Infantreflux.org | PPI dosing

This topic has 1 reply, 1 voice, and was last updated 15 years, 7 months ago by hellbennt.

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March 1, 2009 at 3:56 pm #61329

Anonymous
Inactive

Hi, I really need some advice. We’ve been to 4 pediatricians and a GI specialist. My 3.5mo old son has been on 2mls axid and 15mgs prevacid per day for two months. That dosage worked for about a week in the beginning and hasn’t done much since. None of the dr’s would increase anything so we were hopeful that the GI would. His response was that the 15mgs was a good dose and he increased the axid to 6mls/day. That was 5 days ago. We are not seeing any improvement.

Should this dosing be sufficient? Marci-kids recommends almost 3x the ppi he’s getting, but how do I argue with a GI? I dont understand what the opposition is. Has anyone ever had to convince a dr to increase meds? If so, how did you do it?

Thanks,

March 1, 2009 at 6:14 pm #61331

hellbennt
Keymaster

what form is it: liquid, solutab or capsule?

if it’s liquid, you could look into getting bufferbabies to make your own liquid, bcse 9 times out of 10 when the pharmacy compounds it (makes it liquid) it isn’t stable and therefore isn’t effective

if it’s solutabs are you giving on an empty stomach followed by a meal 30 minutes later?

if it’s capsules, are you giving on an empty stomach followed by a meal 30 minutes later? are you opening up and giving on a teaspoon of applesauce and then feeding 30 minutes later?

are you giving in two doses or all at once? try two doses…

Prevacid 101(last post on the page): https://www.infantreflux.org/forum/forum_posts.asp?TID=1936&PN=0&TPN=1

are you giving axid spaced 4hrs from the prevacid?

check to see that you’re giving highest dose for weight (seems that it might be now, since dr increased it, but doesn’t hurt to doublecheck…)?

Zantac dosing- my/other’s question (has axid & pepcid dose, too): https://www.infantreflux.org/forum/forum_posts.asp?TID=9539&PID=82914#82914

FAX FAX FAX the dr

dont wait for a call…

start off w/ a THANK YOU

keep it short & sweet

stick to the facts (no feelings and no rambling emotions)

state current meds, doses, symptoms

make request (don’t ‘ask’)- flat out- short & sweet

THANK AGAIN

follow up by calling office to say fax was sent

call again later to discuss requests in fax, ie: have you called in the increased prescription yet? THANK YOU

sample fax: https://www.infantreflux.org/forum/forum_posts.asp?TID=10633&PID=90325#90325

About faxing the doctor (& more): https://www.infantreflux.org/forum/forum_posts.asp?TID=2841&TPN=1
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