Guest guest Posted December 8, 2004 Report Share Posted December 8, 2004 Hi everyone. I have a question. Today my daughter Autumn went to her GI and they have decided she is old enough to start her on periactin to increase her appetite. She is almost 11 months old and she is supposed to start off with 1/2 tsp. twice a day. My question for you, what is the best times to take it? Does it matter when? I thought I had read before that it does. Her doc said to take it maybe in morning and after a nap in the afternoon, does that sound correct? Wish us luck. She had her blood test results done again to see if her 'malnourishment' protein levels had gone up, and they hadn't, and her doc said if this doesn't work we will have to consider a feeding tube either through the nose or g-tube. She is not doing horribly, 25-25 1/2 inches(depending on who's measured) and 13 lbs 14 oz, but they are definitly concerned. I'm pretty impressed with our Children's Hospital, they are taking a very active role in her RSS and are staying on top of everything. Also, is there a lot of luck with appetite stimulant? Does it seem to work most of the time? Just curious....the doc said it works in some and not in others so we are in trial. Thanks! mom of Autumn Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 9, 2004 Report Share Posted December 9, 2004 Here is the implementation schedule that MAGIC publishes for parents -- based on feedback from Dr. Harbison and our RSS/SGA parents. First, we do not recommend 3 times a day normally, because, well, the med seems to stay in the system about 6 hours. So if you give it 3 times a day, you are very likely " double dosing " for part of that time. Most physicians will prescribe twice a day. The total dose should still be the pharmaceutical recommended dose of .25- ..4mg/kg/day. Next. Timing. About 30 minutes before breakfast and 30 minutes before dinner. Third. Implementation. If your child is still napping every day, you may find you can start at 100% dose and be find. For older toddlers and younger kids who are no longer napping, we strongly recommend the following implementation schedule. This takes a month to get to the full dose. Week 1: 50% of DINNER dose each night. Week 2: 100% of dinner dose each night. Week 3: Add in 50% of breakfast dose each day, while continuing with 100% of dinner dose. Week 4: 100% of breakfast dose and 100% of dinner dose. If at any point you have had any major crankiness, etc., you can dial back the dose. Usually it doesn't happen with the dinner dose. But if at 100% of breakfast, you can't cope with child's fatigue/crankiness, try 75% and move up slowly. Hope this helps. Also, watch for ANY signs of reflux, even silent reflux. This medicine can be a lifesaver in terms of caloric intake, but is notorious for exacerbating reflux. Usually Zantac will cure that. > > Hi everyone. I have a question. Today my daughter Autumn went to > her GI and they have decided she is old enough to start her on > periactin to increase her appetite. She is almost 11 months old and > she is supposed to start off with 1/2 tsp. twice a day. My question > for you, what is the best times to take it? Does it matter when? I > thought I had read before that it does. Her doc said to take it > maybe in morning and after a nap in the afternoon, does that sound > correct? Wish us luck. She had her blood test results done again to > see if her 'malnourishment' protein levels had gone up, and they > hadn't, and her doc said if this doesn't work we will have to > consider a feeding tube either through the nose or g-tube. She is > not doing horribly, 25-25 1/2 inches(depending on who's measured) and > 13 lbs 14 oz, but they are definitly concerned. I'm pretty impressed > with our Children's Hospital, they are taking a very active role in > her RSS and are staying on top of everything. > > Also, is there a lot of luck with appetite stimulant? Does it seem > to work most of the time? Just curious....the doc said it works in > some and not in others so we are in trial. > > Thanks! > > > mom of Autumn Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 9, 2004 Report Share Posted December 9, 2004 Thank you for all the information. It's really helpful. mom of Autumn > > > > Hi everyone. I have a question. Today my daughter Autumn went to > > her GI and they have decided she is old enough to start her on > > periactin to increase her appetite. She is almost 11 months old > and > > she is supposed to start off with 1/2 tsp. twice a day. My > question > > for you, what is the best times to take it? Does it matter when? > I > > thought I had read before that it does. Her doc said to take it > > maybe in morning and after a nap in the afternoon, does that sound > > correct? Wish us luck. She had her blood test results done again > to > > see if her 'malnourishment' protein levels had gone up, and they > > hadn't, and her doc said if this doesn't work we will have to > > consider a feeding tube either through the nose or g-tube. She is > > not doing horribly, 25-25 1/2 inches(depending on who's measured) > and > > 13 lbs 14 oz, but they are definitly concerned. I'm pretty > impressed > > with our Children's Hospital, they are taking a very active role > in > > her RSS and are staying on top of everything. > > > > Also, is there a lot of luck with appetite stimulant? Does it > seem > > to work most of the time? Just curious....the doc said it works > in > > some and not in others so we are in trial. > > > > Thanks! > > > > > > mom of Autumn Quote Link to comment Share on other sites More sharing options...
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