Home › Forums › Infant Reflux Information › Medicines › 30 minute rule for PPIs
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June 16, 2006 at 7:15 am #9880
Anonymous
InactiveSo we just got the solutabs here and it came with this gigantic insert in it all about the medication. We’ve previously only had capsules.
For those of you who give solutabs/capsules, do you wait 30 minutes before starting the meal even if they’re a very slow eater? Should the full meal be in the stomach at 30 minutes? Does that mean that for a child who’s very slow to finish a meal/bottle that you should actually start earlier so that most of the meal is in the stomach at the 30 minute mark? What if it takes an hour to get the whole meal in there, and just 1-2 ounces are in after 30 minutes.
I’m asking you guys because the company knows nothing. Here’s what the insert says on how to take the meds…There’s a section on how to take the medication and it says to take it before eating breakfast or on an empty stomach before a meal if dosing twice daily. It doesn’t say to wait 30 minutes before eating. It says to take it right before eating.
I know that you need to wait 30 minutes from this site, but why wouldn’t the company put it in the information if that’s the case!
June 16, 2006 at 11:30 am #9893Inactivelori, just do whatever works for you. i’ve been on this site since sylvia was 2 months old and NO ONE worried about the perfect timing of giving the PPIs until a year or so ago—–and the funny thing is, that MANY, MANY babies have been helped by the PPIs when they were given in whatever way the mommas could manage to get the meds in. i am sure that the perfect timing would be *ideal* to have the medication work to it’s highest potential—-but it’s also really unrealistic with a fussy infant. and, the fact that the meds have worked anyway, for so many, says an awful lot.
June 16, 2006 at 11:36 am #9894InactiveThanks Christine. This morning I gave her a solutab for the first time and I actually cried (tears of joy) at how easy it was. Just added a ml of water to half a solutab and squirted it in. She swallowed. No crying (by her). We are still going to do the CaraCream (because I think it really does work better) as much as we can, but this actually lets us get out of the house during the day where we’ve previously been prisoners to her sleep feed/medicine bottle. We still don’t know how it will work or if she’ll react to any of the ingredients in them. Interesting too, ours don’t have lactose in them. I compared the ingredients to the US ones and they’re different.
June 16, 2006 at 12:58 pm #9901hellbennt
KeymasterI agree with christine
glad to read your news, Lori!!!
June 16, 2006 at 1:08 pm #9902InactiveHi Lori,
That’s very interesting that the Canadian ones don’t have lactose. That’s good news for babies with intolerances.
I agree somewhat with what Christine said. It probably doesn’t have to be timed perfectly to get some results, but I think you probably get thet BEST result if you time if right. I’d say wait as close to the 30 minutes as you can so the medication gets absorbed and into the blood stream, and then feed her. Myles didn’t eat much at all when he first started Prevacid (2-3 ounces) and it still worked very well.
I’m curious, how are you going to use caracream? You have capsules and solutabs?
How’s Hailey feeling?
Christine
June 16, 2006 at 3:22 pm #9919InactiveThanks. I don’t know how it will work yet, but I’m keeping my fingers crossed. We are aiming for as close to the 30 minute mark as possible. I just hope that she takes in enough to fully activate the drug, because it’s SO easy to give. That makes life so much easier when you have a baby with all of these issues.
Christine, I have capsules and I also have solutabs. I have 4 repeats left on each. So I’m not sure how I’m going to sort it out yet. Depends how the solutabs work in terms of their effectiveness.
July 10, 2006 at 7:25 pm #11278InactiveHi Lori,
I just picked up a dose of Prevacid for Emily today. Her ped finally prescribed it. I only have the capsules for now as the pharmacy has to order the tablets.
Just wondering, have you used the capsules yet and how did you administer it? Do you find one more effective or easy to administer than the other?
Emily has pretty much been labelled as FTT by my family doc and we are awaiting Sick Kids to get back to us about seeing a Ped GI. I am also looking for a new ped. I know you mentioned that your Ped is not accepting new patients, but would it be possible for you to give me his/her name. I would like to try to see him since he is a specialist in metabolics and I think Emily has more issues than just reflux. Everything seems to be going downhill right now and pretty much most of her feedings are done half asleep. Her intake is also very poor now and she still spits that up.
Thanks,
Sarah
July 10, 2006 at 11:07 pm #11304InactiveLori –
Just wait till she is old enough to pop the solutab in her mouth & she can suck on it. Its even better!
July 11, 2006 at 1:48 pm #11349InactiveUnfortunately, we had to give up on the solutabs for now (BOO HOO). After the b%$#!& nurse that did Hailey’s EEG held her down and forced a syringe full of chloral hydrate into her mouth (instead of having me do it myself, or using an injection), Hailey has had an aversion to syringes (just what we needed). She also won’t let me put anything in her mouth, so we’re holding off on the solutab for a bit, with plans to hopefully reintroduce it again a bit later.
Sarah, got to keep this short b/c Hailey’s on the move…
I only started with prevacid at 10 months. Prior to that we were doing compounded losec. The capsules were only available until recently. I think what works best depends on the baby. If the baby takes applesauce, the capsules might be easier b/c you can just put it in and then give it that way. Otherwise, the solutabs would likely be easier b/c you can syringe or hold it in the mouth. BUT, they only come in 30mg tablets and when you split them you lose a fair bit of the dose, and some also gets stuck in the syringe. I think it’s trial and error for each child. What dose is she on?
Good luck with sick kids. As I mentioned to you previously, the wait for a GI is 6 months or longer. I have been less than impressed with our experience there, but they are apparently the best in the city.
I’m sorry to hear that Emily has been labelled FTT. What has her weight gain been like and is she still gaining? Why do you think that she has more issues than just reflux? The picture that you gave me in your emails sounds like a classic case of uncontrolled reflux.
Also, you may want to create a signature with some info in it (ie. Emily’s age, meds, etc). You do it by clicking on the settings button I believe in the top right hand corner of the screen.
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