Mixing instructions Zegerid OTC also RX

[hellbennt]

from one form of PPI to another, it won’t take longer than a day or two..three days, max? so have you adjusted meds to current weight?

you can also give zantac if you have some- give hrs seperate from the PPI…

[Anonymous]

Hi Sophiasmom, We switched from the Prevacid Solutab 15mgs , like you, to the Zegerid/Omep OTC. So far so good. My LO is 19 lbs. Same dose, 3x/day. (we put hers in 3 oz of formula) and Mylicon drops for gas. Good luck.

[Anonymous]

Thanks! So far her reflux is the worst it’s ever been. I actually got the script from her GI for zegerid packets and mixing it with mylanta and water. Day 5 and so far no improvement, but I read one of the posts saying that it may get worse between 3rd and 8th day. So I’m hoping next week we’ll see improvement. Good luck to you too. Thank you all for the replies.

[Anonymous]

Okay I can’t figure out how to quote the op, so I just c/p the part I have a question about:

I posted to ask if this means 13mL of mcs & 6mL of water (I think that’s what he meant?)

basically you use enough calcium carbonate in
whatever form (mcs, tums, cc powder [NOW brand]) to equal 1,000-1,500
mgs of calcium carbonate and add enough water to make it 19mLs. This
makes a concentration of 2 mg/ml and 3.5mL is the minimum volume to give
each dose. whew!

SO: what I gather and, this is just ME here…

please chime in w/ thoughts/ideas!!

The cvs version of mcs has, Per Teaspoon (5mL): Calcium Carbonate 400 mg

so: 13mLs of cvs brand mcs has approx ~ 1,000mgs of calcium carbonate

so you find the equivalent amount of calcium carbonate and add enough water to make it 19mLs…

· ¼ tsp. of CC powder = ~750mg of calcium carbonate

· 1 extra strength TUMS or 1 TUMS QuikPac = 1000mg of calcium carbonate

· 1 TUMS Kids Smoothies (contains wheat & dairy) = 750mg of calcium carbonate but often have a better flavor for LOs. [not even sure these are still on the market?]

So, question is, I bought the Now brand from the link provided and it has serving size 1 tsp, and amount of cc per serving is 1,200mg (and if you go to the link it provides this info). How do you get 1/4tsp= 750mg of cc? Trying to figure out how much cc powder to add to get a 2mg/ml mixture… I am assuming I keep the h2o to 19ml? I am using OTC 20mg zeg caps + OTC 20mg omep. Thank you so much!!!

[hellbennt]

basically, you use enough calcium carbonate

in whatever form (mcs, tums, cc powder [NOW brand])

to equal 1,000-1,500 mgs of calcium carbonate

and add enough water to make it 19mLs.

if you’ve figured out that 1tsp of the NOW brand cc powder is 1200 mg of calcium carbonate, then use 1 tsp of the NOW brand cc powder and enough water to make 19mls of liquid

This makes a concentration of 2 mg/ml and 3.5mL is the minimum volume to give each dose. whew!

[Anonymous]

Thank you so much!

[Anonymous]

Hi all,

We’re trying to stretch out our last batch of ccmax/prilosec and transition our lo to the zegerid/omep/cc concoction. Honestly, I’m worried because her sx seem to be coming back after just a few days subsituting one dose a day with the zegerid mix 🙁 She did also have a cold and is teething, so it may not just be the med change but I guess time will tell…Anyhow, my question for those who are using the OTC zegerid mix may be stupid but I’m wondering (aside from the measures/ingredients), how are you mixing it all up? E.g. What are you putting it in? How weill is it dissolving (i put mine in a small sterile container, just one ~19/20ml batch and there was a lot of powder that stuck to the bottom, so I worry about precision of dosing/is she even getting the medicine? Also, if it does ultimately work (which we are SO hopeful it does), could we make a week’s worth at a time? I saw someone say something about drawing it all up and mixing in a large syringe…How do you suck up the dry stuff first into the syring? How are you able to get everything in without air entering syringe so you know you have correct liquid measures? I thought we’d be able to figure some of this out ourselves through trial w the luxury of the ccmax, which has worked so well for her, but now I’m starting to panic as she isn’t doing all that well. I’ hope it’s just a matter of getting the mixing better…Any advice is greatly appreciated. Thanks all!

[Anonymous]

Hi Genalynne, What we do: I use an old medicine bottle (had liquid medicine in it holds 40mLs). I use cuticle scissors to snip open the 2 capsules and dump them into the clean, dry bottle. Then add the CC powder and add water up to the 20ml mark on the bottle. Then shake. No problems dissolving. To administer we use a oral syringe and just draw up the 3.5mL. That’s it. No problems. My container an actually hold 40mLs or 4 days worth so that helps. Also, the CC powder DOES stick to the bottom of the bottle, so I always shake REALLY well before drawing it up in the syringe. (My bottle is clear, that’s how I see the powder stuck to the bottom). As long as you shake really well, should be no problem the mixture is evenly distributed..

[Anonymous]

Thank you! Yes, I thought the powder on the bottom was probably the CC, kind of a slurry. I probably need to put in something I can shake more AND see if the powders are settling. One last question- do you use distilled water? Bottled water? Tap? I’ve been using bottled water but thought maybe I should get distilled…?

[Anonymous]

Good question about the water… My LO is 6 months old and on formula, and we recently switched from nursery water to just filtered tap water. So we use that for our medicine mix too. I assume that filtered tap or bottled water is fine..?

[Anonymous]

I think this is the right thread for these questions:

We have a 3.5mo LO at 13.5lbs. Pretty sure we’ve got the math figured out, but the logistics are challenging:

We’re using 20mg OTC zegerid + rx 20mg prilosec(omep) I have left from my pregnancy, + 19 mls MCS (walgreens brand). I can open and dump the capsules to the already poured 19mls MCS, and then shake for days, but the the little beads from inside the RX prilosec do not dissolve. OK, but they DO fit inside the syringe, and our first test administering they did make it into LOs mouth ok, so maybe that’s not a problem. LO prompty spit it all out, as she agreed with us it tastes HORRIBLE.

So 2 main questions/areas for advice:

a) is OTC prilosec a powder instead of the beads so we don’t have to worry about that part? (but then would it taste even worse?)

b) how do we get LO to actually take this stuff? Maybe if otc prilosec is powder not beads we can dose her bottles instead of using a syringe? Since she is 3.5mo we can’t do food mixtures. Do the tums quickpacks or other MCS alternate really taste any better?

thx in advance this is an awesome sight with so much info.

missmich2012-01-15 12:20:46

[Anonymous]

I can tell you the generic prilosec otc capsules (omeperazole) are also beads, so otc won’t change your problem. However, one of the advantages of this Zegerid mix is that you can give it to lo in their bottle w milk/formula. That may help mask the flavor somewhat and help her take it? We haven’t tried the tums yet but we started w Now Calcium Carbonate powder (it’s referenced/linked earlier in the thread). I think this has less flavor to it but we’ve had the problem that it is sticking to the bottom of our mixing bottle, so I fear it isn’t getting distributed within the suspension well and our lo was having pretty bad gas as a result. Less gas w the mcs mix but she doesn’t like the taste either (even mixed w her formula). So, we may try the tums too. But maybe the CC is worth trying, especially if you are administering w syringe? Man, it really sucks to not have the caracream! 🙁 We finally got everything better for our baby. Now it feels like we have to start all over…

Oh, btw- I should add that we used cereal nipples w a little cereal so the beads can come out of her bottle while feeding but the little cereal so that she can manage the formula coming out of the bottle (ie so it doesn’t come out too fast for her).

One last thing- i recall reading somewhere that Dr. Philips had suggested adding SPlenda to make more palatable. We haven’t done this, however I know the CCMax had sweetener in it, so we were already giving it to our lo anyway. I know they advise against giving sweeteners/sugars to babies so young so not sure what my opinion is on that. Ultimately, we need our babies to eat.

hellbennt2012-01-15 14:32:57

[Anonymous]

Thanks for sharing your experience, genalynne.

genalynne wrote: I can tell you the generic prilosec otc capsules (omeperazole) are also beads, so otc won’t change your problem.

Good to know.

genalynne wrote: However, one of the advantages of this Zegerid mix is that you can give it to lo in their bottle w milk/formula.

…I should add that we used cereal nipples w a little cereal so the beads can come out of her bottle while feeding but the little cereal so that she can manage the formula coming out of the bottle (ie so it doesn’t come out too fast for her).

Happy that works for you… Not sure if that’s an option for us. We do have the y-cut nipples, so I’m sure we’ll try this, but she’s still a bit young/unused to something like cereal in her bottle. We can only get her to go from the 2s to the 3s (Dr. Browns nipples) when shes half asleep.

genalynne wrote:

One last thing- i recall reading somewhere that Dr. Philips had suggested adding SPlenda to make more palatable. …

We’ll probably try this, as I know what she’s on right now (prevacid soltabs) has artificial sweeteners in it, but can anyone point/link to some actual experiences with this? anyone out there sweetening this mixture?

All you mom’s out there making this OTC zegerid + Prilosec + MCS (or the alternates) out there? how are doing it? Like actually getting LO to take it? Skip the math and the dosages and everything else, how are actually administering the doses? anyone have a LO same-ish age?

Thanks again for the response genalynne. I can’t believe how helpful everyone here is.

[Anonymous]

Missmich, We do OTC Zegerid + Omep. Our LO is 7 months and 21 pounds. We do the lowest recommended dose. 3.5mL And we give it in her formula bottle. (about 3 ounces of formula). The medicine mixture is very thin so no need for a bigger nipple. We use Dr. Browns size 2 nipples now. The medicine is actually thinner than her Nutramigen formula. We have had no probs giving this way..the formula is just enough to hide the awful flavor of the meds. And I know she will drink it all. (If your baby only takes, say, a 4oz bottle, then maybe try putting the meds in about 2 oz of formula to make sure she drinks it all,, no medicine left behind in the bottle.) THat is the GREAT thing about this med is that is can be given with food/bottle.!! Otherwise there is no way I would get that in her! 🙂 Btw– we were on Prevacid Solutabs before we switched to Zegerid about 2 months ago. HTH

[Anonymous]

This whole situation is SO discouraging. I am trying to get my 18 month old back on zegerid. Whenever she is off of it, she is sick constantly and coughs all through the night. I tried mixing as suggested here. I cannot find the mylanta cherry supreme ANYWHERE in my city or online. So I had to order the powder. I tried adding sugar and almond extract, but the stuff is still COMPLETELY unpalatable, and my child spits it out and makes horrible faces. I can’t blamer her. I tasted it ten minutes ago and my mouth still tastes putrid.

How is ANYONE getting this to work with their children? I honestly am not going to force this on her every night. But I can’t find a doctor to give me another solution, so that means that she will remain unmedicated and sick all the time. This is really disgusting.

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