Posted By Posting
Jul 24, 2010
twinsmommy
weaning off meds
My 8 month-old twins have been on Zantac and Prevacid since 2-3 months old. My girl is sleeping through the night with a flat bed and hasn't thrown up her bottle in a few months. Should I try taking her off one of the meds and which one first? He is still spitting up frequently and needs his bed elevated, so he's not ready yet.
Jul 24, 2010
jeddsmommy
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: www.caringbridge.org/visit/jedd
This is really JMHO but I wouldn't wean. Again, JMHO after doing many many many failed weans with Jedd, weans don't usually go well at a young age. The meds are on board and that just may be why you are not seeing any symptoms.

If you are still game for a wean, I'd take out the Zantac first and keep the PPI. then over time you maybe able to wean off the PPI and go on the H2blocker full time.

With Jedd when we tried a full med wean it always went badly. We finally were able to do both meds, Prilosec and Axid together. Then over time, a long time, we were able to wean down to just Axid only. We have tried to slowly wean him off the Axid and every time, his symptoms come back. We are done trying to wean now for a long long time.

Jul 25, 2010
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.
this Post and thread may be helpful to you http://www.reflux.org/reflux/webdsc01.nsf/vwID/VASV-85X4LN?OpenDocument it is not entirely related to your situation but it does offer some good information.

i do agree with jessica that the meds may be why you are not seeing symptoms, but i am also from the school of thought, that you never know unless you try. there are a few different ways to go about med weans, from what i read.

I also agree with jessica about cutting out zantac first then if you want you can either keep the high dose of prevacid or wean down from that. baby steps, right? lol

and the other way to go about it would be; if you want to see if her reflux can be controlled by the least medication you can wean off prevacid first and keep the zantac. If you cut down the prevacid little bits at a time you can see if prevacid is really needed but you should give at least a 2 week trial of each med decrease to get a good picture of if the med is really needed or not.

the con to this advice though, in my opinion and experience, in babies with severe reflux may need a PPI to help them get through issues like growing, teething and illness and may end up increasing meds to a PPI soon after weaning. but some babies with less severe reflux do very well on just a H2 blocker med like zantac. In either case severe reflux or not, you will really never know what med combination or dosage will work best for your kiddo until you try, under the guidance of your doctor of course! good luck!
Jul 26, 2010
twinsmommy
Thanks for the advice. Of course, they both got colds so I think I'll hold off changing their meds until they get better.
Check with your
doctor first!