Wits End

Hi & welcome!
you’ve found a great place for RESEARCH and SUPPORT!

so glad you found us!
~laura

I know how you feel about tummy sleeping. As soon as he can roll over on his own you are safe. My DD who doesn’t have reflux is sleeping on her tummy right now and I can’t do anything to stop her b/c she flips herself there as soon as put her down. Is he pretty close to rolling on his own? If he is then you are probably fine to tummy sleep. I still get up several times at night to check on her, I am a worry wart. We have the Angel Care monitor and used it with DS but it went off 2x falsely and scared the mess out of us and we stopped using it b/c of that.

Also you don’t HAVE to do 3x/day dosing of the meds… we did 2x/day with DS when he was on prevacid and I gave it at 6:30a and 5p or before his first feeding and then before his “dinner”. There are some babies that do fine with 2x/day dosing… I always had a hard time trying to figure out how to get a 3rd dose in so we just never did! HTH.

I can help you w/ mls – what does your bottle say?
it should read something like 3mg/ml or something like that

1. Make sure that your pharmacist does
   not put any kind of flavoring agent in the compound.

2. Make sure that the concentration is
   between 2 mg/mL and 4 mg/mL. This means that for every milliliter of
   suspension, you are giving between 2 and 4 milligrams of drug.

3. Ask that your pharmacist make the
   compound with 16.8% sodium bicarbonate if the total volume of each
   dose is less than 7 mL. If the total volume of each dose is greater than 7
   mL, ask that your pharmacist make the compound with at least 8.4% sodium
   bicarbonate. We also do not recommend that you give less than 3.5 mL of a
   PPI suspension at any concentration. This is because doses smaller
   than 3.5 mL do not provide enough buffer to adequately protect the drug
   from being destroyed by the acid that is present in the stomach.

It is important that the pharmacy does not add flavoring to the
compound as it will almost certainly cause it to lose its stability
much more quickly. It tastes pretty aweful this way, I know, but it’s
better than the alternative.

Remember, Dr Phillips and the MARCI-Kids team do not
recommend the use of compounded PPIs of any kind for infants or
children. We do recommend the use of immediate-release Zegerid Powder
for Oral Suspension. The makers of Zegerid currently hold a patent
which covers any combination of a buffer (such as sodium bicarbonate)
with a PPI (such as Prevacid or Prilosec), and it is a violation of
this patent for pharmacy to make such a compound.

In addition to this, there are no studies that have been done to show
that such compounds made by pharmacies are effective or even safe. This
is another reason why we cannot and do not recommend them.

bufferbabies is explained here, last post called Prevacid 101:
https://www.infantreflux.org/forum/forum_posts.asp?TID=1936&PN=0&TPN=1

gas could be from ‘diet’ – sensitvity to a protein in your breastmilk/in the formula. the ‘main’ ones are milk and soy (mspi=milk/soy protein intolerance/allergy) but babies can react to much more than ‘just’ those two