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Aug 13, 2009
mommy2d&h
Prevacid dosing
Hi everyone, Quick question about Prevacid dosing. Prevacid 15 mg solutabs (7.5mg twice daily) has been working well for my LO up until this point. However, recently I have been seeing more reflux symptoms like stiffing, grunting, and arching, and I'm thinking we are dealing with more break-through pain. I went to the marci kids website and on their dosing calculator they recommended: "Your child, who is 4 months old and weighs 7.7 kg (17 lbs.), should receive a dose of 9 to 12 mg of Prevacid delivered 3 times per day for a total of 27 to 36 mg per day." This seems really high to me. Any advice or experience with this? Thanks in advance!!
Aug 13, 2009
zack'smom
Zack born 09/28/07 @ 31 weeks. Dx silent reflux @ 6 mo. Now not so silent. Switched to Elecare @ 9 mo. On Prevacid 15mg 1x daily. Looking to stop the puke and gain some lbs.
Puke stopped about 24 months and he's learning to eat...very slowly.
Still on prevacid and periactin.
Most docs don't dose according to Marci-kids...Zack's GI thought it was way too high, however I think there is evidence to back them up...regardless, my son was on 15 mg at 6 months (and he was probably 11 lbs at that time!)...and was on that until a week ago...we're trialing life without Prevacid! (h'es 22 months now)
Aug 13, 2009
zack'smom
Zack born 09/28/07 @ 31 weeks. Dx silent reflux @ 6 mo. Now not so silent. Switched to Elecare @ 9 mo. On Prevacid 15mg 1x daily. Looking to stop the puke and gain some lbs.
Puke stopped about 24 months and he's learning to eat...very slowly.
Still on prevacid and periactin.
I JUST noticed you were on 15 mg...sorry...DUH! There are a LOT of kids who were on 30 mg...we even tried it a couple times against doc's advice...didn't help us, but it helps a lot of kids...How about mylanta as a back up for breakthru pain...Also some people need an H2 blocker like Zantac ALONG with the Prevacid...they just need to be dosed a couple hours apart...someone correct me if I'm wrong.
Aug 15, 2009
vigilantmom
Ryan was born May 20th 2008. 9 lbs 2 oz. Ryan’s magic bullet was 30mg of Prevacid capsules mixed with Caracream from Marci-kids (I am forever indebted to the team at Marci-kids), Claratin for the mucos, and Mirlax for the constipation. Within 2 months of this combo he jumped from the 6% to the 50% for weight and continues to climb. Be strong, listen to your instincts. Read his story for more specifics that just might help you too - Karen
My son was moved up to 30mg when he hit that weight. It was an absolute necessity for him. One question are you giving the prevacid on an empty stomach and feeding him 30 minutes later? That is key for prevacid.
Aug 15, 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.
in my opinion only a GI Dr can honestly detmine what dose is corect for your child. I think many things that we read on sites such as this and marcikids and other sites are helpful but they are NOT the norm for every kid. they seem to be guidelines but based upon specific circumstances only your Dr can deturmine May or may not be applicable. Many children are perscirbed max dose and if they exceed the max dose of a med the Dr often askes for testing to be done before conceeding to a higher dose.

I will tell you, 30mg prevacid is about an adult dose. I had acid reflx when i was pregant and that is what i was perscribed and my MIL had 30 mg perscribed to her before moving up to 45mg.

i by NO MEANS want to discourage you from seeking extra help but many Drs i have heard about on here- my duaghter's included- rather then raise the prevacid they will add in an antacid like mylanta or maloxx to cover breakthrough. I will tell you another thing from experience, spliting meds never worked for my dd- it works for many little ones but for my daughter 1 solid dose in the morning was what helped her the most.
Aug 15, 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!
We did an H2 blocker in the morning and a full 15 mg Prevacid at night. It was trial and error, but I talked to our MD about switching the dosing, since sx seemed worse at night, and that's when we went to that schedule. Worked the best for us. We never needed more than 15 mg, but my dd's case was also mild.
Aug 15, 2009
mommy2d&h
Thanks, ladies, for your responses. They are a good reminder that there isn't a "one-size-fits-all" with this reflux stuff. I'm going to run this by the GI and see if he is interested in upping the Prevacid or adding an H2 blocker. Also, my ped. isn't comfortable with us using Mylanta (said she doesn't recommend for infants), but I'm going to check with the GI on this as well. I know lots of the moms on here swear by it, and I could have used it at 3am this morning :)
Check with your
doctor first!