Med dosage change???

[Anonymous]

I am not quite sure I understand unless the Doc did this to “tie us over” until we see him on the 30th of this month……………

Kaden has been taking 0.66ml of Ranitidine, 3 times a day. We ran out (except for a dose or two that I kept in case we needed it) on Sat, Sunday was a day from he$#, and monday I managed to squeeze out enough from my “emergency stash” to do him.

I called the ped this morning and he called in an RX to the pharmacy. The pharmacy called me and asked if I knew Kaden’s weight (he was weighed on May 1st and was 9lbs, 11oz with a diaper and a diaper shirt on). My guess was that he was approx 10lbs now.

I went to the pharmacy to pick up the med and the dosage has been changed to 0.3ml’s, twice a day. The pharmacist said this was on the lower end of the range for his weight?????????????

The Dr also left us 2 refills, each one with enough to last a month (including the one I picked up today-1 month’s worth).

Did he do this seeing as we also switched formula? When he origionally prescribed it, K was on Good Start……………has been on alimentum for a whole week today……………….

I have tried to look on Marci Kids, but can’t seem to find any dosage-ing for zantac………………..

[Anonymous]

Laura can help you with the Zantac dosing, look under her groupie intro I think it might be there. I believe that you can give up to 10mg/kg for their weight. It sounds if I read your post correctly that you are actually getting a lower dose than you were before which doesn’t make sense to me. I really think if this doc doesn’t listen to your request for a PPI then I would be looking for another doc immediately. Your lo sounds like he is in pain and I really think that you need both the new formula as well as a new med (stronger one) to see good results. But those are just my opinions. I am sure someone else will chime in as well.

[hellbennt]

it’s 5-10mgs per kilo

I’d give 10 mgs per kilo until it runs out

& in the meantime find another doctor…

10lbs = 4.5 kilos

4.5 x 10 = 45mgs total for the day

divide this by 15 (see your bottle it says 15mgs/ml)

that’s 3mls a day total of zantac, divided up into whatever you want

it can be 1ml 3 times a day or

.6

.6

1.8

or whatever works best for baby & you

don’t just take my word for it:

Zantac dosing- my/other’s question: https://www.infantreflux.org/forum/forum_posts.asp?TID=9539&PID=82914#82914

[Anonymous]

The recommended infant/child dosage for Zantac (in the treatment of GERD) is 5 – 10 mg/kg/day divided up in to 2 daily doses.

If your little one is 10 lbs, then that is equivalent to 4.55kg. Here is the recommended minimum and maximum dose for your little guy based on his current weight:

The minimum dose would be: 5 x 4.55 = 22.75mg per day, or 11.375mg given twice a day. Since the zantac is usually 15mg/mL (double check your bottle) 11.375mg would be 0.76mL given twice a day.

The maximum dose would be: 10 x 4.55 = 45.5mg per day, or 22.75mg given twice a day. Again, if the zantac is 15mg/mL then 22.75mg would be 1.52mL given twice a day.

If definately appears to be a very low dose. I would likely give about 1mL twice a day, with room to move up to 1.5mL twice a day if he isn’t getting enough relief.

[Anonymous]

Hehe – looks like Laura and I were calculating away at the same time!

[hellbennt]

too funny, sherri !

Question:2 or 3 doses? does it matter?

[Anonymous]

Laura – it could be either 2 or 3 daily doses. The half-life of zantac is actually longer in infants/children than it is in adults (meaning it stays in the body longer) so 2 doses is often fine.

[Anonymous]

i will call the Dr in the morning, he is an awesome Dr. He has been our ped since my 14 year old was born. Perhaps the pharmacy misunderstood, I believe the prescription was taken over the phone……………..

Thanks for help!

[Anonymous]

I would definitely call back! Not usually the doctor that calls in meds to the pharmacy. Most often a nurse or medical assistant. There is definitely room for error there.

[Anonymous]

Hope it gets straightened out!!!

[Anonymous]

I called the Dr’s office and spoke to the receptionist. She said that yesterday when the pharmacist called the Dr’s office (which is what the Dr’s office said they prefer now, for the pharmacist to call them), the pharmacist was very unprofessional and didn’t even give the Dr a chance to grab Kaden’s chart. So the Dr went based on the weight that I told the pharmacist.

The Dr was not available this morning, but the receptionist said to call back later. NO harm done, I will call back later. Ironically, Kaden is just hanging out in his swing with a full belly.

And I agree, the pharmacist was very unprofessional. A cute, surf board talking guy (every second word was awesome, cool etc) and very young. I suppose job maturity sometimes comes with experience………………

[Author]

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