Posted By Posting
Oct 17, 2008
momtomaia2005
Does this Zantac dose sound appropriate?
Samantha is 6 weeks old, 11 pounds 1oz and is on .85ml of Zantac twice a day. She is having MAJOR breakthrough reflux symptoms from about noontime until her evening dose, but yesterday her ped. told me that her Zantac dose was still appropriate. She is exclusively breastfed, and she's gaining weight at an alarming rate just like her big sister did (my oldest had badly managed reflux from infancy and she ate to dull the pain). Our ped. has a history of not upping the Zantac at the correct rate (he would never up Maia's Zantac enough to compensate for her incredible weight gain). We'll probably be going to Prevacid eventually, but for now I'd like to stick to Zantac if possible since it DOES work for her (just not for long enough). Thank you for any help!
Oct 17, 2008
momtomaia2005
ETA - We're relying on our ped. right now because our pediatric gastro is on vacation for the entire month of Oct. and Sam didn't start having reflux symptoms until she was over 3 weeks-old and he was already on vacation!
Oct 17, 2008
maggiemom
Maggie is now 3 years old and reflux free (knock on wood). I still check in some to see how everybody is doing :) Hugs to all!
I found this: hope it helps :) http://gerd.emedtv.com/zantac/zantac-dosage-p2.html

Zantac Dosing for Ulcers

For the treatment of stomach ulcers or duodenal ulcers in children or babies, the recommended Zantac dosage is usually 2 mg to 4 mg per kg (a little less than 1 mg to 2 mg per pound) twice daily. The total amount per day should not exceed 300 mg (this is only an issue with larger children). For preventing ulcers from coming back once they are healed, the dose is 2 mg to 4 mg per kg (a little less than 1 mg to 2 mg per pound) once a day (no more than 150 mg per day).

Zantac Dosing for GERD or Erosive Esophagitis

For treating GERD or erosive esophagitis in children or babies, the dose is 5 mg to 10 mg per kg (a little less than 2.5 mg to 5 mg per pound) total per day. This is usually split up into two doses per day. (Click Zantac for Babies for more information on using Zantac in young children.)

Oct 17, 2008
momtomaia2005
So basically Sam's dosage is half of what it should be at less than 1mg/lb twice a day?? That's what I figured. Lovely. No wonder she's so fussy all afternoon. Poor baby :( Our gastro can't get back into town soon enough for me at this point.
Oct 17, 2008
momtomaia2005
She was just soooo incredibly fussy/miserable that I gave her a half-dose of Zantac. W/in 15 minutes she stopped arching and crying and fell asleep. My ped. is on crack if he really thinks that she just has a "fussy period" at midday every day. This poor kid is having terrible reflux breakthrough because her dose is way too low.
Oct 17, 2008
jedd'smommy
Jessica, Mommy to Jedd, severe reflux, severe food and oral aversions, Finally G tube free!!! VSD repair 4-24-07 (open heart surgery), hypospadias, repaired 3 times and Ear tubes Visit Jedd at his CB site: www.caringbridge.org/visit/jedd
Yep. your right it's not just a fussy period in the middle of the day. It is probably time for a dose (according to the body not the Ped). Can another GI in the practice handle things for you while yours is on vacation????

If you continue having issues with the Zantac you can also try a PPI. ALot of times Zantac is weght sensitive so any weight gain and you will need to move the doseage.

Oct 17, 2008
maggiemom
Maggie is now 3 years old and reflux free (knock on wood). I still check in some to see how everybody is doing :) Hugs to all!
I'd def talk to him about it. Zantac is VERY weight sensitive and usually has to be increased a lot. That's why lots of people go to prevacid. If you can get the dose right, zantac is good. It worked for Mags. I didn't do the math :) but I know 1kg is 2.2lb.

I'd talk to the ped about doing 3 doses. There was a period of time when we had to up Maggie to 3 doses. then later we went back down to 2. She used the efferdose tablets. It's the same med, the tabs just supposedly taste better.

Oct 17, 2008
maggiemom
Maggie is now 3 years old and reflux free (knock on wood). I still check in some to see how everybody is doing :) Hugs to all!
We posted at the same time...pretty much the same thing :)
Oct 17, 2008
momtomaia2005
At her 1 month appt. I asked about 3 doses but he kept her on 2. I will ask again at her 2 month appt., though. In the meantime, I'm going to split her daily amount into 3 doses to keep her somewhat comfortable in the afternoon. She is just so miserable and in pain otherwise. She is crying while she nurses :( I'd prefer for our ped. GI to see the baby himself instead of having her seen by his partner. This will be her first visit to the ped. GI, so I want her to see the doctor who will be her Dr. I LOVE our ped. GI. I'm like 99.9% sure that he'll put her on Prevacid right away. I feel better having him do it than having our ped. switch her from Zantac to Prevacid right now, though. I think that I'll be able to get her an appt. with the ped. GI at the beginning of Nov. if I am lucky.
Oct 17, 2008
catherinesmom
Catherine, 24-weeker, released from NICU on Zantac. Soon had NG tube due to FTT and GERD. Increasing oral defensiveness, now 100% tube fed after 4mths at home. Currently on breastmilk only, and still puking all the time. Mom just started Dr. Sears Elimination Diet.
Our pharmacist told me that Zantac's helpfulness tends to run out after 3-4 hours, although the medication stays in the blood for 12 hours. I would try to get approval for more frequent dosing. It has seemed to help our LO.
Check with your
doctor first!