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Apr 21, 2009
johnniesnewmommy
any thoughts?
Ok - so we finally got a referral to the GI but was told it takes 2 months to get in. So they told me to put him back on Zantac and take him off the prevacid because he has been clawing his skin and pulling out his hair since we started. My question is- he's only been on the prevacid for a week and most of the talk I hear on here says that it takes 2 - 4 weeks for it to really work. In your opinion would you keep at it for another couple weeks to see if it works or just dump it and go back to the zantac which didnt work to begin with?
Apr 21, 2009
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!
Was it a high dose of prev? Could you just half it and see how that goes? hugs :)
Apr 21, 2009
johnniesnewmommy
I don't think it was a high dose- he just started so im not sure what the norm is. I think I want to keep trying it as long as he isn't having any obvious signs of allergic reaction. If I don't see more improvement in the next 2 weeks we will go back to the zantac. In the mean time the dr said I could give benedryl for the scratching. We will see if that helps. If anyone thinks this is a bad idea please let me know. Im kinda winging it. The did finally agree to do a swallow study too so maybe we will get some more answers.
Apr 21, 2009
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!
Disclaimer - NOT MEDICAL ADVICE You can use them both, since they're 2 separate classes of drugs. It's a tough switch to go cold turkey, so maybe as you wean down the prevacid, use the Zantac at the opposite dosing time (ie - if prevacid is in the morning, do the Zantac at night)

It does take at LEAST 2 weeks for a PPI do work (often even more), but if he's miserable, it may be a reaction. Just a thought. And maybe if the ped's office calls the GE, they may be able to get you in faster than you setting the appt.

I've never heard of scratching as a side effect or adverse reaction, but never hurts to check. And has anyone mentioned maalox or mylanta? It's safe to give and often gives much needed relief in between doses. We use Benadryl as well, and it's very safe. I just try to make sure it's not given within 2 hours on either side of other med dosages to make sure everything gets absorbed the way it needs to. HUGS!

Apr 21, 2009
johnniesnewmommy
I was thinking of using both as well. I know I have heard a lot of people talk about using both. His ped just said that she didnt think if it was making much of a difference by now that we could just stop and go back to the Zantac. The Zantac is prescribed for twice a day- do you just give it the same time as the prevacid. I give the prevacid in the evening that way I know he hasnt eaten in 2 hours and I make him wait for another 30 mn after. As for the mylanta- I bought a bottle tonight but I havent been able to talk to a pharmacist to find out how much to give and when.
Apr 21, 2009
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'm not sure about how to space the zantac and prevacid. I know many moms have done that though. I have heard of kids behaving badly and having a rough time if the dose of prev is too high...that's why I asked that. This is just my opinion, but I would try a smaller dose of prev before switching back to zantac. In my opinion, you've been there done that and for the majority, zantac doesn't work.
Apr 22, 2009
isobel'smamma
Sara, Mom to Isobel 10/01/08 Dx Silent reflux @ 6 wks. Prevacid 22.5mg split in 2 doses. Pepcid .5ml twice a day. Diagnostically confirmed milk protein, egg and cat allergy. Suspected corn, pea and squash allergy. Trialed Alimentum and Elecare without success, currently on Isomil Advance RTF with moderate success. Barium Swallow and UGI 3/08 Pondering a ph probe and endoscopy.
Zantac and prevacid should be given as far apart as possible. Some say at least two hours but a couple studies seem to show a better result with a six hour separation. Because of the way prevacid works it needs the pumps in the stomach to be 'on'. Also, some find better results dosing the prevacid in the am if you're only using one dose a day. Babies metabolize more quickly so they are often rxed a two dose a day regimen.

Ask your ped to help you get into GI more quickly- or try to get on canx list. Good luck and the pharmacist is your friend- most will help you figure out a dosing schedule.

Apr 22, 2009
kubicki5
Julie - I have three children. My youngest Katie is my refluxer. My first Ben was very colicy and is ADHD. My middle Jakob is pretty easy going. Katie had it bad as a baby no sleep for two years. She was on Nutramagin, Prevacid and Zantac. Thought we were through it but after age three it came back big time. After her scope she was put on Prevacid 45mg a day and mylanta as needed. Scope was in Sept. Showed damage in stomach and espophogus. It took about 7 months of medication and Reflux diet for her to start feeling better.
Sorry you have a long wait for the specialist. We had a three month wait so I know exactly how you feel. No amount of begging got me in earlier but you could try it.

What dose of Prevacid is he on? I would split it and give him half first thing in the morning and 1/2 an hour before his "dinner" bottle. I would give zantac mid-day and mylanta at night. JMHO.

I would try that before going off completely or bringing down the dose if it is high. I think 15 mg a day is kind of the norm.

If that doesn't work I would ask the ped. to prescribe a different med like prilosec and see how he does with that.

I would keep diligent with your ped. with these ideas and push them to help you until you see the GI. It will make you nuts if you just do NOTHING for 2 months.

Mylanta can be the best thing for soothing!! If this doesn't help ask your ped. about Carafate - it is like a super Mylantta.

By the way, Katie has pock marks all over her face. She has picked her face since she was a baby. I think her way of dealing with the pain.

Apr 22, 2009
johnniesnewmommy
We just came off of prevacid- he wouldn't take it at all. As soon as I got any in him he projectile vomited his entire stomach. Very frustrating. Ok- If the zantac needs to be spaced out from the prevacid and I split the dose of prevacid 1/2 am and 1/2 before dinner when is the best time to give the zantac and mylanta? Could the zantac be given with his meals 30 mn after I give the prevacid? Oh so confusing!
Apr 22, 2009
kubicki5
Julie - I have three children. My youngest Katie is my refluxer. My first Ben was very colicy and is ADHD. My middle Jakob is pretty easy going. Katie had it bad as a baby no sleep for two years. She was on Nutramagin, Prevacid and Zantac. Thought we were through it but after age three it came back big time. After her scope she was put on Prevacid 45mg a day and mylanta as needed. Scope was in Sept. Showed damage in stomach and espophogus. It took about 7 months of medication and Reflux diet for her to start feeling better.
Are you doing the prevacid solutabs? I used to just put them in Katie's cheek and massage it until it dissolved. If you split it - it will be even smaller and maybe easier for him to take??

I was really bad at spacing when Katie was a baby. My ped didn't know about that. I believe the Zantac should be 4 hours after prevacid. I know that Mylanta can be given 1 hour after.

So you could do first solutab at wake-up, Zantac at lunch, other solutab at dinner and mylanta before bed.

Are you breast feeding or formula?

If Bf I would do the elimination diet until you see GI, if you are on formula I would switch to Nutramigen or Alumentum (allergenic formulas). If the scratchies and clawing are allergy related these two options could help with that. HTH

Apr 22, 2009
kubicki5
Julie - I have three children. My youngest Katie is my refluxer. My first Ben was very colicy and is ADHD. My middle Jakob is pretty easy going. Katie had it bad as a baby no sleep for two years. She was on Nutramagin, Prevacid and Zantac. Thought we were through it but after age three it came back big time. After her scope she was put on Prevacid 45mg a day and mylanta as needed. Scope was in Sept. Showed damage in stomach and espophogus. It took about 7 months of medication and Reflux diet for her to start feeling better.
yes I believe the Zantac can be given with a meal.
Apr 22, 2009
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!
Zantac can be given with food. One thought is to just do one dose of Zantac and the dose of Prevacid until he's off the prevacid, the go to 2 doses of Zantac. What dose of Prevacid is he on? My dd was on 15 mg once a day at his age. If you're weaning down, I'd cut the tab and do a 3/4 dose for a few days, then 1/2, then 1/4...

At least doing only one dose of Zantac would help with timing. All meds should be given at least 1 hour apart from each other unless otherwise specified, esp maalox or mylanta as they inhibit absorption.

I wouldn't bother with the Zantac 30 min after the prevacid. I hope the ped told you that Zantac is VERY weight sensitive and needs to be re-dosed often.

Apr 22, 2009
isobel'smamma
Sara, Mom to Isobel 10/01/08 Dx Silent reflux @ 6 wks. Prevacid 22.5mg split in 2 doses. Pepcid .5ml twice a day. Diagnostically confirmed milk protein, egg and cat allergy. Suspected corn, pea and squash allergy. Trialed Alimentum and Elecare without success, currently on Isomil Advance RTF with moderate success. Barium Swallow and UGI 3/08 Pondering a ph probe and endoscopy.
Here's what I do tospace my doses,YMMV:

My LO gets a bottle at 5:30 am or so. For her next feed I give prevacid 30 min before, usually around 8:30, she has solids at 9 or so. Then around 11 or 11:30 she has another bottle and that's when I give her H2 blocker. Then for the rest of the afternoon I don't have to think about it. Around 6:30 I give her a second dose of prevacid then her evening bottle around 7 pm. She still gets up around 11pm for another small bottle and that's when I give her second dose of her H2 blocker. This schedule has worked pretty well for us. If she's having a rough afternoon or night I have enough space between doses to give some mylanta.

I encourage you to go talk to a pharmacist at an off hour. Most will spend a fair amount of time helping you figure out a dosing schedule that will work for you. The really good ones will read up on the meds and ask you to come back again to talk about it. I am lucky enough to have pharms in the family, but I also rely on my pal Raj over at the Target pharmacy- he is indispensible!

I know it's hard so I hope I've helped.

Apr 22, 2009
mommy2k
I so know what you're going through. I feel for you. We switched my son over to prevacid solutabs 7.5mg a day. He seemed to not be getting better and more irritable on it and then we upped it and it made everything worse. So in our experience prevacid wasn't working for us. But we never tried the lower dose with a h2blocker. These ladies give wonderful ideas. Just keep checking in and aske lots of questions. If you're having a bad day just get on here and cry to all of us. I had to wait about 5 weeks for our gi appt. It was miserable. Maalox helped us get through the rough patches. I think that when you find the right med combo it will get better. We're still working on that which can be frustrating. Good luck and lots of hugs coming your way.
Apr 22, 2009
johnniesnewmommy
He is a foster baby and is on state insurance- so they won't pay for the solutabs. I had to pay for the compounding of the prevacid because they wouldn't pay for it and I couldn't figure out how to get an infant to take a capsule! :} He is on 15mg a day- yesterday I didn't give it to him because the dr said to switch back and so I split the dose today and gave 1/2 in am before daycare and the other half tonight. He had a much better day at school today- no fit throwing and only slight clawing at his skin, so maybe it is a reaction to the prevacid. Im not ready to give up on it just yet- I will try the 1/2 am and 1/2 pm with the Zantac in between for a while and see if he gets better or worse before quitting the prevacid. I really appreciate the advise on dosing schedules- I have talked to 2 different doctors about it and they both said that it was fine to give both meds at the same time- I thought that couldnt be right but then again im not a doctor. I still havent figured out the right dosage for the mylanta but I think I want to wait a few days before trying it just to see how this is working. Thanks Again
Check with your
doctor first!