Posted By Posting
Nov 19, 2008
ryleemom
Rylee was diagnosed w/ SR @ 2weeks with poor weight gain. I knew something was wrong the 1st time I tried to nurse her but was told she needed a bottle
Meds & time to administer.
Rylee is currently taking Prilosec-2/day, Bethanechol 4/day, & Carafate 4/day & Probiotics 1/day. I am having a hard time with the schedule for meds b/c of not being able to admin. some PPI's with Carafte etc... ?? Any suggestions. Any of you have a good way that you admin meds when you can't give them together.
Nov 20, 2008
slimfast13
This is our dd, Alessandra. Dx with GER 10/07. Ran the gamut with meds and now done with them (crossed fingers). Using magnesium, probiotics and prebiotic supplements. With the exception of teething and general sassy attitude, all is well now. They really CAN grow out of it!
I'd ask the MD or pharm - we had the same problem with timing the meds and feeds. IMO, I'd say start with the Carafate, then an hour later give the first dose of Prilosec, then probiotics (these shouldn't be a problem anytime, but I'd still space it at least an hour after the PPI), then 2 hours later give the Bethan., etc....It's so hard to get these right!

I found the easiest way was to write down a schedule and do scheduled feedings instead of on-demand, since many of the meds can't be given with food, yet others need to be given with food.

Nov 20, 2008
emibug
Kathryn, Pager Volunteer and mommy to Emily Mia 02/04/07. 3 years old with GERD. 30mg Prevacid and Pepcid AC. Mylanta needed for flares. Failed prilosec med switch. Tried and failed many med weans but GERD and pain are well controlled. Functional constipation. Reoccurring SBBO. Suspected IBD or autoimmune disease. Resolved issues: MSPI, CSID (acquired), Stage 2 kidney reflux, Chronic diarrhea.
Audrey Meadow 06/20/08. born 34/35 weeks. Still b/f and eats everything! ftt and chronic constipation.
you can do carafate an hour before prilosec and prilosec a half hour before eating in the morning- total time before eating- 1 and 1/2 hours. We always skipped the carafate in the morning and just did our PPI, it made it easier on us but that was my decision. not medical advice.

I got advice from another mom on this forum, that she got from her GI, that you can do carafate as soon as 30or 20 mins before a meal- so it buys you a little bit of time. but if you find carafate does not work then go to the hour before meals. again, ask your pharmacist if that's okay.

I don't know the interaction of carafate with bethanechol So i would ask the pharmacist on the best times to admin that. think of carafate as Super mylanta, it doesn't let most things be absorbed so it depends if the med is not absorbed into the body or just stays in the GI tract. I always ended up giving the 4th dose of carafate at night while emi was sleeping, you might have to wake up a little bit before her bottle to give it to her though. Also ask if you can give prilosec and bethenacol together that to will free up your schedule if you can do that. Good luck and i hope this helped!
Nov 20, 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
HHHMMM, I'd try to do the Priolosec at the emptyiest time of th eday. So mornign and evening first thing. Then you can do the Carafate as close as 15-30 mins prior to eating. Because of that can you do the bethanolcol after a meal like 1 hour....that's hard....
Nov 20, 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
What is the eatign schedule like, that would help to know as well. Jedd used to take his prilosec orally in his sleep around 12:00 so tha tI could fit in in onan empty stomach. It tooka bout a week for him to get used to it, but he did.
Check with your
doctor first!