Prevacid dosing

[Anonymous]

Well, I’m frustrated.

We saw the Ped. GI last week, who upped E’s dose of Zantac to .7mL 3x/day and added Bethanecol .4ml 4x/day. She’s having some good days, but still having breakthrough on other days (like today). I called back and he presribed Prevacid (compounded) 1mL 2xday.

Doesn’t this seem like an awfully low dose? I read what the MARCI kids recommened–and even if that’s on a higher end of what GIs often prescribe, 1ML 2xday seems very low. The pharmacy said it’s 2mg per ML. Is that right?

I am planning on continuing the Zantac for the time being…can I dose that with the Prevacid?

Sigh. I hate reflux.

[Anonymous]

that would then be 4 mg’s for the day???? i am not good at math.. but that is what i think she is on.. i am not sure.. but i cant see how 4 mg’s would help. I would think atleast 7.5 mg’s.. that is where we started at her age.. then we quickly went to 12 mg’s… then by 3 months we were 15 mg’s..

hopefully someone with a baby much younger then mine can help with what their baby is on.

and yes you can continue with the zantac.. just space it 4 hrs. apart from the prevacid.

shanesmom2007-12-28 15:25:22

[Anonymous]

That’s a really low dose. Also, with 1ml for each dose, it’s unlikely that there would even be enough sodium bicarbonate per dose to act as a buffer for the med. I’d check out the link about pharmacy compounded PPIs stickied under the medications forum to make sure it’s being made correctly. These compounds are notoriously made incorrectly and then don’t work. If you can get it made right then it’s easier to give, otherwise others have tried the solutabs (but you need to time them around meals) or zegerid. The compound was terrible for us and never gave my dd any relief. Also the overall dose you’re talking about is terribly low. I’d print off the marci kids info and give it to your doc. Good luck.

[Anonymous]

That is a low dose. My son is 4 months old and he is on prevacid (30 mg/ day) and has been on that dose for about a month. My pediatrician would not prescribe more than 15 mg a day, so I went to a much more receptive family doctor to get the Marci-kids dose. Before I got the good dose, I did use zantac and prevacid. I would give Jackson prevacid in the morning and zantac before bedtime. I think when he was around 2 months old, I would give him 15 mg prevacid in the morning and 2 ml zantac at night. It did not work for very long because the zantac did very little since Jackson developed a tolerance for it. Long story short- fight for the right dose. Your baby will not be comfortable if the dose is too low. If your pediatrician ignores the Marci-kids website, go to a family doctor if you feel like you need that dose. I went to a family doctor first since I got an appointment right away. Then, I went to a specialist who said that she would have prescribed the Marci-kids dose. GOOD LUCK! It is tough to get the right dose, but it is worth it. Check out the pediatricians/specialists section of this website to see if anyone has listed a good doctor in your area.
klmccart2007-12-28 21:09:57

[Anonymous]

We just got diagnosed yesterday, but the ped put her on 15 mg once a day. Hope this helps with dosing issue.

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