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The GI Doc is taking my grandson, Braydon, off Prilosec. Effective tomorrow he will be taking “Pepcid” instead of Prilosec and he will continue to take the Carafate 4 x a day. Does anyone have any experience with Pepcid? I can’t imagine an H2 blocker working better that a PPI. Help! I need some answers for my daughter.
Yes, I have printed out the information from the Marci-Kids website and in fact, Dr. Phillips even sent me an e-mail and suggested that Braydon be put on Zegerid and gave me the dosage, etc. The GI Doc says that they do not make Zegerid for babies Braydon’s age. Well, he is just full of it! They do make it for babies Braydon’s age because I see it all over the message boards that babies are on zegerid. We are trying to get Braydon into the GI Doc this week or next and I fully intend to take the “printed out e-mail, and Marci-Kids info” to the appointment. I am really starting to lose faith in a lot of doctors that work for infants.
I know. That is one of our main reasons for switching him to the Zegerid. Currently, he is having to wait 1 hour 4 times a day after taking the Carafate before he can eat and he is having to wait 1 hour 2 times a day after taking the Prilosec before he can eat. This makes for a very irritable baby and one that does not get much sleep – nor do his parents. I kept Braydon overnight Saturday and I never got to sleep at all because you are constantly trying to either dose him, keep him calm until he can eat and trying to get him back to sleep. This is absurd but my daughter is handling it pretty well. I think Braydon is also “sleep deprived” due to all this.
carafate has its place.
it’s like a super duper teflon coating (ok there’s no actual teflon!
) that coats the esophogus- it’s a BAND-AID type medication and does help immediately…however I dont think it’s intended to use over a long period of time- just to help out-jonah used it at night, when his reflux was at its worst ALONG WITH PPI AND ZANTAC- it was just on more med in our arsonal!
I don’t know too much about pepcid or carafate, but Joel (RefluxSol) once posted a while back that carafate can not be given within a certain proximity of either PPIs or H2 blockers.
Here’s a copy of his comment:
RefluxSol
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Joined: 01 February 2005
Location: United States
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Posts: 756Posted: 02 March 2006 at 4:54pm | IP Logged 
What is his Prevacid dose and what form of Prevacid are you using? If the dose isn’t high enough or not administered in an effective form, then the acid can still be produced and the acid can cause ulceration. Until you can get him on the right dose, you might look into using sulcrafate (Carafate) it bonds to ulcerated areas in the stomach and esophagus and protects them from the acid, which allows them to heal. The trick is, it requires the presence of acid to become activated, and so if it works, then it means that the Prevacid is not stopping the acid from being produced. Once you have the right dose/form of PPI, then something like Carafate should not be necessary. If you do use Carafate, you shouldn’t do so within a few hours of any other meds, as it can lower absorbtion.
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JoelReflux Solutions
For information and resources from the University of Missouri’s Midiwest Acid Reflux Children’s Institute, visit http://www.MARCI-Kids.com
Just something else to consider. Good luck.
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