dosing of zantac:

Duodenal and gastric ulcer: children 1 month to 16 years: 2-4 mg/kg/day divided twice daily to a maximum dose of 300 mg/day

GERD and erosive esophagitis: children 1 month to 16 years: 5-10 mg/kg/day divided twice daily. GERD max dosage: 300 mg/day. erosive esophagitis max dosage: 600 mg/day

Sheri

Ben (02/28/2005) - former MFPI & reflux

Paige (11/26/2006) - former MFPI & reflux. Currently on Neocate Jr. & sulfasalazine

Reid (10/07/2010) - MFPI & reflux. On Neocate & Prevacid

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hellbennt
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Posted: 04 May 2007 at 8:36am

POST # SEVEN (7) OF THIS THREAD

aHA!!! thank yoU sheri!!!

[And: here's this link, which tells Drs where ELSE zantac dosing info is written, in addition to the ipharmacist!:

http://www.infantreflux.org/forum/forum_posts.asp?TID=1000&PN=1]

Here's a handy chart to convert lbs to kilos:

http://www.infantreflux.org/forum/forum_posts.asp?TID=8288&PN=3

To make your own zantac liquid using otc zantac

(use your own judgement! Disclaimer! I cannot tell you to do this. Research & make your own educated decisions!)

You can crush a 75mg Zantac (ranitidine) tablet. Put this in 10 mL of the Mylanta Cherry Supreme.

(Mylanta Cherry Supreme is the one variety of mylanta that does not contain aluminum.you can't find it anymore, but you can find store brand equivalents. Try rite-aid, cvs brand, wal mart, target, Bartell Drug (West coast), Dollar General, brand names: Geri-Care & Geri-Lanta Supreme, meijer, etc- just look for one that does not list aluminum in the ingredients. you can give 1ml up to 5 times a day- it's safe, even for newborns. if you see loose stools back off.)

Let the mixture sit for a few hours, shaking occasionally so that the pill dissolves entirely & shake before dosing. You do not have to keep it in the refrigerator. Give 2.5mL per dose, 2 times per day.

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The following information is copied from the links provided (posted by Sheri, MFPIx2)

AXID DOSE link:

http://www.infantreflux.org/forum/forum_posts.asp?TID=9539&KW=axid+dose

Posted: 24 September 2007 at 11:19am

Here is recommended dosing of Axid (also called nizatidine) for the treatment of GERD in infants and children:

Children <12 years: 10mg/kg/day divided into two daily doses.

However, Lexi-Drugs states that Axid may not be as effective in children under the age of 12 years as it is for adults and children 12 years and older.

Children >12 years: 150 mg twice a day

PEPCID DOSE link:

http://www.infantreflux.org/forum/forum_posts.asp?TID=9295&PN=2

Posted: 26 August 2007 at 11:17am

Hi Yani,

I'm a pharmacist, and hopefully I can help a bit with Pepcid dosing recommendations for infants. First of all, what is the strength of the Pepcid suspension you were given? This is important to know because the dosing guidelines always refer to mg of drug, which you then use to figure out how many mL of suspension to give.

Here are the dosing recommendations (from my ipharmacist) for Pepcid in the treatment of GERD in infants and children:

Infants < 3 months: 0.5 mg / kg / dose given once daily

Infants 3 - 12 months: 0.5 mg / kg / dose given twice daily

Children 1 - 12 years: 0.5 mg / kg / dose given twice daily (maximum of 80 mg / day)

So for Daniel, being 2 months old and weighing approximately 5.25 kg, the recommended dose would be 2.625 mg given once daily. You could likely safely round this up to 3 mg per day since these types of medications (H2 blockers) are generally very safe and have very little if any side effects.

I hope this helps some, but like I mentioned above, you need to know the strength of the suspension you have (in mg / mL) in order to figure out the appropriate dose.

Good luck!

Edited by hellbennt - 26 June 2012 at 5:40pm

~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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MFPIx2
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Posted: 04 May 2007 at 9:27am

No problem!

Sheri

Ben (02/28/2005) - former MFPI & reflux

Paige (11/26/2006) - former MFPI & reflux. Currently on Neocate Jr. & sulfasalazine

Reid (10/07/2010) - MFPI & reflux. On Neocate & Prevacid

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evergreenie
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Posted: 04 May 2007 at 7:20pm

Don't you think pharmacists come in much more handy than Drs

Therese

Alana Nearly 3-Former refluxer and Milk Intolerant. No meds and full milk!

Nick- 8 weeks and milk and soy intolerant (we think!)

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s&h's mum
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Posted: 05 May 2007 at 5:00pm

Not the ones in my area... neither one of them seem to know what they're talking about most of the time.

Edited by s&h's mum - 05 May 2007 at 5:04pm

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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