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hi & welcome!first of all, check baby’s dose to make sure it’s ‘proper’
Prevacid 101:
scroll to the last page of this post, (it’s actually also about other PPIs like prilosec, too)
https://www.infantreflux.org/forum/forum_posts.asp?TID=1936&PN=0&TPN=1note: the info from the link above raves about bufferbabies/caracream, which is no longer available
if your doctor is RXing a PROPER PPI dose, then I’d say to go for zegerid packets- you must get the 40mg packets and it’s a RX and this way you don’t need to time the meds around mealsotherwise, I’d ‘go’ for getting prevacid capsules and open them up & you give the ‘beads’when you give the beads (or the solutabs, for that matter), you need to give on an empty stomach, followed by a ‘meal’ 30 minutes later- when administering the beads, you give w/ 1/2 tsp of applesauceI emailed dr philips (he’s at the forefront of the research of PPIs and infants- he’s at the U of Missouri & he & his team created zegerid- then they sold it to saturus, who now owns/sells it) about zegerid and here is what he’s said- I’m waiting for more clarification:Remember to get 40mg packets only – not 20mg packets; and remember add 6.5mL water to the powder (in a syringe) and shake – then add 10mL Mylanta Cherry Supreme
remember 40mg packets not 20mg packets (because the 20mg packets and 40mg packets have the exact same amt of sodium bicarbonate) so per each mg of dose, the 20mg ends up with twice as much bicarb (too much)
Keep in refrigerator and it is stable for a week
you can NOT give w/ milk!
please read through the Medicine Forum, there are ‘stickies’ there, these are posts that are kept at the top
in order for the PPI to be effective, they must be given on an empty stomach, followed by a ‘meall’ 30 minutes later.this is why most doctors go ahead & presecribe a compound, a liquid form of the medicine made at the pharmacy-in THEORY this is great because w/ a compound you don’t have to time giving the medicine around an empty stomach. HOWEVER, the vast majority of compounds are not made correctly, so that they are not effective- if they are effective at all, they then loose their effectiveness after a week of being made- they are not stable.This is why caracream was a godsend! It was a way to make your own compound at home and it was stable & you didn’t have to wrry about giving on an empty stomach, etc…Just this past month, the U of Missouri has pulled the plug on the funding for the University selling it!!In the meantime, ZEGERID is available. This was made by the same team and this does not have to be timed around meals.Really, all of this is explained in a scientific way in the ‘stickies’ of the Medicine Forum and a lot is spelled out in Prevacid 101.First and foremost, the proper dose is needed, then the proper form…5mgs of prilosec is a very low dose….it can be difficult to get a ped to go ahead w/ the U of Missouri (also known as Marci-kids – you might find this in the posts on this board) dosing guidelines. In fact, it can be hard to get a ped GI to go along! I was so lucky that our ped GI was open to reading the research and, coincidently had actually done a fellowship at the U of Missouri…but really, I had to TELL him how to dose…ps: sorry if my tome comes across as harsh!I’m just in a hurry and I get frustrated, not at YOU, but at the doctors out there- I’ve been on this board for EIGHT YEARS and it kills me that more doctors don’t know their stuff and babies have to keep suffering!This is why I don’t leave here. My son is 8 and healthy and I don’t have any ‘reason’ to keep trying to help others, but I just can’t bring myself to leave when there is so much misinformation out there and babies in painhellbennt2011-11-01 21:01:59
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