In regards to your post ....

"Zegerid is a true powder suspension. It comes in packets and you mix it with water. Unlike prevacid packets this you can give without regards to meals. So no fasting and no waiting 30 minutes to give a bottle after taking it. It is the same medication that is in Prilosec. If you have anymore questions please feel free to ask. Its a new medication and not many doctors know about it yet. I really think its going to be a great medication for infants. Its so hard to give prevacid and prilosec unless you get it compounded and then its not always stable. It only is stable for two weeks."

Did you know that the Prilosec formulation has a milk based ingredient that many infants with milk intolerences are sensitive too? Dr. Phillips at the University of Missouri whose suspension products Chocobase and Caracream were the inspiration for Zegerid formulated Caracream due to the fact that many infants who used his Chocobase with Prevacid (which contains no milk-based ingredients) could not tolerate it. If your son has milk intolerence issues and is not getting the relief he should from his medications it is something to consider as it should be for anyone whose infant is milk intolrant and takes Prilosec or is taking/considering Zegerid. Many doctors do not know this fact about Prilosec and the drug reps I have spoken to about Zegerid and the info I have read does not mention it either. It does have a wonderful medication delivery system and may be helpful to many infants but it may not be the "wonder" drug for all.

I've 'edited' this to be a sticky.

Just wanted to add ....

That lactose is the ingredient in Prilosec that may or may not be the culprit. Latose is a milk sugar not a protein and children with intolerences to milk often have the milk protein type not necessarily lactose intolerence. So some children with milk intolerence may do just fine.

Edited to add some information thepeach80 posted on another thread....

Lactose is dairy derived. Medical grade lactose is supposed to be highly processed so that is doesn't contain any of the milk proteins, but it's nearly impossible to seperate the 2 totally so some children will be sensitive enough so that they still do react, just like some corn allergic children will still react to Neocate. It's just another thing to factor into the reflux/allergy equation.

Also wanted to add that the package insert directions for Zegerid instruct it to be given on an empty stomach at least one hour prior to a meal as opposed to the info given in kattmc3's post

This is exactly why our NP took Bethy off the Prevacid solutabs, even though they were working so well to combat the GERD--the small amount of dairy it contained constipated her terribly.

Thanks for the great information!!

I will responed to this post but I am waiting on some information. I want to be as accurate as I can so I will respond when I get the information.

There are several names of PPI’s. Lansorprazole is Prevacid, Omerprazole is Prilosec,
Esomerparzole is Nexium, Pantoprazole is Protonix, Rabeprazole is Aciphex, and Omeprazole with buffer is Zegerid.

Prevacid or Lansorprazole comes in capsules, solu-tabs, orally disintegrating tablets, oral suspension. Lansorprazole in general does not contain milk based products. However solu-tabs do contain a form of lactose.

Omerprazole comes in capsules, and tablets. None of which contain lactose.

Zegerid comes in a powder form and also does not contain lactose. Zegerid’s ingredients include omeprazole, sodium bicarbonate, sucrose, sucralose, xanthan gum, xylitol, and flavorings.

I really think that you might be talking about Prevacid solu-tabs. Can you tell me where you got your information? I got mine from a representative at Marci-kids who works with Dr. Phillips. I specifically asked him about any milk products in Zegerid and he confirmed that in fact it doesn’t have any. I would really hate to see incorrect information being given out about Zegerid if it doesn’t deserve it. Also the reason it says on the Zegerid site to give it on an empty stomach is because they took the instructions directly from the Omerprazole instructions. You can directly email Dr. Phillips and feel free to ask him any questions you have. Email him at marci-kids.com. If you have information that I don’t please feel free to tell me so that I can correct what I am saying. I have studied this in depth to make sure it was correct. I hope this answered your question.

Just a note some of the above medications are not available here in the United States.

Prilosec capsules do contain lactose. Since Zegerid uses the powder formualtion perhaps it is not an issue. I am not all that familiar with the powder. The info I have about the capsules is listed on the package insert. Many parents who I have spoken to as a PAGER volunteer and as a SLP who works with infants/toddlers with feeding disorders have noted their children with MSPI have had difficulties with Prilosec.

I am very familar with Dr. Phillips. His chocobase/caracream products have gotten a lot of positive feedback. Thanks for posting a way to contact him so that if other posters would llike to contact them they can. I know that recently a poster was asking about Chocobase and Caracream. I was under the impression that he was no longer offering them when Zegerid hit the market but if you know otherwise maybe other posters would like to know.

Thanks for posting the other information on different PPIs. I am sure other posters who read this sticky will find it helpful. Your right about Prevacid solutabs their binding agent has a milk product. Prilosec does not have a solutab unless it is something new I missed.

Omerprazole itself does not contain lactose. Prilosec capsules do contain lactose. Prilosec doesn't have a solu-tab.

Zegerid contains omerprazole but does not contain lactose.

Chocobase and caracream are no longer available in the United States but are available outside of the U.S.

I would also like to make a note that some children do better on one medication than the other. For example a child may do fine on Prevacid and not on Prilosec and visa versa. You have to find the right medication for your child.

There is another post about Zegerid that says it is peach-mint flavored. Did Dr. Phillips say why they did not use the Chocolate or Caramel flavor for Zegerid as he used for Chocobase and Caracream? Peach-mint sounds pretty gross to me and another poster said her child refused it b/c of the flavor (and accepted unflavored Prilosec without a problem). Why would they change something so good about the original?

No but I would be willing to ask him for you. I will give you his answer as soon as I can. I will talk to him tomorrow and let you know.