Male Speaker: What would be the criteria for a baby, you would think you will give a trail on one of these drugs against reflux.
Dr. Martin D. Fried: Okay, probably refusing to feed, the pain is so bad from the reflux and the acid in the stomach is that they are refusing to feed that would be a very good indication for using a anti-reflux acid lowering medication.
Male Speaker: If you will get a choose one of these medicines, what would you try to choose for us with the basis -- to argue with pick.
Dr. Martin D. Fried: The first stoke that we pick would be Histamine antagonists like Zantac or Pepcid, because it will lower the stomach acid without completely eliminating the stomach acid.
Male Speaker: If they did not work what would you go to next.
Dr. Martin D. Fried: After that we go to the, what's called the Proton Pump Inhibitors those are medicines that actually stop the stomach from making acid they almost completely stop acid.
Male Speaker: What would be the most, most likely would use in a young baby.
Dr. Martin D. Fried: The Proton Pump Inhibitors is most like the one that's only the they only that's FDA approved is Prevacid and what happens is it's given in granules and some of those granules get destroyed by the stomach acid so that even though you giving a dose of 15 milligrams you're not exactly delivering a total of 15 milligrams some of that's going to get destroyed.
Male Speaker: There are many these medicines actually you can find out with - but that wouldn't good idea for someone on their own to use any of these kind of medications?
Dr. Martin D. Fried: I think that should be prescribed by a pediatric doctor or pediatric gastroenterologist.
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