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Old 10-25-2009, 11:36 AM   #1
mama_duck32
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prilosec suspension gone bad?
i am an lpn school nurse. recentlly I was ordered to give a dose of prilosec by an RN that I thought had gone bad...i refused and was fired. I am concerned with the safety of this child if this medication has gone bad. The RN in question told me it had not however, this medication went from milky white to light brown to dark almost chocolate brown and developed an odor that I can only describe as somewhere between sour milk and rotten egg. Can you please advise if you have ever heard of this medication changing like this? I know in my heart I did the right thing since this child already had major medical issues and since I took an oath "to do no harm," at least I can sleep knowing I didnt give it.
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Old 10-25-2009, 12:51 PM   #2
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Re: prilosec suspension gone bad?
we never let ours get older than 14 days, because that is all the supply we are given. However, if it had a foul order and was brown, then I would say it was bad. Ours is generally light purple and doesn't really smell at all.
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Christyn
Mom to my two GERDlings, Allie 9-2-05 and Jackson 5-3-2008.

Allie has GERD, is tube fed, and is on Prilosec, 20 mg per day and 50 mg of zantac efferdose. Currently at 50th percentile for weight courtesy of the "homemade blended formula" diet. We started putting real food in the g-tube in June, 2009 and Allie is doing great. Allie is getting 16 oz per day of solid food through her g-tube and 12 oz of Peptamen 1.5. We are hoping to get to 100% blended food one day soon - so far, so good!!




Jackson is on 10 mg of Prilosec per day and 25 mg of Zantac Efferdose 2x per day. After a negative biopsy for EE, we are trying milk products for what seems to be the millionth time. He hates eating.

*Forever keeping Sam and Luke in our hearts*
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Old 10-25-2009, 01:03 PM   #3
andrea
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Re: prilosec suspension gone bad?
Yep, it gets brownish once it gets bad. It has only ever happened to us when we had a really old bottle sitting in the fridge that we forgot to throw out after like a month and a half - but for some reason we dont seem to have the stability problems with Prilosec (at least at our current pharmacy) that some have... lots of places (particularly if its colored like Christyn's) it goes bad by 10 or 14days.. the pure white stuff generally lasts a lot longer (at least for us!)
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Hunter - 4/30/2007
-GERD diagnosed at 3.5months old
-Slow weight gain/FTT
-30mg Prilosec, Zantac, 34g Miralax daily + behavioral feeding therapy

Avery - 2/20/2009
-Piggy little eater
-NO meds
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Old 10-25-2009, 09:19 PM   #4
Mary
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Re: prilosec suspension gone bad?
I don't know what might happen if a child is given a dose of Prilosec that's gone "bad"; however, a quick call to a local pharmacy would answer that question pretty quickly.

Any time a medication changes color or develops an odd odor, even if it hasn't reached it's expiration date, it's suspect and I think you made the right call. Even our unflavored Prilosec never smelled "bad"--it smelled like baking soda (sort of like, um, nothing *LOL*) and the flavored batches always smelled like grape and baking soda. Nothing unpleasant. We never kept it more than 30 days in the beginning, then we started having it compounded in 14-day batches.

If you feel the medication was past it's date and that the charge nurse acted in bad faith, you might consider reporting this to the hospital/state board of health. This sort of thing is very serious and, in some cases, might prove to be extremely harmful.
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Adam 02/10/07
Reflux, DGE/GI dysmotility,MSPI/dairy allergy, perpetually constipated.
Autism Spectrum Disorder, apraxia, auditory processing disorder
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Bethany 11/12/04
G-tube fed (Peptamen Jr. w/fiber)--now down to 12 hours a day!! b/c of severe DGE (45mL/hour). Silent refluxer, MSPI, Food aversion, DGE/GI dysmotility, Constant bouts of constipation, low muscle tone, hx Mallory-Weiss tear, IgA deficiency


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