Zantac dosage question

Mellissa · January 24th, 2006, 10:21 AM

Another zantac thread Sorry, just had an important question for those of you who have had the lovely experience of a child with reflux. Keagan was started on zantac at a little over a month old. They prescribed 1ml twice per day. Now, in the begining this was fine, he did great on the zantac. He is 4 months old now and has gained quite a few lbs and I just don't think the 1ml 2x per day is cutting it. It's no longer working. Does anyone remember how much zantac your child was on at 4.5 months? Did it help to up the dosage or did it just stop working all-together for anyone? He has a doctor's appointment this week, so I will talk to the doctor about this also...but sometimes other Mom's opinions are more helpful!!! TIA

Jillian · January 24th, 2006, 11:23 AM

Janelle takes 1.5ml in the morning and 3ml at night along with her prevacid at night as well...but she is 3...I honestly don't remember what she was on at 4 months, at that point she was on both zantac and reglan.

Mellissa · January 24th, 2006, 01:55 PM

Thanks Jillian

Anyone else have any advice?

Karri · January 24th, 2006, 02:04 PM

I dont remember...sorry

Mellissa · January 24th, 2006, 02:22 PM

Anyone know anything about reglan? The doctor had mentioned adding that, but I don't know anything about it.

bunybomb · January 24th, 2006, 02:23 PM

I think Alex was on 1 full tsp by that time.

Jillian · January 24th, 2006, 03:28 PM

Quote:

Originally Posted by Mellissa

Anyone know anything about reglan? The doctor had mentioned adding that, but I don't know anything about it.

Janelle took it from 2 months old till 6 months old. My ped at that point was only willing to prescribe it in severe cases where the reflux either causes weight loss or apnea (Janelle had both) cause it has some very serious scary side effects, the only one I can remember now was brain damage. Now our ped practice refuses to prescribe it for ANY reason. I think in general it is saved for the most severe cases. You could try stronger acid blocker/acid reducer medications first, like prevacid, and prevacid and zantac aren't even the same cattegory of drug, so you can take them together (Janelle does). Zantac, pepcid, prevacid, etc are meant to reduce the acid in the spit up, they do not decrease the frequency/amount of spitting up, they just make it so it doesn't hurt when they spit up. Reglan actually prevents them from spitting up as often/as much...it did work great for Janelle, but our ped had us on it till she gained some weight and was apnea free for 3 months, then he took her off it as soon as possible because of the possible long term side effects.

Mellissa · January 24th, 2006, 04:19 PM

Wow, thank you Jillian. I don't think we'll go that route then. The reflux is causing him a lot of discomfort and he hardly sleeps, I feel so bad for him- he is always tired, but lately he'll only sleep like 30min-1hour intervals (the last week). He is gaining weight fine though, and looks healthy. I just wish I could make him a happier baby

he cries a lot and I have to hold him almost non-stop everyday.

Stacy · January 24th, 2006, 04:40 PM

Along with the meds have you tried going to a chiropractor?

Shel · January 24th, 2006, 05:00 PM

Riley was on Reglan for 6-7 weeks, and the doctor pulled her off of it because all the nasty reports were coming out. They just did the same as Janelle's doctor. They upped her Zantac and put her on Prevacid. That was a LONG time ago (4 years!) so there is no way I can remember the dose. They did up it about every doctor's appt though, and sometimes would have her come in for weight checks to see if it needed to be upped again by her weight/

Brooke · January 24th, 2006, 05:59 PM

Daniel has taken 1mL 3 times a day since he was 5 weeks old.

Nichole · January 24th, 2006, 08:13 PM

This might be helpful:

Quote:

Gastroesophageal Reflux Disease (GERD) and Erosive Esophagitis

For children 1 month to 16 years of age, the usual daily dosage is 5 to 10 milligrams per 2.2 pounds of body weight, divided into two doses.

From http://www.healthsquare.com/newrx/ZAN1494.HTM

AmyP · January 24th, 2006, 08:22 PM

Sarah was on 1 mL 3x a day at that age if that helps. I think she weighed around 12 lbs or so.

Karri · January 24th, 2006, 08:52 PM

Norah & Elliott were on Reglan, as well, after Zantac didn't work, and once I read about the side effects, I yanked them off of it! There are some scary as hell things that can happen!!

I would ask about Prevacid, as well. We didn't go that route, but we did do chiropractic in tandem with medication for awhile.

January 24th, 2006, 10:21 AM	#1
Mellissa Registered but not Subscribed Join Date: Nov 2005 Location: In lala land Posts: 2,174	Zantac dosage question Another zantac thread Sorry, just had an important question for those of you who have had the lovely experience of a child with reflux. Keagan was started on zantac at a little over a month old. They prescribed 1ml twice per day. Now, in the begining this was fine, he did great on the zantac. He is 4 months old now and has gained quite a few lbs and I just don't think the 1ml 2x per day is cutting it. It's no longer working. Does anyone remember how much zantac your child was on at 4.5 months? Did it help to up the dosage or did it just stop working all-together for anyone? He has a doctor's appointment this week, so I will talk to the doctor about this also...but sometimes other Mom's opinions are more helpful!!! TIA

January 24th, 2006, 11:23 AM	#2
Jillian Umm...need something new... Join Date: Dec 2003 Posts: 5,251	Janelle takes 1.5ml in the morning and 3ml at night along with her prevacid at night as well...but she is 3...I honestly don't remember what she was on at 4 months, at that point she was on both zantac and reglan. __________________

January 24th, 2006, 02:04 PM	#4
Karri really? seriously? Join Date: Dec 2003 Location: still freakin' stressed. Posts: 21,559	I dont remember...sorry __________________ Easy Bakin' Living out Loud

January 24th, 2006, 02:23 PM	#6
bunybomb is still a cheer mom...... Join Date: Dec 2003 Location: Littleton, CO Posts: 5,418	I think Alex was on 1 full tsp by that time. __________________ Becky until cheerleading is over for season!

January 24th, 2006, 05:00 PM	#10
Shel I subscribed!! Join Date: Dec 2003 Posts: 12,738	Riley was on Reglan for 6-7 weeks, and the doctor pulled her off of it because all the nasty reports were coming out. They just did the same as Janelle's doctor. They upped her Zantac and put her on Prevacid. That was a LONG time ago (4 years!) so there is no way I can remember the dose. They did up it about every doctor's appt though, and sometimes would have her come in for weight checks to see if it needed to be upped again by her weight/ __________________ until our Mother/Daughter Trip to Disney for Riley's Birthday

January 24th, 2006, 01:55 PM	#3
Mellissa Registered but not Subscribed Join Date: Nov 2005 Location: In lala land Posts: 2,174	Thanks Jillian Anyone else have any advice?

January 24th, 2006, 02:22 PM	#5
Mellissa Registered but not Subscribed Join Date: Nov 2005 Location: In lala land Posts: 2,174	Anyone know anything about reglan? The doctor had mentioned adding that, but I don't know anything about it.

January 24th, 2006, 04:19 PM	#8
Mellissa Registered but not Subscribed Join Date: Nov 2005 Location: In lala land Posts: 2,174	Wow, thank you Jillian. I don't think we'll go that route then. The reflux is causing him a lot of discomfort and he hardly sleeps, I feel so bad for him- he is always tired, but lately he'll only sleep like 30min-1hour intervals (the last week). He is gaining weight fine though, and looks healthy. I just wish I could make him a happier baby he cries a lot and I have to hold him almost non-stop everyday.

January 24th, 2006, 04:40 PM	#9
Stacy Registered but not Subscribed Join Date: Dec 2003 Location: Welland, Ontario Posts: 6,000	Along with the meds have you tried going to a chiropractor?

January 24th, 2006, 05:59 PM	#11
Brooke Daniel can count to 10! Join Date: Dec 2003 Location: Maryland Posts: 12,357	Daniel has taken 1mL 3 times a day since he was 5 weeks old.

January 24th, 2006, 08:22 PM	#13
AmyP Yay Elmo! Yay Abby! Yay Zoe! Yay Ernie! Join Date: Dec 2003 Location: Yay Big Bird! Yay Bert! (this is what I say all day) Posts: 9,955	Sarah was on 1 mL 3x a day at that age if that helps. I think she weighed around 12 lbs or so. __________________

January 24th, 2006, 08:52 PM	#14
Karri really? seriously? Join Date: Dec 2003 Location: still freakin' stressed. Posts: 21,559	Norah & Elliott were on Reglan, as well, after Zantac didn't work, and once I read about the side effects, I yanked them off of it! There are some scary as hell things that can happen!! I would ask about Prevacid, as well. We didn't go that route, but we did do chiropractic in tandem with medication for awhile. __________________ Easy Bakin' Living out Loud

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