Posted By Posting
Dec 02, 2009
twindad
Prevacid suspension vs. Solutabs
We have two 2 month old twin girls, both with reflux. After trying Zantac we are now on day 12 of using a Prevacid suspension that our pharmacy makes up. They each take 4.2mg/day. I have suddenly noticed reflux symptoms again after about 10 days of solid improvement. I understand that once Prevacid is made into a suspension (they basically crush up tablets and put them in liquid) it is very unstable and can go bad quickly. Our bottles supposedly will last a month but I wondering if the suspension is already going bad, particularly as it is supposed to be refrigerated and we accidentaly left it out for a while. So....I'm wondering: -Anybody having problems with compounded Prevacid suspension going bad? -I see far more mention of the Solutabs on this forum than people using a suspension...why? -Can the solutabs be given to a 2-month old? The prevacid website gives instructions for dissolving the solutab in water and giving it in an oral syringe, is anybody here doing that? Thanks everyone and thanks for this fantastic resource! So
Dec 02, 2009
njrover0216
Nicole
I had my daughter on the suspension and she threw up everywhere! They just prescribed her the solutabs. What you will do is take the pill and put it into 2ml of water...this is for 1/2 a tablet. It will dissolve and you are able to give it with a syringe. I am hoping my daughter does better on the solutabs then the suspension.
Dec 02, 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
Suspention Prevacid made by the vast majority of pharmacies is very unstable. Many people see problems after 10 to 12 days. I make my own suspension by opening capsules and mixing the meds with Caracream. I only make a weeks worth at a time. That has worked great.

Many many people use the solutabs and have great success. You just pop the solutab in a syringe (the one that comes with Motrin works great) draw back a couple of MLs of water shake it and squirt it in. You have a fresh stable dose every time. I did that for a long time but swithed due to DGE. Give the solutabs a try, I think you will like it much better. The taste is good too.

Dec 02, 2009
twindad
Thanks for info! I was thinking the Solutabs would be good because as you say they would always be fresh. The smallest solutab is 15mg, right? So for my 2 mo. twins that tab would have to be effectively divided into quarters; can I reliably do that at home? Are most ped docs willing to proscribe solutabs for such young childrern? Also, what is DGE? And what is Caracream?
Dec 02, 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
Yes, you can buy a pill spliter at the pharmacy. Likely you will be giving them each a half a pill. Remember the liquid and solid vs arent the same conversion. The doc will tell you the dose. Yes. lots and lots of docs will do the solutabs over the suspension. The hardest thing I had to learn over this last year was to TELL the docs what I wanted, not ask for permission. So call you doc and say "I would like you to change the twins' prescription to solutabs please. I will dissovle it in water to give it to them that way. I believe it will be more stable and effective then the suspension I am getting from the pharmacy." It is the exact same med so they better not give you any guff.

DGE is delayed gastric emptying. Means it takes longer for their stomache to digest it contents and move it along its way. Why that was an issue for us and the solutabs was because Prevacide must be givin on an empty stomach with a feeding 30 mintues later. If you dont give it that way the medicine (solutab or not) will be destroyed before it gets int their system. Making sure his stomache was empty for the evening dose was next to impossible so things got out of hand really fast for us. The research department at the University of Missouri sells a product called Caracream. It protects the meds from the stomache acid to safely deliver it to their system. That meant I could give it to him anytime I wanted. If fact I gave it to him AFTER his bottle instead of before. It was a godsend for us. Try the solutabs first though. Likely you will do well with it. If not, ping me and I will tell you more about the Caracream. Also, in case you have not found the University's website yet, please check it out. www.marci-kids.com. There is a ton of good information there. Best wishes and keep in touch! Karen

Dec 02, 2009
twindad
Karen, thanks again! I have spent this morning checking out the Marci-kids site and it has all but convinced me that 1) our suspension is going bad, 2) Solutabs are the way to go, and 3) they might be seriously UNDER dosing my girls -- right now they get 4.2 mg per day and according to MARCI-KIDS they should be getting 6 mg three times per day for a total of 24mg/day! We have an appointment for tomorrow morning. Thanks again for your help.
Dec 02, 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
Don't get your hopes up that they will increase the dose that high at this age. 90% of the docs won't even consider it and they will look at you like you are crazy. We have all been there. At 2 months they will likely have you go with 7.5 mg (1/2 tab) and see how that goes and then consider the full 15 mg (1/2 in the morning and 1/2 at night) if that doesnt work when they are bigger. Ryan was moved to 30 mg 9 months only because they got tired of my phone calls, our trips to the ER and other issues. Ultimately I had to agree to a scope and upper GI first. We made a deal that if I did that then they would up it to 30 mg. After the scope they agreed that I was right and they increased it. The vast majority of the kids don't need that high of a dose though. Ryan had huge issues with his reflux that I wont bore you with right now. You want to go with the lowest does that brings relief to your child so you dont dampen their appetite. Also remember liquid dosage is different than non liquid. For example 5 ml of Ryans liquid prevacid is equivilant to 15mg of capsule or solutab. Good luck tomorrow! Let me know how it goes! - Karen
Dec 03, 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.
...and many docs aren't on board with the Marci dosing. My son had severe severe reflux...projectile daily vomiting, refluxing well over 200xs a day...his GI would never go over 15 mg...and truth is...two years of CONSTANT vomiting and there was NO damage to his esophagus (which is really all Prevacid is supposed to do)...I'm not sure 30 mgs would have helped.
Dec 04, 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
Twindad, how did your appointment go?
HI! How did your appointment go? Were you able to get them to switch to the solutabs?
Dec 04, 2009
twindad
Well, we had a pretty good doc experience. They are now on Solutabs ($66/month per child instead of our usual $10 copay, ouch) and each girl is getting half a tab twice a day, for 15mg total. We have yet to see any improvement, in fact they are the worst ever, fussy beyond belief. We're keeping our fingers crossed. Thanks for all the support, I'll keep you posted when I can find time.
Dec 04, 2009
twindad
Actually, how long does it take to see some effects?
Dec 04, 2009
mommato3
I hate to tell you this but it took a month from our increased dosage to see a difference and it was a dramatic difference. It takes a while for damage to heal. Solutabs are expensive but so worth it for us.
Dec 04, 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
A couple of thoughts for you...

If the compounded prevacid was infact unstable then it might take 7 days or so to see an improvement. You basically have to get it built back up in their system again. Hang tight. You can use alumimum free Mylanta Cherry Supreme in the mean time. Just dont give it 2 hours in front of or behind the Prevacid. Ask our pharmacist for the dosage. That should help get them through until the meds kick in and will it help coat their throats while the damage heals.

On the cost. Call your insurance company. My co pay on the prevacid solutabs was really high too until I called them. It had to do with the way they tier the drugs. My doctors office just had to tell them that the lower tier drugs were not a good fit for Ryan and then it went to my regular $10 co pay. Cant hurt to call and ask.

Check with your
doctor first!