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most peds give zantac & reglan ‘just because’
reglan is for delayed gastric emptuing (DGE) & there is a specific test for this. did your baby have this test? if not, your daughter might not even need reglan. it can have serious side efffects. there are those, however, whose babies DO have DGE and need reglan & they have found that giving smaller doses than recommended have really helped. So, the question is: does your daughter need the reglan?
I’d get to a Ped GI ASAP…
Next: the zantac dose might not have been high enough. from my welcome/intro there’s a link to help you with zantac dosing. once you read that & if you need help with the dosing, we’ll help you figure it out
Finally: the PPI can take two full weeks (14 days) to ‘kick in’
if you stop the zantac it’s as if your baby isn’t on any meds at all. I learned this the hard way! I was like you & freaked out that my baby was on too many meds. I stopped the zantac. YIKES!! Jonah went HOARSE from crying/howling/shrieking so much…So: ues zantac (a ‘proper’ dose) and a PPI can be given- they need to be given at least 2 hours or more from one another. our ped GI said 2hrs & that’s what we did & jonah was fine. others have posted that their ped GIs said 4 & even 5hrs seperate…
hang in there!
~laura
I don’t think you’re supposed to quit reglan cold turkey? hmm…
as for the zantac, I hate to be a doubting thomas, but I really rather doubt that one dose a day will be effective at all
…I *think* you should split it into 2 doses…from my welcome/intro (please bookmark it
): https://www.infantreflux.org/forum/forum_posts.asp?TID=853&am p;PN=1&TPN=1here’s zantac dosing: https://www.infantreflux.org/forum/forum_posts.asp?TID=836
which states: “Zantac insert from GlaxoSmithKline (manufacturer of Zantac. Your doc should have one. page 4:
“Pediatrics: Oral doses of 6 to 10 mg/kg per day in two or three
divided doses maintain gastric pH>4 throughout most of the
dosing interval” & Also, check
http://www.healthsquare.com/newrx/ZAN1494.HTMSo, that’s what I mean about the one dose…
And, for how much: working range of Zantac alone is 5-10 mg per 1 kg
your liquid zantac bottle says 15mgs/ml, so your baby is getting
1.6mls a day: ok let’s say that’s 1 and 1/2 mls to be ‘even’
so: that’s 15mgs (which is one ml)
+ 7.5mgs (which is 1/2 a ml)
= 22.5mgs a day, total
working range of Zantac alone is 5-10 mg per 1 kg
4.4 kilos x 5 = 22.5 for the day
so your baby is 9.7lbs?
No it’s NOT too much- don’t worry! it’s at the LOW end of the spectrum for her weight- she can get even more zantac than what she’s getting…
yes, split the dose into 2…
she can get up to as much as: 2.9mls a day total split up into 2 or 3 doses
4.3 kilos x 10 = 43mgs a day
to get how many mls of liquid: divide 43 by 15 = 2.9
What I’d do is FAX your doctor. start off with a THANK YOU. then provide the FACTS (according tothe company that makes zantac: ____the dose for pediatrics is___) and simply state that according to her weight and the FACTS, you’d like her dose increased . Then explain that you willkeep her on the increased dose of zantac, giving it at least 2 hrs if not more, seperate from the prevacid, until you notce that the prevacid is being effective, as you realize that it can take up to 14 days for the prevacid to work in infants. then I’d tell what the prevacid dose should be. then you say Thank you
!!!!!!!!!!!!!!!hellbennt2006-6-29 11:8:50
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