Omeprazole dosage

pizzo84 · July 2011

If your little one takes omeprazole (Prilosec, Losec) for reflux, what is the dose that he/she is on? My girls weigh about 14lbs and take 6mg once a day, but I seem to be noticing more reflux-ey behaviours (fussy with bottles, spitting up more), and I was just wondering how high the doses can go?

We have had the dose increased several times in the last year, and was wanting to know if we are falling into the higher end of the dosing scale or the lower end... when I googled dosages online it looked that there was quite an acceptable range.

TIA!

urbanflowerpot · July 2011

1 mg twice/day

HTH!

st.augbride · July 2011

Ds is 14lbs and we're on 1/4 of a tab (about 3.5mg) per day. That's the dose he's been on and we're letting him wean himself off by just letting him gain weight and not upping the dose. I went crazy when he first had horrid reflux reading about and researching dosages. There are some internet sites that promote really high doses in babies, all led by one guy who is the maker of the reflux med zegerid. His claims are NOT supported by research at all, so I wouldn't go by those sources if you came across that at all. I believe ds was about 8lbs when we started and the highest they would let us go was up to 10 or 11mg/day, so you do probably have some wiggle room there. I'd ask your doc or a pediatric GI what they recommend. The lower the dose that seems to control it, the better. Though, a lot of the reflux symptoms could also be do to other things that cause more crying, which leads to taking in more air and then having stomach/gas pains (according to some infant reflux studies by FDA).

mrsV719 · July 2011

LO is around 10lb 3oz and gets .45/ml zantac 3x/day and 1.5ml prilosec 2x/day

HTH

lemen99 · July 2011

There is quite a range. My son is dosed at 2 mg per kg (of body weight) per day right now. My other son is dosed at 1.3 mg per kg per day and has always tolerated anything between 1-1.3 mg per kg per day, but immediately falls apart at dosing below 1 mg per kg per day.

Dosing twice per day (dividing up your dose) is more effective than dosing once per day because babies metabolize the medicine quickly.