Does prevacid dosage need increased?

[Anonymous]

Hi Everyone! I am new to this site, but it has been a God send! My son (4.5 mos old) was diagnosed with silent reflux at 2 mos. He is currently on 15 mg of prevacid 1X daily. He really does ok, but is still fussy during the day and has now started to wake up every 2 hours at night. He is becoming less interested in his bottles and stops feeding at 3 ozs. He is a big baby and has comfort fed until he was put on prevacid. He now weighs 19 pounds. Do you think that his dosage needs to be increased to make him more comfortable? Is there any side effects for increasing the dosage?

[Anonymous]

This is according to http://www.marci-kids.com “your child, who is 4.5 months old and weighs 8.6 kg, should receive a dose of 13 mg of Prevacid delivered 3 times per day for a total of 39 mg per day.

The recommended amount for each dose can be safely rounded up to the nearest available dosage form (7.5 mg) without risk of overdose or side effects (Example: A recommended dose of 6 mg given 3 times per day should be rounded up to 7.5 mg given 3 times per day, for a total of 22.5 mg per day).
Prevacid 15 mg Solutabs (lansoprazole) are scored and can be broken into two halves, each containing 7.5 mg of lansoprazole.”

[Anonymous]

Hi there. 15mg of prevacid per day really doesn’t seem like a very high dose given his weight. I might ask for an increase and see if it makes a difference. You might want to check out the marci-kids website regarding PPI dosage. http://www.marci-kids.com .

Regarding the issue of side effects, I think that PPIs are generally well tolerated for the most part. Good luck. I hope he’s feeling better soon.

[Author]

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