Is it possible that Prevacid solutabs DON'T work?

[Anonymous]

The ped GI’s office is making it sound like my child cannot possibly have reflux if the solutabs aren’t working.

We started her on the compounded Prevacid on 2/5.
New baby emerged immediately. After a few days, I believed we’d found a miracle drug.
9 days later, the bottom dropped out, and my dear LO was back to screaming at naps/bedtime.
After
some internet research, I saw that the compounded form of Prevacid is
tricky to do correctly, so I phoned the doc and asked for a new Rx.
They sent us to a different pharmacy that supposedly does it “right.”
Started new compound on 2/16. Again, saw a new baby that same day. She was able to go to sleep peacefully on her own.
That lasted for exactly one week. Now, we’re back to crying, no, make that screaming, at nap times.
This is day 3 on the solutabs, but I think she’s actually getting worse. 7.5 mg 2x/day has been her dosage.

How could we have seen such fabulous results with the compounds (granted, only for 1 week each time), but see no progress at all with solutabs???

[Anonymous]

Are you giving the solutabs on an empty stomach and then following up with a feeding 30 minutes later?

[Anonymous]

Mom2Seth wrote: Are you giving the solutabs on an empty stomach and then following up with a feeding 30 minutes later?

Yes.

I’ve been in touch with Dr. Phillips regarding dosage, and he’s recommended upping it to 15 mg 3x/day.

[Anonymous]

What behaviours and symptoms does she have overall? Is the crying only at naps/bedtimes? Is it only when you first put her down? What is her feeding like? What is she like otherwise?

Some thoughts:

1) Have you tried elevating her mattress?

2) Have you considered other causes?….MSPI?

[Anonymous]

Oh yes… To answer your original question: It’s possible that she is reacting to one of the ingredients in the solutabs. About your compound: How many mg/ml was it and was it flavoured?

[Anonymous]

s&h’s mum wrote:

What behaviours and symptoms does she have overall? Is the crying only at naps/bedtimes? Is it only when you first put her down? What is her feeding like? What is she like otherwise?

Some thoughts:

1) Have you tried elevating her mattress?

2) Have you considered other causes?….MSPI?

She seemed much happier while awake when she was on the compound (for one week each time). Her irritability dropped considerably.

Yes, the crying is typically at naps/bedtimes, and usually when we first put her down. We put her down awake, and she’ll turn her head, close her eyes, and try to fall asleep. But, within a few minutes, she starts turning her head side to side, her arms start flailing, and shortly, she’ll be fussing, which eventually leads to full on crying. I watch her on the video monitor.

But, what I observed when she first started on the compound was a baby who just turned her head and went to sleep. No crying. At night, she falls asleep nursing, so we put her down asleep. But, inevitably, she wakes up after 15-30 minutes or so. When she is “medicated,” we can go in, soothe her without picking her up, and she goes right to sleep. Last night, however, she cried until we picked her up, and I had to rock her back to sleep a second time. Keep in mind, we’ve been “sleep training” since Thanksgiving. And, I refuse to believe that we have not been consistent with it. That is one thing we’ve absolutely followed the book on to a T. She KNOWS how to go to sleep on her own. We’ve seen her do it plenty of times. But, I now believe that there are times when she just CAN’T because she’s so uncomfortable.

Her feeding seems okay, but I do think she nurses for a long time considering her age. She still eats for at least 30 minutes each feeding. We have considered MSPI, but I have not tried to eliminate dairy from my diet yet as we still don’t have the med situation straight. I decided that if the Zegerid doesn’t work, that will be my next step.

And, yes, the compounds were both flavored. The second pharmacy insists that they’ve tested their formulation and it stays stable for 2 months. But, they only test the PH, and they add banana cream flavoring.

[Author]

Posts