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Sep 04, 2010
tylerscottsmom
Prevacid Dosage Frequency
Tyler is currently on 15 mg of Prevacid (fastab). The pharmacist told me to give it to him in the morning on an empty stomach. He still seems burpy, vomits occasionally, hiccups, etc.... I asked the gastroenterologist if he should be on a stronger dose. He said Tyler is already on the strongest dose for his weight. He suggested that prevacid wears off after 6 hours and perhaps we should try cutting the tab in half and giving it twice per day on empty stomach. I tried it for one day, but because he is already on other meds throughout the day, and because of his oral aversion, we feed him frequently so his stomach isn't necessarily empty throughout the day. I just found it always seems like he is taking medicine and the less oral syringes I present to him, the better! He often gags when he sees them coming! Any suggestions? Experiences?
Sep 05, 2010
kavyamom
I use the prevacid capsules. I have tried giving it in the evening but like you said never know if it is really an empty stomach. I feed Kavya something every 1 to 1.5 hours (just find her reflux to be better with frequent and smaller feeds) but because of this it is hard to have a completely empty stomach at any given time. I didn't find much difference in the sleep pattern by giving it in the evening probably because it wasn't on an empty stomach (I waited for 1 hour after a small snack). Maybe you can ask your GI how long you have to wait after a meal or snack to have an empty stomach.
Sep 07, 2010
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.
Prevacid is NOT weight sensetive, however it's hard to find a doc who will prescribe more than 15mg. We begged and begged...finally got the OK to bump to 30...tried it for two weeks, but for us it didn't work. For some it's a lifesaver. Prevacid is most correctly dosed two hours after a meal and 30 min before a meal...so first thing in the morning is usually easiest...then feed a half hour later. I dont know how old your son is, but we stopped the syringes a while back...now we dissolve it in a small cup witha tiny amount of water and let him drink it ...he does pretty well..It gives him a little more control and he doesn't gag at the sight of it. When Z was too young for a cup, i dissolved it with a little apple juice/ water mix and put it in a bottle...it was less than an oz, so i knew i could get it all in...we cut larger holes in one nipple for just this purpose. Good luck! We also tried splitting the dose for a while but it did nothing...at three we now give it before bed
Sep 07, 2010
dcd
Zack'smom -

You say the Prevacid 30 mg didn't work for your son? That's our experience too. Kylie doesn't seem to get any more relief from Prevacid 18 mg a day vs. Prevacid 27 mg a day (we're using Buffer Babies, hence the odd doses). Marci-Kids recommended 27 mg/day spaced over 2 doses.

But I am reluctant to keep giving it to her at all since it doesn't seem to be helping.

What did you do? It looks like he is still on the low dose Prevacid...does he get some relief from that? Was it Elecare that made the big difference? I see he switched at 9 months...how hard was it to make the switch? My GI (who we've only seen once) doesn't think Kylie will drink the elemental formula - and I'm inclined to agree with him. But since her reflux isn't responding to meds I'm thinking symptoms must all go back to the MSPI. We've only seen modest improvements with Nutramigen...

Sep 07, 2010
dcd
*sorry, I meant 27 mg/day spaced over 3 doses.
Sep 09, 2010
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 hate to tell you this, but the only magic bullet that helped Z was time...everything else was just to protect him while he vomited for 2.5 years...Time is a reflux kid's best friend. Elecare did help and removed the allergy worry. Prevacid kept a super puker esophagus safe....but alas...nothing stopped the misery, puking, stress, no eating...just time. Truthfully there are kids who produce enough acid to NEED the higher dose...my kid wasn't one of them...15 mg manages him nicely (any puke or burps don't smell acidic)... GOOD LUCK!
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