Infantreflux.org | switching from one med to another-effectiveness

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August 18, 2007 at 2:05 pm #41339

Anonymous
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My daughter has been on Prevacid since 7-31. On 8-7 she was prescribed Axid b/c we were seeing no results from the Prevacid. On 8-14 she was hospitalized for failure to thrive. Dealt with a horrible pedi GI doc. She didn’t explain much but proscribed Prilosec. The day after leaving the hospital, she seemed to start eating. I have 3 hypothesis for this (1) she had gone a couple days without eating much allowing the esophagitis to heal some and (2) the prilosec kicked in. I have questions about this 2nd hypothesis. I have heard, correct me if wrong, that prolosec takes 2 weeks to kick in. Is this still the same if she has been on a similar PPI such as Prevacid. Could the Prilosec just take over so that there is no wait period.? (3) the prevacid kicked in at 2 weeks. I have questions about this too. My pedi said she prescribed prevacid vs prilosec b/c it kicks in faster?

So even though teh pedi GI prescribed prilosec, she seemed to do better when we came home from the hospital. I attributed this to the prevacid working, so i gave her prevacid (but i gave it to her 2 x a day instead of once as it was prescribed). But now she has taken a step back and isn’t that interested in eating and fussy when she does. Screaming for about 30 min. vs 1 hour without meds at all.

So i’m not sure what to do. Help??

Also…the doctor prescibed Axis a week after she started Prevacid. The GI in hospital didn’t say anything about this. Am I supposed to be keeping her on it? Do i give it the same time as teh prevacid or prilosec?

Help.

Thanks

Lauren

B/G twins 28.5 weekers

August 18, 2007 at 2:36 pm #41341

Anonymous
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You need to give the Axid 4-5 hours away from the prevacid or prilosec. Prilosec in general does take up to two weeks to kick in but being on a ppi may have helped. Some babies do better on one or the other. I would keep her on the Axid until you are sure that you get a high enough dose of prilosec or prevacid and try and get it so you can give more than once a day. Babies matabolize prevacid faster than adults so they need it 2 or 3 times a day. You can take a look at http://www.marci-kids.com and it will explain this better than me. Hope this helps

August 18, 2007 at 3:16 pm #41346

hellbennt
Keymaster

compounding from lori: https://www.infantreflux.org/forum/forum_posts.asp?TID=7855&TPN=1

August 21, 2007 at 4:26 pm #41493

Anonymous
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If you are on enough prilosec and it isn’t doing the trick at all, it makes me wonder if something else is going on. Milk/soy intolerance? What formula is she on? I know she is little but Erythromycin given 3x a day will help empty her tummy and she may feel hungry then. Do you have a new doc? A visit with someone you trust and that will listen to YOU may be needed.
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switching from one med to another–effectiveness