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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Safe To Give High Doses Of Zatofen Syrup For GERD?

aoa i m mrs khawar from islamabad my child has been suffering frm problem in feeding from the birth which i was thinking he have GERD Gastroesophageal Reflux Disease but when i take him to doctor he diagnose him as allergic patient because of which he produce collic and frequent burping and wind blockage ( according to doctor) from which i m not satisfied, cz my child has 99% symptoms of GERD as my old three kids already diagnosed with same when infants now doctor advise me to gave him zatofen syp a half teasapoon for six weeks after 4 weeks of no chang i stop using the medicine and my child behave worse. when i ask doctor again he said double the daily dose ( one full tea sapoon in eve daily . now i want to ask is it safe to give? he is now 4 months old i m not using medicine but my child is really annoying cant take feed cant sleep nd much much more like gerd, plz guide me as soon as possible. thanks regards
Mon, 4 May 2015
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Pediatrician, Nephrology 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Zatofen (kitotefen) is usually not advised below 6 months of age according to the studies. If you are having symptoms of GERD -- vomit of feeds, which is resulting in breathing difficulty, any arching of neck, then you have to show to a child specialist and get evaluated for GERD by radionuclide scan (milk scan) and can be started on domstal drops and antacids to decrease the problem along with keeping him in propped up position while feeding and proper burping.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Nagasudheerkumar Mekala
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Is It Safe To Give High Doses Of Zatofen Syrup For GERD?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Zatofen (kitotefen) is usually not advised below 6 months of age according to the studies. If you are having symptoms of GERD -- vomit of feeds, which is resulting in breathing difficulty, any arching of neck, then you have to show to a child specialist and get evaluated for GERD by radionuclide scan (milk scan) and can be started on domstal drops and antacids to decrease the problem along with keeping him in propped up position while feeding and proper burping. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nagasudheerkumar Mekala