PPI Administration Alternatives

dexlansoprazole

[PO administration, cap with food]

Info: open cap, sprinkle on 1 Tbsp applesauce, swallow immediately; do not cut/crush/chew granules

[PO administration, cap with water]

Info: open cap, mix with 20 mL water, draw into oral syringe, swirl, deliver PO immediately; mix residue with 10 mL water, swirl, deliver PO immediately, repeat with additional 10 mL water; do not cut/crush/chew granules

[NG administration, cap with water]

Info: open cap, mix with 20 mL water, draw into catheter-tip syringe, swirl, deliver via NG immediately; mix residue with 10 mL water, swirl, deliver via NG immediately, repeat with additional 10 mL water; do not cut/crush/chew granules

esomeprazole

[PO administration, cap]

Info: open cap, sprinkle on 1 Tbsp applesauce, swallow immediately; do not cut/crush/chew granules

[PO administration, granules]

Info: mix each packet of 2.5 mg or 5 mg with 5 mL water or mix each packet of 10 mg, 20 mg, or 40 mg with 15 mL water, stir, leave x2-3min to thicken, stir again, drink within 30min; mix residue with more water, drink immediately

[NG administration, cap]

Info: open cap, mix with 50 mL water in 60 mL catheter-tip syringe, shake x15sec, deliver via NG immediately; flush with more water

[NG/GT administration, granules]

Info: mix each packet of 2.5 mg or 5 mg with 5 mL water or mix each packet of 10 mg, 20 mg, or 40 mg with 15 mL water in catheter-tip syringe, shake x15sec, leave x2-3min to thicken, shake again, deliver via NG/GT within 30min; mix residue with 15 mL water, shake, deliver via NG/GT immediately

lansoprazole

[PO administration, cap with food]

Info: open cap, sprinkle on 1 Tbsp applesauce, Ensure pudding, cottage cheese, yogurt, or strained pears, swallow immediately; do not cut/crush/chew granules

[PO administration, cap with juice]

Info: open cap, mix with 60 mL apple, orange, or tomato juice, stir, drink immediately; mix residue with 120 mL juice, drink immediately

[PO administration, ODT]

Info: mix 15 mg ODT with 4 mL water or 30 mg ODT with 10 mL water in oral syringe, shake, drink within 15min; mix 15 mg ODT residue with 2 mL water or 30 mg ODT residue with 5 mL water, shake, drink immediately

[NG administration, cap]

Info: open cap, mix with 40 mL apple juice in catheter-tip syringe; deliver via NG immediately; mix residue with 40 mL apple juice, deliver via NG

[NG administration, ODT]

Info: mix 15 mg ODT with 4 mL water or 30 mg ODT with 10 mL water in catheter-tip syringe, shake, deliver via NG within 15min; mix residue with 5 mL water, shake, deliver via NG immediately

omeprazole

[PO administration, cap]

Info: open cap, sprinkle on 1 Tbsp applesauce, swallow immediately; follow with sips of water; do not cut/crush/chew granules

[PO administration, granules]

Info: mix 2.5 mg packet with 5 mL water or 10 mg packet with 15 mL water, stir, leave x2-3min to thicken, stir again, drink within 30min; mix residue with additional water, drink immediately

[NG/GT administration, granules]

Info: mix 2.5 mg packet with 5 mL water or 10 mg packet with 15 mL water in catheter-tip syringe, shake, leave x2-3min to thicken, shake again, deliver via NG/GT within 30min; mix 2.5 mg packet residue with 5 mL water or 10 mg packet residue with 15 mL water, shake, deliver via NG/GT immediately

omeprazole/sodium bicarbonate

[PO administration, powder]

Info: mix with 5-10 mL water, drink immediately; mix residue with more water, drink immediately

[PO administration, suspension]

Info: see pkg insert for reconstitution instructions; shake bottle, draw 20 mL dose, drink immediately

[NG/OG administration, powder]

Info: mix with 20 mL water in catheter-tip syringe, shake, deliver via NG/OG immediately; mix residue with 20 mL water, shake, deliver via NG/OG immediately

[NG/OG administration, suspension]

Info: see pkg insert for reconstitution instructions; shake bottle, draw 20 mL in catheter-tip or oral-tip syringe, deliver via NG/OG immediately; mix residue with 20 mL water, deliver via NG/OG immediately

pantoprazole

[PO administration, granules with food]

Info: mix with 1 tsp applesauce, swallow within 10min; follow with sips of water; do not cut/crush/chew granules

[PO administration, granules with juice]

Info: mix with 1 tsp apple juice, stir 5sec, drink immediately; mix residue with apple juice, stir, drink immediately; do not cut/crush/chew granules

[NG/GT administration, granules]

Info: mix with 10 mL apple juice in 60 mL catheter-tip syringe, tap/shake syringe to deliver via NG/GT immediately; mix residue with 10 mL apple juice and deliver via NG/GT at least 2x until no granules remain; do not cut/crush/chew granules

rabeprazole

[not alternative administration info available]