Starting Prevacid today, how soon 4 relief??

[Anonymous]

Any insight? I dont have to dose info with me since it’s not ready to be picked up yet. Any advice or things I should know when starting?? Thank you SO much, I’d be SO lost without this board, it’s invaluable!!!

Katie

[hellbennt]

Prevacid 101(last post on the page): https://www.infantreflux.org/forum/forum_posts.asp?TID=1936&PN=0&TPN=1

[Anonymous]

I’m NO expert (& got all my info from these fabulous ladies) but since we just we just went through this I’ll share my experience & what seemed to work.

We started on Zantac as well… things got better, then got REAL bad (my son was 3wks @ the time).

Started Prevacid the next wk but it was a way too low dose & it was compounded suspension (that I suspect was not prepared correctly & had a flavor-both making it not as effective).

The following week (which was actually last week) I faxed my general ped the marci-kids info & he immediately called in the max dose of Prevacid solutabs.

That is when we finally saw relief. He’ll be 6wks tomorrow & the reflux seems to finally be under control.

In the meantime though… split your Prevacid dose to 2x/day. Continue the max dose (10mg/kg per day) for Zantac, but split it to 2x/day. Give it b/w (@ least 4hrs) your Prevacid doses… & give it w/ Mylanta (1.5mL is what we do).

Also, if you have solutabs make sure you’re giving them 2hrs after a feeding & 30-60min before. (Very tricky for such young babies I know).

Hope this helps!

[Anonymous]

Thank you for info but I have too be honest, this is SO overwhleming and very hard for me to understand(lamen here). I know the med is a liquid form. Are you saying that isnt what I want?? I’m so completely confused and while my baby is screaming it’s impossible for me to think. SO STRESSED out!!! 🙁

[Anonymous]

Thank you but I can’t even break down most of this information!! Is there a bottom line, somewhere..please?! MY lo has been screaming for three hours and I can’t think never mind figure all of this out!!!

[Anonymous]

The liquid form is the compounded suspension, yes. If it was prepared correctly & doesn’t have a flavor then it will be fine. Try it for 5-7 days (w/ the Zantac) & then if things don’t seem to be getting better I would fax your ped w/ the info (I will email you my exact fax if you’d like since it sounds like a similar situation).

I know what it’s like to have a screaming baby… today is literally the 1st day that he hasn’t screamed all day long (besides when he’s nursing). It’s amazing.

Sorry, that sounded bad – I’m not rubbing it in… just saying that w/ the proper dosing it WILL get better.

erinntx2008-06-30 15:21:55

[Anonymous]

And if it is flavored will the pharmicist remix it w/out flavor or do I need to call the doc for a new script?

[Anonymous]

Can you point me to the area on the Marci-site that speaks to the solutabs? I cant seem to locate it?? I am going to call my doc this afternoon-as soon as I get back with the medicine and see what type it is(flav vs non flav).

[Anonymous]

I cannot answer the questions about whether or not a pharmacist would re-make it. We do have a pharmacist on the board and another member whose husband is a pharmacist. Maybe one of them can help.

I know how frustrating it is to get the “right” med and the “right” dose. hang in there. It took us a while to iron it out (I had a big time screamer and a 2 yo that whined all day b/c he wasn’t getting any attention) and it was tough in the meantime but worth it in the end. We had success with the prevacid solutabs & the nexium powder packets (not at the same time, we used nexium during 5-8 months old when landen was at his worst) . As bad as it seems now, this too shall pass.

[Anonymous]

If I understand correctly (from what I read on here – someone correct me if I’m wrong) – if it’s flavored it’s still ‘effective’ for a week, but loses it’s effectiveness after that. Ours was flavored & I definitely noticed some relief after 5-6 days… but so diff’t once it was the max dose w/ solutabs.

So, I would use what you have for now.

I hope this helps & I truly feel for you right now – it’s miserable.

erinntx2008-06-30 15:44:04

[Anonymous]

I am no expert with compounds as we never used it but dh is a pharmacist as Jill mentioned and he even admits that most pharmacist don’t compound anything this complicated properly mainly b/c they aren’t taught it in school. I do think it is somewhat effective with the flavoring but the stability of it is at most 2wks and if you add flavor that decreases the stability even more. I would push for the solutabs and if that isn’t an option then go for the capsules which have to be given with a bit of applesauce or apple juice and still wait the 30-60 min to feed. I know this is so much to take in but things will get better. If you can give that baby to someone you trust and take 30-60 min to get your head on straight first chance you get so that you can be the best advocate for your baby possible. Good Luck, you are on the right track.

[hellbennt]

hang in there!

it is confusing, but please take a moment to read Prevacid 101. It’s all there for you:

Prevacid 101(last post on the page): https://www.infantreflux.org/forum/forum_posts.asp?TID=1936&PN=0&TPN=1

I will break the following down for you, the best I can:

1) dose is important. http://www.marci-kids.com and all of us here will help you with this. how much does baby weigh?

2) FORM of the medicine is important. take a moment, FAX your doctor. TELL doctor what you need. for HOW to ask for medicine to be compounded: compounding from lori: https://www.infantreflux.org/forum/forum_posts.asp?TID=7855&TPN=1

FAX FAX FAX the dr

dont wait for a call…

start off w/ a THANK YOU

keep it short & sweet

stick to the facts (no feelings and no rambling emotions)

state current meds, doses, symptoms

make request- flat out- short & sweet

THANK AGAIN

follow up by calling office to say fax was sent

call again later to discuss requests in fax, ie: have you called in the increased prescription yet? or: have you faxed the pharmacist the way to write the prescription yet?

THANK YOU

sample fax: https://www.infantreflux.org/forum/forum_posts.asp?TID=10633&PID=90325#90325

3) if you have zantac or axid or pepcid or tagament, then please give this ALSO. give 4hrs seperate from prevacid. again, tell us how much baby weighs so we can help with dose.

4) diet. ie: formula or breastfed. tell us what kind of formula or if breastfed are you restricting your diet?

[Anonymous]

OK, trying to type-too upset, I’ve never had her screaming like thi sbefore or for so long and Im alone with my 4 year old as well until tomorrow afternoon.

I went to the pharmacy to pick up meds, they said my ins wont cover it and it’s $140. WTF? I have great ins but whatever for now so I said fine, Ill pay for it now. And it wasnt ready because they didnt think id want it since it was so expensive. ready to kill someone

Baby weight 10.11 oz

Formula fed

Nutramigin for 5 weeks now

WHY is this hapenning over night like this!?!?!?!

[Anonymous]

I can barely type- baby wont stop screaming and I also have a 4 year old, husband is out of town til tomorrow night-no family here. I dont understand WHAT is happening?!?! Went to pick up meds-phar said my ins wont cover and it’s $140. WTF?!?! OK, whatever, just give it me, I ll worry about $$ later. well,they didnt MAKE IT because they didnt think I’d pay for it so back home I came. Its going to be another hour. Im worried that it’s not even going to work sine it’s not what anyone here recommends.

Formula fed- nutramigen

11 lbs

I cant find on the marci-sitr where it says what type is best??

[hellbennt]

don’t worry about what type. easy for me to say. you do what you can! that’s what you’re doing!!!! use what you’ve got and then we can worry about type.

can you call the pharmacy before they make it? to tell them how to make it.

[Author]

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