GI says NO to 30 min wait time for solutabs

[Anonymous]

My Pedi GI as Mass General says that you don’t need to wait 30 minutes before a meal for the prevacid solutabs, that that is only for adults, and that as long as you wait 5 minutes you are good.

Why all the conflicting opinions? Didn’t they all go to school for this?

[Anonymous]

He/She is wrong. It takes that long for everyone not just adults. I will try to find the information from MARCI-Kids to paste here where it explains how long it takes for a PPI drug to travel where it needs to on an empty stomach to stop the acid pumps. If there is food in the stomach during that time (30 mins) it will not work.

[Anonymous]

WRONG!!!! I also was told this and did not learn any different till I found this site. And let me tell you it does make difference.

[Anonymous]

sorry double postpix1232008-09-18 11:37:30

[Anonymous]

Thanks, I’m doing it anyway just in case.

But I just think it’s very wierd that so many who have gone to college for this stuff are saying the opposite. In fact, his exact words were…”don’t worry about what you read online” (and I didn’t even tell him that!), “anything after 5 minutes for a baby is enough time, an adult needs longer”.

So we only go by Marci-kids around here? Does that mean only the GI specialists there know what they’re doing? It’s just weird, isn’t it?pix1232008-09-18 11:39:40

[Anonymous]

He doesn’t know what he is talking about. My ped GI told us 20 min minimum and that is only if they are “inconsolable” and can’t wait anylonger.

[Anonymous]

My pharmacist actually told me not to worry about the dosing because “babies never have an empty stomach”. So yes, I think that people who go to college can be idiots.

The Marci-kids stuff is fairly new research. That’s why a lot of their research hasn’t caught on to the ped GI community yet. There are a lot of ped GI’s out there who are fairly old-school (mine included). Many drs will be VERY conservative to save themselves a malpractice lawsuit.

If your little one is fine on a lower dose, that’s okay. It’s just there are many who aren’t and it’s just not fair that the Marci-kids reaearch isn’t out there more. Which is why we preach it here so much. How many ped GI’s have you seen? There are many who are familiar with Marci-kids. Just b/c yours isn’t, doesn’t mean it’s not valid stuff. JMO.

why on an empty stomach from marci-kids:

PPIs work by directly inactivating the acid- producing pumps in the parietal cells, but they can only have this effect if the pumps are actively secreting acid.

(basically when you have an empty stomach you are hungry and when you are hungry, the pumps are actively secreting acid)

why wait 30 minutes:

Prevacid is a delayed release product. Inside the capsule (or packet or solutab) there are enteric-coated granules. Absorbtion of Prevacid doesn’t begin until after it leaves the stomach (in the small intestines).

Thus, if you do not wait long enough, the Prevacid will not be fully absorbed by the body and you will shut down fewer proton pumps. If you give it to her sooner and she spits up, she will in essence have spit up the med too.

FAQ from Marci-kids:

http://www.marci-kids.com/faq.html#resistantdoc

[Anonymous]

I’d just like to say I agree with others…LOL In order for a PPI to take full affect it needs to be on an empty stomach….Our GI tells us this.

could it be your GI is older and has not stayed as current??? Just a thought.

[hellbennt]

our ped GI is conservative. we were lucky that, by coincidence, he had done some of his med-schooling at the U of Missouri! This perhaps ‘pushed’ him to read/listen to/incorporate the research that comes from there…

of course you can listen to your doctor! it’s just that if we’re here, on this board, chances are we’ve ‘been there. done that.” So it’s not like marci-kids is GOSPEL…For instance, my ped GI said we could space the zantac and the PPI TWO hours apart. The majority of ped GIs, of folks who post here, say to wait up to 5 hours. marci-kids say 4 hours. But TWO hours WORKED for Jonah. So you gotta do what you gotta do…

that’s what we love about this place! we can make our own educated decisions.

[Anonymous]

Just to clarify, I don’t DISAGREE with you guys, as I said, I’m doing what is suggested here despite what our GI has said. I just think it’s really odd that there seems to be so much stuff from Marci-kids, that hasn’t made it’s way to other pedi GI’s, or has made it’s way and is not accepted. I work in healthcare and although I don’t claim to know everything that there is to know in my field, I would absolutely be SHOCKED if myself and a large percentage of my colleagues were so unaware of so many very important things regarding my profession. Know what I mean? It’s not that I doubt what MarciKids is saying, it’s that it’s so unbelievable to me that such basic and important information is unheard of by alot of the pedi GI community (“basic” because there are only so many meds that are prescribed for infant reflux, you’d think it would be pretty well-known how to administer them). It’s a shame really.

[hellbennt]

I couldn’t agree more. that’s why I cannot bring myself to leave this place.

that, and I’m addicted

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