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Author Topic: Prilosec have lactose???  (Read 6506 times)

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Offline Stacie:Emma&Josh Mom

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Prilosec have lactose???
« on: April 13, 2006, 21:22:24 pm »
My ds is on Prilosec and has been for about a month now.  It seems to not be working as well and I know we could probably up the dose due to his weight, but even when he first started it with the correct dosing, it wasn't working like a miracle as it did with my dd.  I just read online that it has lactose in it.  My ds seems best on hypoallergenic formula and may be milk and soy intolerant.  Could the Prilosec be hurting his tummy?
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Offline GraceKellysmom

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Re: Prilosec have lactose???
« Reply #1 on: April 13, 2006, 21:47:42 pm »
Yep, if the lactose thing is true. Prevacid reditabs have lactose in them too - but the granules do not.
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Offline Stacie:Emma&Josh Mom

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Re: Prilosec have lactose???
« Reply #2 on: April 13, 2006, 23:00:40 pm »
Well he's on a suspension and not sure if what I found was for suspensions specifically so I'll call the doc tomorrow to be sure.  Thanks!!!
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Offline GraceKellysmom

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Re: Prilosec have lactose???
« Reply #3 on: April 14, 2006, 02:52:32 am »
The only ingredients I can find online are for the delayed release capsules, which do contain lactose. No one lists the granule ingredients - I'm assuming you are getting them dry and mixing them, or do you have a compounding pharmacy do it for you? I would call the pharmacy for ingredients - there should have been a packet with the prescription that lists them.
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Offline Stacie:Emma&Josh Mom

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Re: Prilosec have lactose???
« Reply #4 on: April 18, 2006, 01:44:08 am »
We have it compounded for us at a pharmacy...only one I've found that does it.  Didn't get a list of ingredients with it though.  I'll ask the ped tomorrow since we're taking him in to discuss the lack of naps around here and to see if he needs his dosage upped or to change meds.  I have this question on my list.  I'll let you know what I find out.  Thanks!
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Offline Stacie:Emma&Josh Mom

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Re: Prilosec have lactose???
« Reply #5 on: April 18, 2006, 21:33:35 pm »
Went to the ped today and we've been switched to the Prevacid reditabs.  I mentioned the lactose in Prilosec and she said the suspension is just the regular pills crushed up and put into liquid so they probably have it, but that they don't have much.  I forgot you mentioned that the Prevacid reditabs have lactose as well but maybe we'll try them and see if they work and maybe it's not the lactose that's bothering him.  If they don't work in the next week or so, then maybe the next step would be to try the Prevacid suspension...wish I would've remembered that about the reditabs though cause I would have tried the suspension.  She mentioned that lots of parents have complained about how thick the suspension is and that it's hard to give in a syringe and hard for them to swallow and such so we went with the reditabs.  Darn it.  Maybe it's not the lactose though and he'll respond better just with the switch of meds.  I'll keep ya posted. 
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Offline Mom to M&M

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Re: Prilosec have lactose???
« Reply #6 on: April 18, 2006, 23:33:42 pm »
Have you been making sure to give it on an empty tummy? Should be half hour before a full meal (and 2 hours after one). Makes a HUGE difference. Also, how many times a day is she taking the medicine?
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Offline GraceKellysmom

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Re: Prilosec have lactose???
« Reply #7 on: April 19, 2006, 02:48:26 am »
Ack, it's so hard to give it like that for the little ones. I know you're supposed to, but when Max was 3 months old he was eating every 2 hrs, waking up starving (so no holding him off).

Hope the reditabs work for you.

If you do switch, you have two options. You could do the powdered, which you mix at your dosage when you want and only have to go to the pharmacy once a month. It is kinda a pain to administer but it gets easier with practice. Or you can do a suspension, if your insurance will pay for it, but you have to get it weekly because it expires within a certain days of mixing it. Much easier to administer, just a PITA if your only compounding pharmacy isn't convenient.
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Re: Prilosec have lactose???
« Reply #8 on: April 19, 2006, 10:42:10 am »
Most suspensions/compounds should last for 2 weeks but flavoring will degrade them much quicker. As for the timing with feeds thing, yea, it's WAY tough but does make a difference in effectiveness as it allows the proton pumps to shut off at the maximum rate. If you don't want to worry about timing you can also ask your doctor for a prescription for Zegerid - it's basically a new formulation of the medicine in Prilosec but doesn't have the timing and stability problems.
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Offline JennŠ

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Re: Prilosec have lactose???
« Reply #9 on: April 19, 2006, 10:49:17 am »
Keep in mind that insurance hates to pay for the newest meds. Or they will, but at the highest copay.  Darn it anyway... 
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Offline Mom to M&M

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Re: Prilosec have lactose???
« Reply #10 on: April 19, 2006, 11:48:26 am »
That is definitely true Charlotte. For my neice it was worth it for Zegerid even though it was $40 per prescription (even with insurance) because they just couldn't time it right and her reflux was REALLY bad. But it's certainly not for everyone.
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Offline Stacie:Emma&Josh Mom

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Re: Prilosec have lactose???
« Reply #11 on: April 19, 2006, 20:56:12 pm »
Well his evening dose of Prilosec we do before bath and can then hold him off longer between giving it and feeding him, but the morning one is impossible.  Now that we've switched to Prevacid and it's only once a day, at the moment anyway, then we give it in the morning so he has the strongest dose during the awake hours but can't get him to wait before eating very easily.  Although when he wakes at 5 to eat and then again eats at 7:30 or so, I give it to him at 7 so he has a somewhat empty tummy and then waits a bit to eat again.  Not sure if that works good or not.  It's our first day on it.  Does anyone know the dosing of Prevacid?  He's on a half tablet per day but wondering if he can go up at his weight of 14 lbs 14 oz or if that's his max dose for the Prevacid.  Prilosec he had moved up to twice a day and just wondering if Prevacid can be twice a day as well or not.  TIA
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Offline Mom to M&M

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Re: Prilosec have lactose???
« Reply #12 on: April 19, 2006, 22:32:58 pm »
That seems like a very low dose. And babies metabolize these drugs three times faster than adults so need at least 2xday dosing (if not 3xday)...
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Offline Stacie:Emma&Josh Mom

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Re: Prilosec have lactose???
« Reply #13 on: April 23, 2006, 04:24:26 am »
Well we tried the Prevacid for 3 days...and we're back on the Prilosec at the increased dose.  On the Prevacid, the 2nd morning, he went back to sleep after his early morning feed and woke 30 mins later screaming bloody murder and would only calm after gripe water and being fed again.  Then the next morning, he had his early morning feed and immediately started screaming bloody murder so we switched back.  We'll see what he does in the morning...  We also got an appnt with a specialist for a week from Wednesday to hopefully sort some of this out better.  I'll keep ya posted.
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Offline Mom to M&M

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Re: Prilosec have lactose???
« Reply #14 on: April 23, 2006, 10:51:20 am »
FYI - the Prevacid can cause some painful gas and cramping until the baby adjusts...

Good luck with the specialist - definitely keep us posted.
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Offline JennŠ

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Re: Prilosec have lactose???
« Reply #15 on: April 23, 2006, 14:41:49 pm »
Never knew that.  Of course, the doc only gave us Prevacid samples to shut momma up.   ::)  Silly guy.  Good luck Stacie!!
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Offline GraceKellysmom

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Re: Prilosec have lactose???
« Reply #16 on: April 23, 2006, 16:30:18 pm »
Stacie, I hope the specialist has more answers! We never tried Prilosec. It takes a good 5-7 days for the Prevacid to get into the system, it is an acid inhibitor and also heals the damage that has been done by the reflux. I remember being almost ready to give up  when it started working so well, Max was my champion sleeper going 12 hrs nights at 8 weeks. (2x day doses, 5mg of powder granules per dose, so 1/3 packet each dose)

Keep us updated...
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