Hi ladies. My 7-week old DD has was diagnosed with reflux a few weeks ago. She has been on 1.4 ml of zantac, 2xday. It worked relatively well–not a complete turnaround in the baby, but much better than before med. But all of the symptoms are rearing their heads again, in the last week, including irritability and the pained looks. So I took her to the ped yesterday and we started her on prevacid today, 15mg solutab administered once a day. From my reading on marci-kids, a better dose would be 22.5 mg, divided up three times a day. My ped said we could keep her on the zantac for 48 hours after starting prevacid because prevacid takes a while to kick in. Of course this has generated some questions, so here it goes:
1. Can I divide the 15 mg solutab into two parts so I can give it to her twice a day, instead of just one 15 mg dose a day? Marci-kids indicated prevacid cannot be crushed because the granules are coated. I wonder if cutting it in half with a knife will cause it to be less effective, because it is not scored for cutting. We see the ped again on June 24 and i will ask for the dosage to be upped to 22.5 if we need to.
2. Is it safe to keep her on the zantac longer if we need to, while the prevacid kicks in? I know that zantac should not be given within four hours of prevacid because it can reduce its effectiveness. My plan was to give 7.5 prevacid first thing in morning and then once again around 3 pm and then zantac before bed around 8pm.
Thanks for any info/experience you can tell me about. I appreciate it.
Shan
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10lbs = 4.5 kilos4.5 x 10 [mgs] = 4545/15 = 3mls a day
