For infants (less than 1 year old) with repeated vomiting & lack of weigth gain due to reflux (GERD), there are very limited medicines that are available for effective treatment in India.
A relatively new molecule is Esomeprazole marketed in the form of Nexpro Junior Satchets. I was trying to search for the effective dose in a 3 month old in my care who has significant reflux (vomiting, decresed weight gain, opisthotonic posturing etc.)
Here is what I found
Each satchet contains 10 mg of Esomeprazole and hence I have started the baby on 5 mg (1/2 satchets) once a day for the same.
Previously I have been using Junior Lanzol (Lansaprazole) tablets by Cipla, but they are a little difficult to dissolve in water to feed an infant. Hopefully this would be a more acceptable solution for an infant.
A relatively new molecule is Esomeprazole marketed in the form of Nexpro Junior Satchets. I was trying to search for the effective dose in a 3 month old in my care who has significant reflux (vomiting, decresed weight gain, opisthotonic posturing etc.)
Here is what I found
Usual Pediatric Dose for Erosive Esophagitis
Healing:
12 to 17 year olds: 20 or 40 mg once daily
Duration of therapy: 4 to 8 weeks
1 to 11 year olds:
-weight less than 20 kg: 10 mg once daily
-weight greater than or equal to 20 kg: 10 or 20 mg once daily
Duration of therapy: 8 weeks
Comments: Doses over 1 mg/kg/day have not been studied.
Due to acid-mediated GERD:
1 month to less than 1 year old:
-weight 3 kg to 5 kg: 2.5 mg once daily-weight greater than 5 kg to 7.5 kg: 5 mg once daily
-weight greater than 7.5 kg to 12 kg: 10 mg once daily
Duration of therapy: For up to 6 weeks
Comments: Doses over 1.33 mg/kg/day have not been studied.
Read more at http://www.drugs.com/dosage/esomeprazole.html#iukblX6mMgSAPTLx.99
12 to 17 year olds: 20 or 40 mg once daily
Duration of therapy: 4 to 8 weeks
1 to 11 year olds:
-weight less than 20 kg: 10 mg once daily
-weight greater than or equal to 20 kg: 10 or 20 mg once daily
Duration of therapy: 8 weeks
Comments: Doses over 1 mg/kg/day have not been studied.
Due to acid-mediated GERD:
1 month to less than 1 year old:
-weight 3 kg to 5 kg: 2.5 mg once daily-weight greater than 5 kg to 7.5 kg: 5 mg once daily
-weight greater than 7.5 kg to 12 kg: 10 mg once daily
Duration of therapy: For up to 6 weeks
Comments: Doses over 1.33 mg/kg/day have not been studied.
Read more at http://www.drugs.com/dosage/esomeprazole.html#iukblX6mMgSAPTLx.99
Each satchet contains 10 mg of Esomeprazole and hence I have started the baby on 5 mg (1/2 satchets) once a day for the same.
Previously I have been using Junior Lanzol (Lansaprazole) tablets by Cipla, but they are a little difficult to dissolve in water to feed an infant. Hopefully this would be a more acceptable solution for an infant.
18 comments:
Hi.. wanted to check if this medicine worked for your baby and also was it okay to reuse the other half of the sachet once opened.. ?
Hi.. wanted to check if this medicine worked for your baby and also is it advisable to reuse the other half contents of the opened sachet. Thanks !
I am not sure, but I believe that reusing the sachet within 24 hours should be alright,
Hi, how is your baby patient doing on the medication? My baby has severe acid reflux issues as well. Thanks.
Hi, How is your baby patient doing on the new medication? My baby has severe reflux issues as well. Thanks.
Dear Ray,
If you are asking regarding the baby in my care, he has done well, with reduced irritability, posturing and vomiting,
Thanks for asking :)
Is this medicine advisable for treating silent/mild reflux too?My baby is 4 mths old and makes vomit sounds but doesn't throw up.
I would ONLY recommend it if your pediatrician suggests it, especially in kids less than 1 year old.
Warm regards
My doc suggested to use this for 3 months for my 8 month old baby .Is it ok to use for such a long period
My doc suggested to use nexpro jr for about 3 months in my 8 month old baby.is it ok to use this for such a long period
Yes,
It is safe and is recommended for long periods of time in cases of GERD
Sir My doc suggested to use this for 3 months for my 3.2 year old son,sir we have completed 3 month course,after completing 3 months we have closed doase ,but again vomiting is on.sir what should I do.
Hi,
You can continue this medicine for much longer if the symptoms are persisting,
Warm regards
Thanks sir
Dear sir . It was instructed by my doc for my 3.8 months baby two times in a day that is morn & evn, instead by mistake i gave morn & afternoon. Will it b a prob.pls suggest
Pls tell me the solution as soon as possible pls. My 2 months old baby is having reflux and a doctor prescribed this nexpro junior sachet and she cause severe rashes in her whole body. When it will cure ...
It can take a few days to get better, talk to your doctor in case of a severe allergy,
Regards
Is nexpro and nexpro junior the same ? My baby is 2 months old. Severe reflux. Has been advised by my pediatrician.. pharmacist has given nexpro junior
Post a Comment