Prevacid – SoluTabs or Capsules?

[Anonymous]

So our trial-Rx is about to run out. We’ve been on SoluTabs with what I’m considering success but it’s a pain to do. Fortunately she takes them fairly easy. And I’ve seen a pretty good result. Took a while, we’re on day 18 of 7.5mg 2x day, and she’s pretty much weaned off Zantac (was on 0.6mL 2xday). I’m getting ready to ask the Dr for another, longer, script and am wondering if I should stick with the solutabs or if I should ask for the capsules and try going the Caracream / Baby buffers route? What are the pros/cons for each method? Thanks!

[Anonymous]

I’ve copied & pasted my reply from a while ago… here it is:

“We’ve been on Prevacid: 1) compounded, 2) solutabs, 3) capsules w/ applesauce, 4) capsules w/ CaraCream

I’ve done the same dose w/ all 4 & honestly I think they all treated the reflux the same it’s just a matter of convenience.

1) The compounded was a pain to get & has to be refilled every 2 wks, BUT it was easier to administer & didn’t have to be timed around meals.

2) The solutabs have to be timed around feedings (hell w/ a little one) & imo, aren’t the easiest to administer (trying to make sure all the crystals are given, etc).

3) The capsules w/ applesauce have to be timed around feedings & was a pain (for us) to administer since Evan was only 6wks old (applesauce not easy to get in). Also, there’s worrying about all the beads being swallowed, etc.

4) The capsules/CaraCream don’t have to be timed around meals & is easy to administer. You do have to order the CaraCream EZ Mix from marci-kids, but well worth it for us.

I think (someone correct me if I’m wrong) that the Prevacid powder is being discontinued.

As for the insurance (& this is just our experience)… our insurance is super picky about preauthorization from our drs. This means the drs. have to fax them a diagnosis for WHY Evan is getting the meds. This has been a headache (since we’ve switched med types so much & each time is has to be re-filed) but the insurance person @ our ped office has been an angel about it. She knows me by 1st name-lol. BUT once they get the preauthorization they’re ok filling the script.

Hope this helped some.”

Also, here’s the link to that post.

https://www.infantreflux.org/forum/forum_posts.asp?TID=11267&KW=&PID=94890#94890

[Anonymous]

I will say that with the solutabs the timing gets better as they get older. It can be a pain when they are really young but as they get older and on a more predictable schedule it is so much easier. They taste great and are easy for them to take as well.

[Anonymous]

I used the compounded with my first and solutabs now with my second. I thought the compounded was great since it didn’t have to be timed but we had it refilled often, and so far the solutabs are working well since Connor likes the taste – we just have to distract him for a 1/2 hour before he can eat. So far it’s ok but there’s lots of watching the clock.

Hope that helps!
Laura

[Anonymous]

Yes, I definitely agree Beth that the timing for sure gets easier as they get older. I originally wrote that when Evan was around 2 mths old. It was still hard @ 4 mths old but getting easier. At 6 mths old it was really a piece of cake – he waited no problem. It’s still kind of a pain to have to schedule (especially if your LO is unpredictable re: sleep) but not the end of the world.

[Anonymous]

Is the compounded a liquid version? Do babies like the taste or can you get it flavored? She was on the liquid Zantac (mint stuff) and took that like a champ. That might be the route to go for us. How do I go about getting it compounded? Should I call the pharmacy? I think I read somewhere that its a pain to get the pharmacy to do it to begin with and then they don’t do it right??

Thanks for the info so far guys!

[hellbennt]

compound is liquid version and yes it is close to impossible to get it doen RIGHT, so what many of us (myself included) do is to make it ourselves at home by:

1) going to http://www.marci-kids.com & figuring out the PROPER dose by weight 2) then contacting them (the company is Reflux Solutions) and getting caracream/bufferbabies

3) mix at home and make your own STABLE liquid that can be given at any tome- full stomach, empty stomach, whatever

read here it explains it all:https://www.infantreflux.org/forum/forum_posts.asp?TID=11191&PID=94236#94236

[Anonymous]

BufferBabies works well for us. You can no longer purchase Caracream as a new patient of MARCI.

Be careful about the choice of a H2 if you LO has more severe reflux *vomits or refluxes often* H2s (Zantac) can eventually become less useful as the body becomes used to the medication. There is mention of this on the PAGER site.

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