Compound Prevacid

[Anonymous]

Now stable for months? We were prescribed in April then LO developed these sleeping tics/shudders… So I stopped… Then became heavily congested and would cry when ate so we did Zantac… Better but still got night congestion (acid dump) so started with Prevacid we had already 4 days ago and seeing a lot of improvement… Anyways he was only 8lbs when given prescription now 12lbs… I can’t find a compound Prevacid dosage chart anywhere so I’m still giving the 1mio in morning and at 5 pm 30 min before feeds… Should I increase?

Plus drinks combo ebm with similar spit up

[hellbennt]

stickied, in this forum (this means a post that is ‘kept’ at the top of the forum, so when you go to the Medicines forum and look at the top few posts, there are important, ‘stickied’ posts) is PREVACID 101

there’s a link there, look for underlined words “Marci Kids Dosing Chart’

read/skim through the stickied posts – they will help explain a LOT

[hellbennt]

compound or not the dosing is the dosing for the medicine IN the compound, so what you do is look at your bottle and it should say X mgs/ml

so you can know how many mgs a day your baby is getting

here’s the dosing:

PPI Dosing

Proton Pump Inhibitors (PPIs) are the safest, most effective medications available for treating acid reflux-related disorders in children and infants. They include:

omeprazole, found in Zegerid®, Prilosec®, and generic form

lansoprazole, found in Prevacid®

esomeprazole, found in Nexium®

Each of the above listed PPIs are currently approved by the FDA for pediatric use for children over one year old.

For more information on the literature pertaining to pediatric dosing of PPIs, see Research.

The following are dosing recommendations for pediatric patients and are based upon the research and usage of the MARCI-Kids team at the University of Missouri. In some children, a higher or a lower dose is required to control symptoms. These recommendations are designed to be a starting place to assist your physician in choosing the right dose for your child.

Pediatric Dosing for Lansoprazole (Prevacid®)

Dosing dependent on age & weight

Age Dose per day (mg/kg/dose)

< 3 months 1.5 to 1.75 mg/kg three times per day

3-6 months 1.25 to 1.5 mg/kg three times per day

7 months to 2 years 1 to 1.25 mg/kg three times per day

> 2 years 1 mg/kg two or three times per day

> 5 years 0.75 to 1 mg/kg two times per day

Pediatric Dosing for Omeprazole (Zegerid®, Prilosec®, and generic form) and Esomeprazole (Nexium®)

Dosing dependent on age & weight

Age Dose per day (mg/kg/ dose)

< 3 months 1.5 mg/kg three times per day

3-6 months 1.25 mg/kg three times per day

7 months to 2 years 1 mg/kg three times per day

> 2 years 1 mg/kg two or three times per day

> 5 years 0.75 mg/kg two times per day

[Anonymous]

Thanks!! She put us on 1.7 x 2

[hellbennt]

1.7 mg? 2 times a day?

[Anonymous]

1.7 ml of compounded prevacid

[hellbennt]

ok how much mg is in each ml? Your bottle should say or ask the pharmacist.

At 12lbs, that’s how many kilos? There’s a link to a conversion table or google it, I’m on my tablet

So once you have kilos, you multiply that, weight in kilos, times the dosing above- depending on age & which PPI

[Anonymous]

He is still technically under 3 months so I think they are right plus we are adding the enzymes.. I’m leaving out the Zantac

[hellbennt]

so it’s 1.7 MGs of medicine?

I’m trying to say that mg is a weight, like a tablet or a capsule and ml is a liquid and the two are not the same. I’ve been asking you how many MG of the medicine is in that 1.7 ML of liquid. thanks

[Anonymous]

I’m not sure how many mg is in the 1.7 ml of liquid compound Prevacid … It doesn’t say on bottle? I just shake it up as it looks like all of it sits at the bottom before administering

[hellbennt]

ok well, it’s the mgs that help – the dosing chart above helps one know what is a proper dose of PPI for infants, according to their age and weight. babies are frequently UNDERdosed and then their pain is not properly addressed.

[Anonymous]

We had the worst night last night… Don’t know if it was the enzymes or meds but he finally settled after drinking 2oz of water… He didn’t want formula… I guess I’ll be taking the enzymes… Maybe I can lose some post baby weight

[hellbennt]

it *sounds* like he’s on very little meds…I can’t tell – there could be 7 mgs of meds in the liquid, that would be 14 mgs of medicine, but, again, I don’t know (even if it *was* 14mgs of meds, that can still be on the low side, depending on his weight –

12lbs = 5.4kilos

(conversion chart: https://www.infantreflux.org/forum/forum_posts.asp?TID=8288&PN=3)

Pediatric Dosing for Lansoprazole (Prevacid®)

Dosing dependent on age & weight

Age Dose per day (mg/kg/dose)

< 3 months 1.5 to 1.75 mg/kg three times per day

So, I’ll calculate on the low side:

5.4 x 1.5 = 8.1

that’s 8.1MGS of the medicine Prevacid – this is ONE DOSE and baby needs THREE of these 8.1mg doses to total

24.3 MGS of Prevacid, total, for the day (8.1 x 3 = 24.3)

[Anonymous]

Whoa that’s alot… I’ll try 1.7 x 3 compound Prevacid and she how that goes today

[hellbennt]

sounds like a plan (even though you don’t know how much medicine you’re giving…but, if the three times works, well you know it works…also: if the compound, the liquid you’re giving, is more than two weeks old, it most likely isn’t too effective – you say that it is, but…until I know more, I rather doubt it…doesn’t hurt to try! )

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