However, esomeprazole has recently been approved for use in infants over one month old for certain conditions. PPIs aren’t officially approved for general use in infants under one year old. Experts recommend using the smallest possible daily dose for infants. PPIs are generally more effective than H2RAs and are better for healing the esophagus from gastric secretions. PPIs are another class of drugs that reduce the amount of acid in the stomach. However, they aren’t usually recommended for long-term use in infants. These are histamine H2 receptor antagonists (H2RAs, or H2 blockers) and proton pump inhibitors (PPIs). There are two kinds of antisecretory agents that help reduce the acid in the stomach. Gastric antisecretory agents help reduce the amount of acid the stomach produces and are the GERD medications most commonly prescribed for infants. The main side effects of this medication are constipation and diarrhea. One example is Gaviscon, which is approved for infants over one year old. Mucosal surface barriers or foaming agents help protect the surface of the esophagus from stomach acid. Most over-the-counter antacids aren’t approved for children under the age of two. Though they help relieve symptoms, antacids aren’t recommended for long-term use because they can cause complications and side effects, such as diarrhea and constipation.Ĭheck the labels of all over-the-counter medications before you give them to your child. Some examples include Rolaids and Alka-Seltzer. Gastric acid-buffering agents, or antacids, help neutralize acid from the stomach. There are several types of medications that may help relieve GERD symptoms. If changes in feeding don’t seem to help your baby, your doctor may recommend medications. holding your infant upright for 30 minutes after a feeding.burping your infant after they have consumed one to two ounces of breast milk or formula.adding rice milk or cereal to your infant’s bottle.Your doctor may first recommend that you make changes in feeding, such as:
Just like GERD in adults, GERD in infants can be managed several ways. However, it’s usually because the lower esophageal sphincter, which closes the esophagus off from the stomach, may not be mature enough to close properly. GERD occurs in infants for several reasons. This can lead to poor weight gain and erosion of the esophagus. Sometimes this can cause your infant to vomit. In GERD, the contents of the stomach, such as acid and food, are regurgitated back up the esophagus. However, babies who spit up frequently and have other symptoms, such as poor weight gain, irritability, or a prolonged cough, may have gastroesophageal reflux disease (GERD). Famotidine is in the same class as ranitidine and works the same way but has not been found to contain unacceptable levels of NDMA.Īll babies spit up from time to time - especially after a feeding. Ranitidine, brand name Zantac, is now marketed as Zantac 360, which contains a different active ingredient (famotidine). Instead of taking unused ranitidine products to a drug take-back site, dispose of them according to the product’s instructions or by following the FDA’s guidance. If you’re taking OTC ranitidine, stop taking the drug and talk with your healthcare provider about alternative options. If you’re prescribed ranitidine, talk with your doctor about safe alternative options before stopping the drug.
This recommendation was made because unacceptable levels of NDMA, a probable carcinogen (cancer-causing chemical), were found in some ranitidine products.
In April 2020, the Food and Drug Administration (FDA) requested that all forms of prescription and over-the-counter (OTC) ranitidine (Zantac) be removed from the U.S.
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