- This topic has 41 replies, 23 voices, and was last updated 5 years, 1 month ago by Anonymous.
October 30, 2006 at 12:49 am #16776AnonymousInactive
i dont believe that…i trust marci kids much more. unless in australia the meds are totally different.October 30, 2006 at 1:22 am #16778AnonymousInactive
I guess it is just a good example that everyone tells you something different!!!!!!!! In the end I suppose we have to go with our gut instinct.October 30, 2006 at 10:08 am #16794AnonymousInactive
THanks for bumping this up! I too found this EXTREMELY HELPFUL in understanding the rule…
It is wonderful to have a group like Marci-kids around but then it just highlights the fact that many (most) of our pediatricians and even GI’s don’t know what the hell they are doing! I wish they would make it mandatory for all pediatricians and GI’s to have a class at the University of Missouri!December 1, 2008 at 8:34 am #59087AnonymousInactive
bump — is this still the rule of thumb?December 1, 2008 at 7:36 pm #59111hellbenntKeymaster
You MUST give a PPI on an empty stomach, followed by a meal 30 minutes later, for CERTAIN FORMS of a PPI.Prevacid SOLUTABS need to be given on an empty stomachCAPSULES need to be broken open & the ‘beads’ are given w/ a tiny bit of applesauce or pears (they need something acidic to work)prevacid PACKETS (not really around much anymore): the ‘beads’ are the medicine and they also need to be given on an empty stomachNO EMPTY STOMACH necessary for:zegerida PPI mixed with bufferbabies/caracream:a PROPERLY compounded PPI (better just get bufferbabies!)
Lori, s&h’smum wrote:
You don’t have to time around meals with either buffer babies or zegerid. Both are immediate release. It’s only delayed release where you need to time around meals. With immediate release, the buffer in the suspension protects the stomach from any acid and also turns on the proton pumps (it’s the sodium bicarbonate that does this) so that they can be turned off by the med. In delayed release, you need to give the med on an empty stomach to ensure that the med won’t be broken down by stomach contents, and then you eat the meal 30 minutes later to turn on the pumps so that the med can turn them off. In the end, they both do the same thing. But with the immediate release PPI- zegerid, buffer babies/caracream, you don’t need to worry about meals.
You do need a capsule form of PPI though. As David said, you can use generic prilosec, but beware from a mom who has tasted it, that prilosec tastes TERRIBLE when crushed or chewed or swallowed outside of it’s enteric coating. It has a VERY bitter taste that is hard to mask, and required me to get a chaser to get rid of it.
hellbennt2009-02-07 13:19:23August 16, 2009 at 1:34 pm #63594AnonymousInactive
THIS POST SAVED ME!
I have to say that after 10 months of dealing with reflux this post means EVERYTHING. My son has had the various reflux issue: wheezing, coughing, crying and not sleeping through the night in 10 months, and most of all just a misralble baby at night. We have seen over 5 doctors and 30 visits since Jan. Not one doctor told me about this 30 minute rule. Even better, it isn’t even written on the bottle of his prevacid! He has always taken it first thing in the morning and then waited about 30 minutes for a bottle. The night is were we always had an issue -he never had an empty stomach. He would have a 4pm bottle, 5:30-6 dinner, and then a 7:30 night bottle. He would also wake up for a 10:30 bottle and then cry for about an hour before going back to bed. We have done this for over 10 months now.
Last week I started the empty stomach 30 minute rule. He now has bottle and dinner at 4pm and then his medicine at 7pm and bottle at 7:30. The first night he cried for about 30 minutes for the 10:30 bottle and then went back to bed for the entire night! This would be a first. The second night he cried for about 1 minute and then sleep through the night. By night three he was sleeping from 7:30pm until 6:30 am!!! You have no idea how great this is for us. We have been through so much with this reflux that I couldn’t believe what a difference it makes when you do the schedule right! I just wish someone: doctor, nurse, pharmacist or someone could have told us this a long time ago – we wouldn’t be in such debit with doctors bills and may have even been able to avoid a surgery (adenoid removal from reflux). Sorry to be so long winded but it is hard to believe such a simple thing made such a bid difference for our son!August 17, 2009 at 10:07 pm #63613AnonymousInactive
Getting the meds right were key for us too! The worst part was me trying to convince doctors and pharmacists that this was true- you should have seen how bewildered they looked at me when I told THEM about proton pumps and buffers and timing. I’m glad to hear that it’s helping. This forum is so great!August 17, 2009 at 10:10 pm #63614AnonymousInactive
Okay, just noted that you say BOTTLE of prevacid? Are you doing a compound? If so, beware, read about make compounds and how to do it correctly. Actually, a properly made compound doesn’t need to follow the 30 minute rule (sorry to confuse things)! Problem is, that I’ve never come across one that’s made properly, so if you are compounding (which was disastrous for us b/c it was never made right), probably best to use the 30 minute rule… unless you’re using zegerid or bufferbabies, that is. (Sorry, if that’s terribly confusing. Good luck.August 18, 2009 at 9:43 am #63620AnonymousInactive
if timing just happens to fail—-give the meds anyway—-sometimes you might get lucky and still get the help anyway,September 2, 2009 at 11:17 pm #63781AnonymousInactive
Well – I’m back. You were right about he compound version of prevacid. It went south after just 2 1/2 weeks. We refilled his medicine through our usual Walgreens and things just got worse from there! His pediatrician now switched him to the solutabs but so far those don’t seem to be doing that much better. His doctors said I can try Nexium in a couple of weeks after he turns one.
Here is my question though – the bottle says to take one hour before dinner. I have been giving it one hour before his last bottle of the day but is an hour too long? He has his last “meal” (food and bottle) around 4 and then his last bottle around 7:30.
Has anyone else had luck with Nexium after prevacid didn’t work?
Thoughts??March 25, 2010 at 8:48 am #66101AnonymousInactive
ok so can u give it and go longer then 30 minutes, say 1 hr to 1.5 hrs? Sometimes we’re on the go but I need to give the medicine and I know we won’t be home so I give the medicine and then grab a bottle and run and feed the next feeding 1 hr later. Is that ok? We just started back on the prevacid solutabs. thxMarch 25, 2010 at 4:17 pm #66102AnonymousInactive
I think 60 min is okay but 90 min may be too much.March 25, 2010 at 5:30 pm #66103AnonymousInactive
I was always told/read 30-60 but no more. It starts to wear off after that time.September 25, 2010 at 5:07 pm #67092AnonymousInactive
yes 30-60 but no more than 60 minFebruary 17, 2011 at 6:16 am #67856AnonymousInactive
my son is on day 6 of nexium 10mg packets 2xday and the pharmacy and research info says to give it 1hr before meals and it allows 30minutes to drink the med. It doesn’t take 30 min for him to drink it should I give it and when hes done wait 30min or wait an hour from the time I start giving it, I’m confused or is it different with nexium?
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