Home › Forums › Infant Reflux Support › Hip, Hip, Hooray! We're having a good day! › No more prevacid
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April 15, 2007 at 2:19 pm #30564AnonymousInactive
That’s so great, Emily! I’m so happy for you!!!
Can I ask you a question? Brianna had feeding problems, right? Were you worried that weaning might cause the feeding aversion to resurface/worsen if she still had reflux? I’d like to try a wean with Hailey- I know she still has reflux, but giving the prevacid is a real pita for her- and I’d like to see if pepcid complete is enough to control her night time symptoms or not (but can’t give both b/c of timing issues).
Any thoughts?
April 15, 2007 at 5:05 pm #30580AnonymousInactiveI’m just stumbling onto this post. Hooray!!!!!!!!!!!!!!!!! How exciting for you. Go celebrate if you haven’t already.
Also, wanted to add that for awhile after taking Justice off his meds I would still hear stuff come up and he would even spit up more than usual, but it is all gone now.
April 16, 2007 at 1:58 pm #30665AnonymousInactiveLori,
Brianna had a hard time BF, but not really a feeding aversion…but I can tell you what we did. We had Brianna on 30mgs, and then we went to 22.5 (15 in AM and 7.5 in PM) then we went to 15 total (7.5 and 7.5), In addition we were using (zantac at the time) at night, but weren’t waiting the four hours. Then what we did was actually go to 12, but we did it all in the AM. . Ok, so this is kind of confusing, but I guess this is what I am trying to suggest. Cut back on the nightime dose and give the pepcid (dont’ worry about the time between). If she does OK with taht, I would be confident in taking out her nighttime dose all together. I guess my reasoning (strange as it may be) is that if you are supposed to wait 4 hrs or the PPI looses it’s effectiveness, but Hailey still does well despite that, maybe she doesn’t need the entire PPI at night. You could then take half of what you have been giving her at night, and still give it to her in the AM so she is still on a healthy dose, but give the pepcid at night only. And from there, decide when you want to try the full wean. PM me if I am making no sense, and I see if I can try to sound more clear…I feel like my head is in a fog today becuase I forgot to put my contacts on.
April 16, 2007 at 4:19 pm #30689AnonymousInactiveThanks, Emily. Hailey is only on the night time dose right now. It’s about 15-20mg. Reducing it from 42 a day, to 30, and to 15-20 has not made any difference in her eating or her sleeping. I’m afraid to cut it out altogether until we cut the night feeds and do the sleep training or I’ll always be wondering if it’s from the med cut. But I’m just so scared of taking out the meds, giving the pepcid complete, and it not being enough and causing the feeding aversion to get worse. Right now, we’re at the point where she likes food, she just doesn’t eat nearly enough of it to sustain herself, and she has very little variety. It’s so hard to know what to do sometimes.
How did you know how much pepcid complete you could give?
April 16, 2007 at 4:21 pm #30690AnonymousInactiveOkay, okay… I think I understood you this time. Do you mean give the prevacid and the pepcid complete near each other, and if that doesn’t make things worse, then assume that it’s okay to reduce the night dose? I don’t know how much more I can reduce it at this point without cutting it out altogether.
April 17, 2007 at 2:06 pm #30797AnonymousInactiveyeah, I did mean what you said from the second post. I would try giving the pepcid at night without worring about the timing. See how she does So from your post, I think you are saying that she only is on 15mgs at night? Is that right? If that is so then I would say, try the pepcid, if she does well then maybe try and move the dose of prevacid down to 10mgs or so and leave it there. When we completely weaned Brianna we did end up giving a bit more of the pepcid complete. We now give her a 1/2 tablet before her nap, and the other half at night. I got the information for how much to give her from Dr. Phillips. Do you have his e-mail? Also, my Ped GI said that one tablet a day is actually a low dose for Brianna’s weight. So maybe tell Dr. Phillips what you are trying to do, and see what he thinks would be a good dose to start from. I know it is scary trying to cut the meds. Everything was going great for Brianna, and I was so scared to try no meds, but I knew I had to do it. If it makes you feel better, we had tried this twice before and it didn’t work. I was able to tell relatively quickly (within about 3 days of the same things happening) and once the meds were back on board, Brianna rebounded immediatly. Keep us updated on what you decide.
April 17, 2007 at 7:48 pm #30823AnonymousInactiveSOrry I know I this has been asked before but is pepcid complete an antacid and H2 blocker? IF so they now have a mylanta one here that is mylanta and H2 blocker OTC. Could you post the ingredients and amount of each so I can compare. Maybe that is something I could look at for Alana instead of the gaviscon here and there (its a sh*t to give because you can’t lay down straight after)
April 17, 2007 at 8:34 pm #30833AnonymousInactivePepcid Complete
Active Ingredients:
Famotidine 10 mg (Acid reducer)
Calcium Carbonate 800mg (Antacid)
Magnesium Hydroxide 165 mg (Antacid)
How’s Alana doing?
April 18, 2007 at 12:37 am #30867AnonymousInactiveI think Alana is doing OK. A couple of times I was worried she was bothered by her reflux but she is still sleeping OK at night, is happy as larry during the day and eats OK. She doesn’t nap well but has only ever been a 45 min power napper even on meds.
Just then before her nap I wondered if reflux was burning (she just had her afo bottle) because she sqealed for a minute or so but now she is asleep no probs. So I am not really sure. But I’m not going to jump back to PPI just yet. I thought I might do the gaviscon first….but maybe these new mylanta tablets which have a H2 might be OK (I’m pretty sure it is rantidine…zantac).
I think if the reflux was really bothering her it would be affecting her feeding and sleep more????
April 18, 2007 at 1:52 pm #30886AnonymousInactiveI wouldn’t worry too much about the one episode…my GI doc said most babies will have flair ups from time to time. (I think I already told you this, but my brain is all over the place today). As long as it doesn’t become a cronic problem, I think she is fine. I would try the new mylanta thing that ya’ll have as long as the ingredients seem to be similar..or maybe ask your Dr. about it.
April 18, 2007 at 5:37 pm #30912AnonymousInactiveThanks Emily. If it weren’t for the feeding aversion I would go for it. It’s just that our lows have been so low that I’m petrified to go there again.
April 19, 2007 at 2:04 pm #30994AnonymousInactiveI hear you on that.
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