Home › Forums › Infant Reflux Information › Medicines › Help with Prilosec and Mylanta
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hellbennt.
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April 26, 2010 at 9:54 pm #66264
Anonymous
InactiveI’ve been reading all of the great posts on this site, but I’m still confused on two things.
1. How much Prilosec is the correct amount for a 4 month old that weighs about 11-12 lbs? Currently on 2.5ml twice daily (suspension). BTW, I give it in her formula. Is this ok?2. How much Mylanta/Tums can I give per day, and how far should I space it between the Prilosec?Any advice would be great 🙂April 28, 2010 at 6:47 pm #66271hellbennt
Keymasterhi there!
first of all we need to figure out the mgs that she can have of prilosec and then we can get to the mls…
her weight is here:
http://www.sfca.co.uk/match/kilolbs.htm
this will give you weight in kilos
let’s say 5.3 kilosthen
http://www.marci-kids.com/dosing.html
will tell you how many mgs of the med per kilo:
3-6 months
1.25 mg/kg three times per dayso this means 1.25 x 5.3 = 6.63 mgs three times per day, so
6.63 x 3 = 19.90mgs a dayyour medicine is in MLs and to be honest it most likely isn’t being made correctly
:A Note About Pharmacy Compounds of PPIs
If you are currently giving your child a compounded suspension of a
PPI such as Prevacid [in your case it’s prilosec] made by a pharmacy, you should know that there is
a good potential for the medication to become inactive (and therefore
ineffective) in a much shorter time period than your pharmacist may be
aware. The loss of activity is related to the effect of the flavorings
added by the pharmacies. The flavorings cause the PPI to become
unstable and break down so it can no longer inhibit acid secretion.
Laboratory testing has shown that the majority of such compounded,
flavored preparations become inactive within a week.In addition, many pharmacies do not add enough buffer in their
suspensions to protect the drug from degradation by stomach acid. This
is particularly a problem if the child is receiving a very low-volume
dose—less than 3 mL, for example—because the amount of buffer likely
won’t be enough to protect the PPI from degradation by stomach acid.hellbennt2010-04-28 18:54:42
April 28, 2010 at 6:55 pm #66272hellbennt
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mso-bidi-language:#0400;}try mylanta cherry supreme or any store brand equivalent, looking at the
ingredients to see that you choose the one w/o any aluminum. it’s the
adult kind and safe for even newborns. give 1ml and see what happens. you can
give up to 5mls over the course of the day & if you see loose stools, just
back off some. it needs to be give 4hrs from the prilosec.
hellbennt2010-04-28 18:55:35 -
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