Guest guest Posted August 18, 2004 Report Share Posted August 18, 2004 Hi can anyone tell me why Dr H uses losec in the am and zantac in pm, to treat reflux, at least this is what she suggested for Liam to try. Unfortunately our gastroenterologist hasnt taken to well to Dr H suggesting any treatment for Liam, and, thinks these 2 drugs shouldnt be taken together. I vaguely remember Dr H having a reason for doing this??? any ideas??? For the moment we have started Liam on Zantac twice a day. The other thing about Losec is that it is in tablet form(in Australia) and if you crush it (apparently) the acid in the stomach breaks it dowm and it doesnt work properly. So if there is kids with g tubes, who wont swallow a tablet ?? how do you use this drug. After coming home from America, so full of hope and ideas that might get Liam eating, we have come down to earth with a thud, at the attitude of Liams gastro specialist to all we learnt, why is life so hard! id like to think this Dr is working only in Liams best interest, I cant help feeling there is proffesional rivalry, holding us back. This Dr thinks endocrinologists should not be treating gastroenterology problems. Any info gladly appreciated Jody(mum to Liam and Cameron) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 18, 2004 Report Share Posted August 18, 2004 Hi Jodi, Sometimes just one medicine twice a day isn't enough to stop the reflux since they work differently, Losec is a PPI and Zantac is an H2A, someone else can explain better than I can how they work differently! (Pat or Jodie Z). Olivia was on Losec(prilosec) in the AM and Zantac at night but we're now trying just the Losec twice a day. They can't be taken together at the same time but they can be taken at different times of the day. We did an equal split with the doses at 8AM and 8PM. Our pharmacy also compounds the Losec for us, turning it into a liquid form. Phone around to different pharmacies if you can to find one who will do this. I know just how you're feeling with the Dr's... when we got home from the convention our Dr wouldn't even look at the paper from our Appt. with Dr.H. I get the impression that he's memorized the one page in the book about RSS and has lumped all of the kids into it. He told us that " all RSS kids have reflux, delayed gastric emptying and GI problems and there's nothing you can do " ... this was in response to me wanting the PH probe and the GET tests done. He also said that pyloro's and fundo's don't work so there's really nothing you can do. Granted, I know that Olivia is not severe enough to warrent either of those surgeries but I was very dissapointed that he has generalized all RSS kids like that when we know that every child is different. He also thinks that Olivia's weight is just fine even though she no where near to being on the height to weight chart, she needs to gain 8 lbs to make it to the 3%ile line and that's if she doesn't grow any taller! We may be Dr shopping yet again depending on how it goes with the next weigh in in Sept. We do have to keep this Dr. long term though because he's the only one qualified to do her Pamidronate IV treatments for the OI. Best of luck to you with your Dr. If you find something that works to change his mind please let me know! It might work for our Dr as well and Dr shopping is not my favorite passtime! Sorry this got so long! Take care, Leah, mom to 9yrs and Olivia 4.75yrs, 18lbs, 33 " , RSS, OI, lots of meds. > Hi > can anyone tell me why Dr H uses losec in the am and zantac in pm, > to treat reflux, at least this is what she suggested for Liam to try. > Unfortunately our gastroenterologist hasnt taken to well to Dr H > suggesting any treatment for Liam, and, thinks these 2 drugs > shouldnt be taken together. I vaguely remember Dr H having a reason > for doing this??? any ideas??? > For the moment we have started Liam on Zantac twice a day. The other > thing about Losec is that it is in tablet form(in Australia) and if > you crush it (apparently) the acid in the stomach breaks it dowm and > it doesnt work properly. So if there is kids with g tubes, who wont > swallow a tablet ?? how do you use this drug. > After coming home from America, so full of hope and ideas that might > get Liam eating, we have come down to earth with a thud, at the > attitude of Liams gastro specialist to all we learnt, why is life so > hard! id like to think this Dr is working only in Liams best > interest, I cant help feeling there is proffesional rivalry, holding > us back. This Dr thinks endocrinologists should not be treating > gastroenterology problems. > Any info gladly appreciated > Jody(mum to Liam and Cameron) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 18, 2004 Report Share Posted August 18, 2004 Jody - Here in the US we also see that most pediatric endocrinologists treat height only and GI doctors treat weight only. For RSS/SGA kids, this fails to see the intrinsic link between the two! Dr. Harbison is the first to admit she isn't trained in GI, and refers children often to GI doctors. However, because she has seen 300+ RSS/SGA kids over the last few years, and has about 130 in her current patient load, her experience with the most basic of the GI issues gives her a lot more experience than many GI doctors! I don't know what Losec is -- is it a proton pump inhibitor? If it helps, our GI doctor AGREES with Dr. Harbison -- you have to give the proton pump inhibitor at least 12 hours AFTER the Zantac though. So that is why she (and our GI doctor) prescribe the proton pump inhibitor (for us it is Prevacid) in the morning and Zantac with dinner. Also, I don't know about the tablet. Prevacid comes in a capsule. I take a spoon of chocolate ice cream, open up the capsule and sprinkle the tiny medicine bits on top of the ice cream, and hand her the spoon, of which she promptly swallows. Easy as pie. Could Losec come in capsule? Is there another proton pump inhibitor in Australia? We used just Zantac (twice a day) for 2 years. It wasn't until we switched to the proton pump inhibitor in the morning and Zantac at dinner that 's reflux truly got under control. I am so sorry that your GI doctor is getting defensive. Is there any way that he or she would be willing to correspond with Dr. H via email? I have been VERY impressed with how delicately Dr. H handles her dealings with other doctors. > Hi > can anyone tell me why Dr H uses losec in the am and zantac in pm, > to treat reflux, at least this is what she suggested for Liam to try. > Unfortunately our gastroenterologist hasnt taken to well to Dr H > suggesting any treatment for Liam, and, thinks these 2 drugs > shouldnt be taken together. I vaguely remember Dr H having a reason > for doing this??? any ideas??? > For the moment we have started Liam on Zantac twice a day. The other > thing about Losec is that it is in tablet form(in Australia) and if > you crush it (apparently) the acid in the stomach breaks it dowm and > it doesnt work properly. So if there is kids with g tubes, who wont > swallow a tablet ?? how do you use this drug. > After coming home from America, so full of hope and ideas that might > get Liam eating, we have come down to earth with a thud, at the > attitude of Liams gastro specialist to all we learnt, why is life so > hard! id like to think this Dr is working only in Liams best > interest, I cant help feeling there is proffesional rivalry, holding > us back. This Dr thinks endocrinologists should not be treating > gastroenterology problems. > Any info gladly appreciated > Jody(mum to Liam and Cameron) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 18, 2004 Report Share Posted August 18, 2004 losec is prilosec and is a proton pump inhibitor. Did tolerate her meals or improve her appetite when she had her reflux under control? Our Dr has agreed to a trial of zantac and only if he shows an increase in appetite or tolerates more formula, will he order any tests eg an endoscope. I have given this Dr, Dr Hs email, I dont think he will contact her, he is adamant Dr H could not know Liam on a half hour visit, totally frustrating and he just doesnt seem to understand the extent of her work with these kids. I guess we just go slow, if we can make a difference with the zantac, maybe I can convince him to go another step. Thanks Jody(mum to Liam and Cameron) > > Hi > > can anyone tell me why Dr H uses losec in the am and zantac in pm, > > to treat reflux, at least this is what she suggested for Liam to > try. > > Unfortunately our gastroenterologist hasnt taken to well to Dr H > > suggesting any treatment for Liam, and, thinks these 2 drugs > > shouldnt be taken together. I vaguely remember Dr H having a > reason > > for doing this??? any ideas??? > > For the moment we have started Liam on Zantac twice a day. The > other > > thing about Losec is that it is in tablet form(in Australia) and > if > > you crush it (apparently) the acid in the stomach breaks it dowm > and > > it doesnt work properly. So if there is kids with g tubes, who > wont > > swallow a tablet ?? how do you use this drug. > > After coming home from America, so full of hope and ideas that > might > > get Liam eating, we have come down to earth with a thud, at the > > attitude of Liams gastro specialist to all we learnt, why is life > so > > hard! id like to think this Dr is working only in Liams best > > interest, I cant help feeling there is proffesional rivalry, > holding > > us back. This Dr thinks endocrinologists should not be treating > > gastroenterology problems. > > Any info gladly appreciated > > Jody(mum to Liam and Cameron) Quote Link to comment Share on other sites More sharing options...
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