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great!
With OTC omeprazole capsules:they come w/ a little tablet.you don’t use the tablet. just the beads.The little tablet inside the capsule can be discarded (it is there because Prilosec OTC is omeprazole magnesium), instead of plain omeprazole – (Prilosec prescription is plain omeprazole). So in order for the omeprazole OTC products to get FDA approval, they had to add a small amount of magnesium, so it would have some magnesium in it. The magnesium does not do anything, hence the little tablet can be thrown away.hellbennt2012-04-08 10:34:38
I think there are two seperate instructions?
I will call them A & B:A) Zegerid – OTCDr. P says that he prefers the following, because of the amt of bicarb:(1) 20mg Zegerid Capsule plus (1) 20 mg omeprazole [prilosec] capsule plus 19ml mylanta Cherry Supreme. Shake and refrigerate, good for one week To help with excess gas from the buffering in Zegerid you can add Mylicon drops in the mixture and some in the bottleOk, straight from Dr P, regarding OTC Zegerid capsules: (1) otc zegerid capsule + (1) otc omperazole capsule + 19mls mylanta cherry supreme [mcs], mixed at a concentration of 2 mg/ml.He then said: “19 mls [of mcs] is plenty, but 13mL [of mcs]& the remainder in water is fine too.”Then, I said the following & he agreed: Basically you use enough calcium carbonate in whatever form (mcs, tums, cc powder [NOW brand]) to equal 1,000-1,500 mgs of calcium carbonate and add enough water to make it 19mLs. This makes a concentration of 2 mg/ml and 3.5mL is the minimum volume to give each dose.I am now adding (to keep everything all together): “Shake & refrigerate; good for one week. To help w/ excess gas, from the buffering in Zegerid, you can add Mylicon drops in the mixture & some in the bottle.” Also adding that some have had success w/ Little Tummies Gas drops (right??). whew! I think we’ve got it
From Dr. Philips:both are 28 days stable in frig – this means both mixtures, whether it be using RX zegerid packets or using OTC mixtureB) Zegerid RX you need the 40mg packetsThis is how Dr. Phillips is saying to mix the zegerid 40mg packets: Zegerid 40mg packets, add 6.5mL tap water to 1 packet. This will make 10mL (40mg in 10mL), Do this in an oral dosing syringe (20mL size syringe preferred).
The add 10mL Mylanta Cherry Supreme to the syringe. Now you will have 20mL total volume and 40mg omeprazole. (2mg omeprazole per each mL)
This is stable in the refrigerator for 2 weeks. Shake before each dose. You can put the dose in the bottle of milk. Depends on age and weight. Must use at least 3.5mL per dose, three doses per day or don’t waste your time. Alternatively, use a Tums QuikPack in place of the Mylanta Cherry Supreme – then add enough water to make 20mL total volume.found this:Tums is an excellent alternative as it does not contain magnesium hydroxide (that is what causes gas and loose stools)
40mg added to 6.5mL tap water in an oral dosing syringe (20 or 30mL size syringe) then add one tums quick pack or smoothies. Then ad enough water to make 20mL total. Then after all this you will have 2mg of zegerid (omeprazole) in each mL. You can give it right before a bottle too.
Originally posted by WillowBug 03/10/2011 http://community.babycenter.com/post/a24777581/how_to_mixing_rx_zegerid_40mg_ratiosI’ve seen a lot of posts asking for this – so here it is: (I just had Dr.P check the math.) Dr.P said he prefers LOs on 2mg/ml, but as we all know, every LO is different – so do what is best for your LO & of course what is in agreement with your Ped or GI (whoever is Rxing it). A few things to remember…
1. The total volume is the key to get the right ratio.
2. MCS or Tums or pure Calcium Carbonate powder needs to be used as a buffer. Make sure you use the exact brand name listed in the hyperlink. These have all been tested to be lead free.
3. Following mixing and dosing instructions on MARCI-Kids & of course what is in agreement with your Rx Dr.
1 Rx 40mg Zegerid packet + 16ml water + ¼ tsp. CC Powder (total 20ml solution) = 2mg/1ml
1 Rx 40mg Zegerid packet + 9ml water + ¼ tsp. CC Powder (total 13ml solution) = 3mg/1ml
1 Rx 40mg Zegerid packet + ~7.5ml water + ¼ tsp. CC Powder (total 11.5ml solution) = 3.5mg/1ml
1 Rx 40mg Zegerid packet + 6ml water + ¼ tsp. CC Powder (total 10ml solution) = 4mg/1ml
Stability: 28 days when refrigerated, 7 days at room temperature*
Prior to use, shake well.
Between each use, keep refrigerated.
TIPS:
Each LO is different – choose your buffer according to his/her needs. For us personally, we have tried all 3 buffers and we prefer to use the Pure CC powder. There is no grinding (like needed for Tums), no flavor or additives & the final mixture is very smooth.
I do not level the measuring spoon when scooping my CC powder. I do slightly more than ¼ tsp. because this is what we have found to be the best for our LO. You can use up to ½ tsp per packet – so a little more than ¼ tsp.
I also suggest using gas drops in.every.bottle – especially in the beginning. We have tried multiple types. Little Tummys is the best for us. (Make sure it is gas drops – not gripe water.)
A NOTE on buffers:
The above ratios are using the CC powder, but you can adapt the ratios using a different buffer if you chose.
· ¼ tsp. of CC powder = ~750mg of calcium carbonate
· 1 extra strength TUMS or 1 TUMS QuikPac = 1000mg of calcium carbonate
· 1 TUMS Kids Smoothies (contains wheat & dairy) = 750mg of calcium carbonate but often have a better flavor for LOs.
· Refer to MARCI-Kids if you are using MCS
***I hope this helps answer questions and makes posting easier. I’m happy to change this post if there are errors.
From Dr. Philips:both are 28 days stable in frig – this means both mixtures, whether it be using RX zegerid packets or using OTC mixturehellbennt2012-01-04 20:49:41
good question…I will try to find out the answer to this
found out the answer:
(1) otc zegerid capsule + (1) otc omperazole capsule + 19mls mylanta cherry supreme [mcs], mixed at a concentration of 2 mg/ml. Also: “19 mls [of mcs] is plenty, but 13mL [of mcs] & the remainder in water is fine too.” Basically: you use enough calcium carbonate in whatever form (mcs, tums, cc powder [NOW brand]) to equal 1,000-1,500 mgs o…f calcium carbonate and add enough water to make it 19mLs. This makes a concentration of 2 mg/ml. And, 3.5mL is the minimum volume to give each dose. I am now adding (to keep everything all together): “Shake & refrigerate; good for one week. To help w/ excess gas, from the buffering in Zegerid, you can add Mylicon drops in the mixture & some in the bottle.” Also adding that some have had better success w/ Little Tummies Gas drops (right??). hellbennt2011-12-11 14:10:13
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