Home › Forums › Infant Reflux Information › Medicines › Prevacid Capsules for Infant
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May 31, 2007 at 3:37 pm #35152
Anonymous
InactiveMy daughters doctor just prescribed Prevacid in tablet form. My daughter is 10 weeks old. He suggested I dissolve it in pears and give it to her via a spoon.
I thought pill form was not supposed to be given with food? If giving it with food is OK how do you give pears to a 10 week old? Any others suggestions for giving her the medicine?
Also, should I wait 30 minutes afterwards to feed her? That sounds like a bit of a challenge.
Thanks!
May 31, 2007 at 3:44 pm #35157Anonymous
InactiveIs it the solutab? If so, then just dissolve it in a bit of water, suck it up with a mylicon type dropper, and syringe it on an empty stomach and follow it up with a meal 30 minutes later. If it’s the capsule, I would ask for the solutab since she’s so young to start spoon feeding solids. With the capsule, you also give it on an empty stomach, and follow up with a meal 30 minutes later. You break open the capsule and sprinkle the beads into a spoon of applesauce- the acidity protects the coating on the med. Yes, wait the 30 minutes before feeding. If not, then the med won’t have reached peak plasma levels, and the meal is needed to activate the drug. If you can’t wait, then I’d contact marci-kids and see if you can get CaraCream. Good luck.
May 31, 2007 at 4:14 pm #35169Anonymous
InactiveIts a solutab – thanks – just checked. I wasn’t sure what the difference was, honestly, until you told me how to give it to her.
Do I just put the syringe in the side of her mouth and hope she swallows the medicine? And if I can’t wait 30 full minutes to feed her…will the medicine be completely ineffective?
Thanks for your help!
May 31, 2007 at 6:42 pm #35177Anonymous
Inactiveactually, you should wait 30-60 mintues. sometimes its easier to remember when they ate last and then try to give the solutab like an hour or 45 min before you think she’ll be hungry again. this is why it is important to wait the full 30-60 minutes:
How Delayed Release PPIs Work
In their pure and unprotected form, PPIs are very vulnerable to degradation when exposed directly to the acid in the stomach. For this reason, DR PPIs are given an enteric coating. This protective coating is specifically designed not to dissolve while the drug is in the acidic fluids in the stomach, but instead it dissolves when the tablet or granules reach the higher pH (less acidic) environment of the duodenum (the first section of the small intestine). Here the coating dissolves and the drug is absorbed into the blood stream, where it is carried to the parietal cells, where it does its job of blocking proton pumps. This whole process takes 30 minutes to 1 hour.
DR PPIs should be given on an empty stomach because food in the stomach can both lower the level of absorption and raise the pH in the stomach, causing the enteric coating on the drug to dissolve, which then leaves the drug vulnerable to exposure to pockets of acid in the stomach which could destroy the drug.
DR PPIs should be given 30 minutes to 1 hour before a full meal (6 oz or more for infants). As I already mentioned, in order for PPIs to work their best you want as many proton pumps to be in an active state as possible, and the primary way of achieving this is by eating a full meal. The timing is important because you want the meal to be activating lots of proton pumps right at the same time that the drug is reaching peak levels in the blood stream.
DR PPIs should taken with water or sprinkled over an acidic food such as apple sauce or yogurt.
You should never break or crumble a tablet form of DR PPI, as this will compromise the protective enteric coating. (Prevacid Solutabs contain enteric-coated granules within the tablet, and it is ok to break a Solutab in half, as this should not harm the individual granules)
You should never give a DR with a non-acidic food (such as milk, formula or cereal), as this will dissolve the enteric coating and leave the drug unprotected.
DR PPIs should never be chewed or crushed, as this will compromise the protective enteric coating.
For infants, MARCI-Kids recommends the use of the IR PPI Zegerid over DR forms of PPIs, as infants can easily spit out, chew or even choke on the granules of DR PPIs. Of the DR PPIs, Prevacid Solutabs seem to be the easiest to administer for most parents.
May 31, 2007 at 8:37 pm #35189hellbennt
Keymasterfrom ‘prevacid 101’ there’s a link about how to administer the solutabs

(prevacid 101 is found in ‘groupie intro’ which is the top post in the Introduce yourself forum & also found in ‘treating GERD w/ PPIs’- the top post in the medicines forum)
June 1, 2007 at 2:28 am #35200Anonymous
InactiveBTW, I’m not advocating this, but I rarely waited the 30 minutes to feed and Alana did just fine. With babies sometimes you just have to go with it…sometimes you might get 30 mins othertimes you might not. Do your best and don’t beat yourself up. Once you are on the right dose and it is working well, a bit of variation hopefully won’t cause to much stress. Just my opinion though, based on what I found and of course they are all different

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