Posted By Posting
Jun 18, 2009
araylee
Spreading out Zantac and Prevacid?
Ok I need help! Josh is 15 pounds, on 2mL Zantac 3x/day and 1/2 of a 15mg Prevacid twice daily. I've been giving him Prevacid and Zantac together in the morning, Zantac in the middle of the day, and then the combo again at night but I just read that you're supposed to spread them apart? How much?>I have three kids under 4, it would be easier to give them at the same time! :P ...Also, if my son has a dairy allergy (I suspect he does!) and he's getting lactose in Prevacid is that going to make him worse?? Most of the time he spits it all out (eye roll here) but yesterday I got a good dose into him and then he screamed for an hour straight like I was killing him a few hours later. I'm breastfeeding and having a hard time with the elimination diet but think I may have to do the one in Dr. Sears book and see what happens. Sigh. Thanks everybody, this is so confusing! Bianca
Jun 18, 2009
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.
zantac and previcid should not be given together- from what i was told by our pharmascist. our instructions were to do zantac an hour before a meal and prevacid a half hour AFTER zantac. and then the meal half hour after prevacid. Although zantac can be given with food, it does not work effectively if given with prevacid. Since zantac can be given with food you don't really have to time the middle dose during the day. at night you should do the same, zantac an hour before meal prevacid half hour later then meal half hour after that, good luck!
Jun 18, 2009
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.
prevacid has a small amount of medical grade lactose in it. it should not both most patients but in a lot of babies that have milk protein intolerance (i have seen here) it some times bothers them. lactose is a milk sugar and DIFFERENT then a milk protein allergy. but in babies who have sensitive systems it could be bothersome, how long has he been on prevacid? how long has he been on prevacid AND zantac combined?
Jun 18, 2009
araylee
total zantac maybe 3 weeks, prevacid/zantac about a week,, we're hoping to combo until the Prevacid kicks in, wean from zantac, then go from there. Today has been a bad day so far, he smells like puke. I keep getting whiffs. maybe i'm just sensitive b/c the stomach flu has gone from kid #1 to kid #2 and I'm really hoping the baby doesnt get it too. ick. thanks for the info girls, looks like we'll spread it out for another week and see if he does any better. Ugh, there is a huge part of me that hates giving him drugs at such a young age, esp.since I'm not seeing a CONSISTENT night and day difference and can't pinpoint the triggers...anybody else feel like that? Some days he's soooo fussy and gulpy and other days he's a happy smily guy..ugh.
Jun 18, 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!
The meds need time to work - at least 2 weeks for the PPI's (often longer.) And you will still have up and down days as well, and even when you see improvement, it doesn't always mean the reflux in controlled - just getting there.

The schedule I did when we were on Prevacid and an H2 blocker both was:

- starting with the H2 first thing so she could eat, did the Prevacid 15 min before next feed, then the H2 again at lunchtime....then again at the afternoon snack about 1.5 hours before bathtime. Did the Prevacid again right before bath and bottle (again, at least 15 min before the night feeding.)

It's trial and error. We kept a med and feeding log with times and dosages until she was about 15 months so my dh and I didn't skip or double any doses. It gets easier - the meds become habit after a while, and once the reflux is under control, a missed dose or messed up dose isn't that big of a deal. HUGS! Good luck!

Jun 18, 2009
mangogal
Mom to two refluxers. DS 4.5 years, on prevacid since 5 weeks. Trial wean this summer...fail. Intolerant of dairy and soy DD born Nov 2010. Currently on zegerid. Had stomach malrotation & surgery at 9 months. Avoiding dairy/soy with her while BFing.
Lachlan has MSPI and never had any issues with the prevacid solutab. I was so nervous to switch him from compounded to solutab around 9 months but he did great. I would really suggest trying to be strict with the elimination diet. A little bit of dairy or what not can greatly affect a child with allergies. I think kellymom.com has some good advice on eliminations. I had to do all dairy and soy...read labels carefully. It is tough but so worth it. Good luck!
Jun 19, 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 things are so tough right now. Give your new routine with the meds 2-4 weeks. I bet you will see some improvement. Hang in there :)

I wouldn't worry too much about the lactose in the solutabs. It is such a small amount. We all felt guilty giving meds at first but just think of all the pain and suffering you will help him avoid by treating this early on.

Jun 21, 2009
mom2bella
Lynn, mom to Brooke Emily 5/98, no GER
Isabella Grace 12/3/07, diagnosed 2/12 GER and Tracheomalacia. 7.5 mg Prevacid solutab 2x/day & Mylanta too! allergies to Sunflower & Almond**pic**ready to go home
Prevacid should be on an empty stomach. Bella took over 4 weeks for it to start actually helping, yes 4 weeks. Zantac can be after or with food. We wake Bella up, give her the Prevacid, change her diaper, do a few things, then feed her (approx 15 min later). In the evening we give her the Prevacid 15 min before dinner and then Mylanta (Zantac when she was younger) right before bed time. We found that helped best... Hope the best for you all!
Jun 22, 2009
nikkid
Hi. My son is on a similar combo. We were doing the zantac 3 times a day but it proved difficult to fit all the meds in so now we do it twice a day. Might be worth checking to see if you can do the same. We do prilosec first thing in the morning when he wakes, wait 30 mins then milk. Lunchtime he gets first dose of zantac. 30 - 45 mins before evening milk and bed he gets his second dose of prilosec and at night he's still having milk around 10pm so we give him his second dose of zantac. So, it's Prilosec at breakfast, zantac at lunch, prilosec at dinner, zantac at night. The doses are then nicely spaced out. However, once on solids it'll be difficult with the timing!
Check with your
doctor first!