Anne-MarieWe used suspension, and I specified that we used suspension. I don’t really feel small babies should be on tablets if your using this method actually. Suspension is prepared in such a way that there is no sediment to even settle when you mix it with a baby’s bottle. Therefore it literally IS 1ml per 1 fl oz if you mix it the way I instructed. If your using tablets, then you would definately have to aim at making sure that the baby took the whole feed and I would therefore make a 1-2 fl oz bottle up, or half the quantity that your baby is generally drinking per feed. This can be made in a dinky bottle no problem. I used to give Ashley his first part with his hydrocortisone suspension, florinef suspension and sodium chloride in, (which was half a feed) and then I would wind him, and then give him plain baby milk in the next part of his feed. Sometimes he would drink less than half before we needed to burp him, but I just gave him the rest and then switched to plain baby milk. As I mentioned because babies posset generally at the point where you wind them or lift them up most of the time, if you have only got 3 fl oz down them, using the suspension, you know that they have taken the 3 ml’s of meds. If at that point they do a large posset, you know what to add to the remainder. If not then you just feed them the rest in the med bottle and then top them up with normal baby milk and then burp them again
Many a time I did give him meds "before" a feed, and then the whole bottle and he brought the whole lot back because he had been SO upset when we were trying to get him to take the suspension. It was not flavored and neither would I have wanted it to be.
My thoughts are that we are all faced with different situations really. Twice to four times a day dosing. Tablets or suspension. This means that we all can choose different methods of dosing babies that best suit us. Tablets may not dissolve well so you aim for less fluid when your dosing to make sure they take it all.
Out of interest, I could post you Ashley’s growth chart "after" we started feeding him this way. I’ll try to dig it out. Because in the first 6 months he spit so much up, and they raised his twice daily dose...when we swotched to dosing as above, his growth slowed a great deal because he was getting ALL of his meds as opposed to "some" of the suspension and some being spit out. They therefore did not raise his dose for quite some time. I can remember that they kept and eye on his growth over the next ten months and at the bone age the Doctor did mention some concerns about slowed growth and we would have at that stage I believe have dropped his dose back had we stayed there in the UK, but we ended up staying in New Zealand and ended up being stuck with tablets. every time I mentioned his growth being slow, they just fobbed me off. I wanted to switch him back to suspension, but they said no that he was fine on tablets.