Home › Forums › Infant Reflux Information › Medicines › Previcid dose change?
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March 15, 2006 at 3:13 pm #3931AnonymousInactive
Hi,
My son has been on previcid solutab for about a month (7.5m twice a day), then teething kicked in and it was like he wasn’t taking any medication. I took him to the ped. to make sure everything was ok- she called the GI spec. on the spot and asked that they either up his dose or try something else because he wasn’t doing well. While I was waiting to hear back from them (2 days until they gave us an answer), I upped his dose in the morning to 15 and kept the 7.5 at night (ped said that was still a very safe dose)- yesterday was a great day and he actually slept through the night except to eat once (started eating at night this past week again!), but went right back to sleep. This is the best night that we’ve had since Christmas. I finally heard back from the nurse at the GI spec. this morning and they said give the 15m in the morning and nothing at night, just use Mylanta. I told her that I actually did that yesterday but gave the night dose too.The nurse said she would have to check with the dr. about this. I’m confused- this isn’t upping the dose (even temporarily), its just moving it around. Won’t he have problems at night and what about the next morning- I can’t imagine that if he needed 7.5 at night before that now he could go without, especially during teething. Any thoughts would be appreciated.
Julie
March 15, 2006 at 3:20 pm #3933AnonymousInactiveI think you’re right on Julie. There’s a reason that he did so much better with the increase and I’m sure he needed it. Just moving the previous dose around will not help his body control the acid production any better. Good luck getting this worked out!
March 15, 2006 at 3:31 pm #3937AnonymousInactiveThank you Joel! I’m going to call them back and see what we can do. Do you know if you can temp. up the meds for teething and then go back to original or do you think that he just needed this dose all along. I can’t tell because teething kicked in literally at the two week mark.
Thanks,
JulieMarch 15, 2006 at 3:41 pm #3938AnonymousInactiveThe only way to know for sure is to try reducing the meds after he stops teething. But, given what we know about the needs of infants for higher doses of PPIs, my guess would be that he has needed a higher dose all along. At the right dose, all of his symptoms should stop. Have you figured out the dose that Dr Phillips would recommend for him based on the charts at http://www.MARCI-Kids.com? If you give me his weight, I can do it for you.
March 15, 2006 at 3:43 pm #3939AnonymousInactiveHi,
He weights 16 lbs. – thank you!
Julie
March 15, 2006 at 4:11 pm #3941AnonymousInactiveAt that age/weight, Dr Phillips would recommend a dose of 30 mg of lansoprazole (Prevacid) or omeprazole (Zegerid) per day, split into 3 doses of 10 mg each.
March 15, 2006 at 4:22 pm #3944AnonymousInactiveThank you for the info. So he is definitely fine on 22 a day then! Just curious as he is on the solutab, could you do an AM and a PM of 15mg each?
March 15, 2006 at 4:29 pm #3946AnonymousInactiveYeah, since you are using the Solutabs I know that it is very hard to split them into thirds. Two doses of 15 mg per day would be ok, though you might see even better results if you were able to give him three doses. But you do what you can.
March 15, 2006 at 5:48 pm #3950AnonymousInactiveThank you-hope the dr. agrees!
March 15, 2006 at 6:10 pm #3951AnonymousInactiveI’m afraid I don’t have any advice but I had a related question so I hope you don’t me posting here…
What do you do if the increased dosage works great but the doc won’t OK it? I remember reading that some people took matters into their own hands with regards to dosages but then your prescription will run out too soon and you won’t be able to get a refill.
Tess is only on ~12mg of Prevacid a day (one dose) but according to the MARCI site she should be getting at least 24mg. The current dose clearly isn’t working but the doc doesn’t want to increase it.
Karen
March 15, 2006 at 7:59 pm #3958hellbenntKeymasterkaren,
you can do it & then when you see positive results, tell the doc you did it by mistake (blame poor dh or poor math skills or anything) and then BEG to keep at that current dose- fax your doctor the medical publications (listed from ‘prevacid 101’ link)
or find another doctor
March 15, 2006 at 9:20 pm #3976AnonymousInactiveI agree with Laura. I have done (and am currently going to do the same thing). Sadly, what I did in the past (since I was going through the script faster at the higher dose) was to tell them that she was spitting out a lot of it, and so I was wasting it and going through it sooner. I had to do this because they wouldn’t up it. We are now at 22.5mg per day and I’m going to try 30. Our doc wouldn’t up it, but I’m seeing a new GI in 2 weeks. I know he won’t go beyond 24mg per day, so when he asks what dose she’s currently on, I’m going to say 30mg and hope he sticks with it. If it gets back to my current doc, I’m just going to say that he misunderstood me. I don’t like being so sneaky, but I’ve tried all the normal routes to get the dose increased, and now I’m taking matters into my own hands.
s&h’s mum2006-3-15 21:21:25
March 15, 2006 at 10:47 pm #3981AnonymousInactiveThe GI and keep missing each other on the phone, I left them a voicemail asking how he could need previcid at night before but now he doesn’tso I’m still doing my own thing- increased meds. This is the second day and it was great- I can definitely tell the teething symptoms from the reflux now. He isn’t eating, but its more like he isn’t hungry as opposed fussing with the bottle. Thankfully he is still doing solids- I was even starting to wonder if the solids were causing the reflux, but I really think it was a med. issue. Interestly, he isn’t gumming the bottle nearly as much either. I did end up doing motrin this afternoon because his gums were so bad. Thankfully our reg. ped is so supportive. She even asked if our insurance would cove it if she wrote the scripts- so I’m checking on that tomorrow.
It feels so good to see a happy little boy- its like he is coming out of his shell- jabbering, smiling, playing more-even with the teething! I feel so good, sleeping is pretty awesome, hope I didn’t jinx myself!
March 16, 2006 at 8:32 am #3986AnonymousInactiveThat’s great Julie! I’m glad he’s feeling better.
March 17, 2006 at 10:48 am #4074AnonymousInactiveI just posted an update in the help section:
I finally talked to the nurse at the GI spec.- they said to do 15 mg of previcid in the AM and Zantac at night. This is so frustrating- we’ve already tried Zantac at night- it didn’t touch the reflux, I’ve even tried Previcid with Zantac in the middle of the day when he did 7.5mg in the AM and PM. I told her that I needed to have an appt. with the Spec.- that he has just had the best three days of his life and I’m not willing to step his medication down for a five day trial of Zantac when we already know it doesn’t work for him- not to mention that he has mastered spitting it out because he hates so much and builds up a tolerance in a few days! Tommy has his 6 month appt. with the reg. ped. on Monday so I’ll talk to her about all of this as she has already asked if she can write the script for it and was the one to recommend an increase or new medication. Insurance has confirmed that she can write the script too.
So frustrating- after months of horrible feedings, no sleeping- we finally get the diagnosis, then struggle through the right medication/dose and it seems to be clicking- even with the teething and now this.
A few months ago I had made an appt. with another GI spec. and then got into this one sooner and kept meaning to cancel the original appt. – I’m glad I never got around to cancelling because if I need to go to them I’ve got the appt. in a few weeks.
I’m going to keep at the 15mg in the AM and 7.5 in the PM until at least monday when we see the ped.
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