Posted By Posting
May 29, 2009
Switching from omeprazole to prevacid
A quick introduction, my son now 2 (a 31 weeker) was diagnosed with reflux at about 3 months. He was put on a very very low dose of omeprazole which seemed to help his outward signs (projectile vomitting) but was having severe asthma issues due to reflux. After a trip to the GI dr. we were put on the correct dose and did fairly well on it. The biggest issue being problems with the pharmacy, specifically more reflux issues at the end of the month when the meds were not as effective. In January we had an endoscopy and ph probe which came back with severe reflux still. The GI dr. was hoping he had outgrown it. We also recently had a gastric emptying study since my little guy is only 21lbs. We're on pediasure and duocal, he eats a pretty good variety of foods but in very small quantities. The study came back negative thankfully. We decided to give prevacid solutabs a try since we have had so many pharmacy issues the omeprazole and the GI agreed. I thought he might just let the solutabs dissolve but he chews them (its too much like singulair which he chews) so I have been dissolving the tablet. We're on day 3 and am wondering if we should still be giving him omeprazole until the prevacid fully kicks in. Any thoughts?
May 29, 2009
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.
You should ask the pharmacist. My guess is that no - you would not give them both at the same time. I think they will tell you to make the switch to prevacid and then use mylanta/maalox to help with the pain until the prevacid kicks in.

My daughter chewed them for a year until I realized that you are supposed to let them melt. If you stick it in the side of his cheek and rub it in then he won't be able to chew it.

I hope the prevacid works for you. If you don't see a big difference in a few weeks you can ask your doc about increasing the dose.

May 29, 2009
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!
Don't do both PPI's at the same time unless an MD tells you to do so. I'd ask about Maalox or Mylanta or adding in an H2 blocker as well. Is he on carafate as well? Has anyone told you the proper dosing instructions for the PPI to work? Has he been checked for allergies related to the reflux and asthma?
May 29, 2009
Thanks. We're on the 15 mg tablets, 1 in the am and a half a dose in the pm. Allergies have been ruled out at this point. And we are not on carafate.
May 29, 2009
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:
Not to burst your bubble but GEscans are very unreliable if you feel that your child has DGE I'd still pursue it. Jedd had 2 come back as normal and he does not have normal motility. He had extensive testing that finally showed he had some slowing.
Jun 03, 2009
-Kelsey, mom to Drew (born 3/26/09)
My husband is a pharmacist and my son is on prilosec. We fill every two weeks instead of every month because the suspension does not remain effective past two weeks. Sounds like you may need to find a more knowledgable pharmacist--this is something he/she should have known! Good luck with the prevacid.
Check with your
doctor first!