Download Probiotics for Pediatric Patients

Probiotics for Pediatric Patients
Probiotics are beneficial bacteria normally present in the digestive tract. These friendly bacteria promote gut
health, help prevent an overgrowth of yeast and other pathogens, and create a positive environment for the manufacture of B-complex vitamins and vitamin K. Common strains include Lactobacillus acidophilus and Bifidobacterium bifidum. Cultured or fermented foods (such as buttermilk, yogurt, kefir, and tempeh) are also sources of these
beneficial bacteria.
COMMON APPLICATIONS
MOST APPROPRIATE
STRAIN(S)
DOSAGE/FORM
DIRECTIONS
PRODUCT
RECOMMENDATIONS
Antibiotic Associated
Diarrhea
S.boulardi, Lactobacillus
GG, and Bifidobacterium
bifidum L.acidophilus
B.Lactis
20 to 100 billion CFU
(colony forming units) per
day. Powdered form or
decapsulated for younger
children. Can be mixed
with food (i.e. applesauce
or yogurt).
Stagger dose with antibiotic dosing. Duration
ranges from 2 weeks to 3
months. Rule of thumb:
take probiotic for at least
twice as long as antibiotic
therapy lasted.
• Proboulardi from
Metagenics
• Ultra Flora Plus DF from
Metagenics
• Florasmart from Renew
Life
• ABx Support from Klaire
Clostridium difficile
S.boulardi and
Lactobacillus GG
10 billion CFUs per day
2 capsules per day in
addition to prescribed
antibiotic
• Jarrow S.Boulardi
Gastroenteritis
Lactobacillus GG
Powdered form or
decapsulated for younger
children.
10 to 14 days at 10 billion
CFUs per day
• iFlora Powder by
Sedona
• Culterelle by Amerifit
Nutrition
Ear Infections
Streptococcus Salivarius
1 billion CFUs
1 to 4 lozenges per day
• E.N.T Biotic Lozenges by
Protocol for Life Balance
Irritable Bowel Syndrome
Lactobacillus Plantarum
299v
225 to 450 billion CFUs
per day
1 to 2 capsules per day or
½ to 1 packet per day
• VSL #3 packets or
capsules by Sigma Tau
DISEASE
STORAGE REQUIREMENTS
Follow label instructions. Some products are shelf stable while others require refrigeration.
POTENTIAL SIDE EFFECTS
Most common side effects are gassiness and bloating, typically resolving itself after about two weeks of probiotic usage.
Apothecary by Design | 84 Marginal Way, Suite 10, Portland, Maine 04101 |
PH: 207-899-0886
|
FX: 207-773-2942
Omega 3 Essential Fatty Acids (EFAs)
for Pediatric Patients
Omega-3 EFAs promote and support the health and function of our cardiovascular, central nervous and immune
systems as well as our brain, retina and joints. They are typically found in coldwater fish, seeds, nuts, and their oils.
The three types of Omega-3 EFAs are Alpha-Linolenic Acid (ALA), Eicosapentaenoic Acid (EPA) and Docosahexaenoic Acid (DHA). ALA is a medium-chain fatty acid derived from plant sources while the long-chain fatty acids,
EPA and DHA, are predominantly sourced from fish or krill. Since our bodies require preformed long-chain fats for
optimal health and the typical American eats very little fatty fish, supplementation is strongly suggested.
COMMON APPLICATIONS
DISEASE/APPLICATION
DOSAGE/FORM (BEST TAKEN WITH A MEAL)
PRODUCT RECOMMENDATIONS
Breastfeeding
1 to 2 grams per day of EPA and DHA combined.
Higher ratio of DHA to EPA recommended with a
minimum of 300 mg of DHA.
• Prenatal DHA Capsules by Nordic Naturals
• Vegetarian DHA by Source Naturals
• Neuromins by Natures Way
Children’s Supplement
¼ tsp. liquid fish oil daily for infant (6-9 months of
age). ½ tsp. daily for children 1-2 years old. 1 tsp.
daily for children over 2 years.
• Carlson for Kids Fish Oil
• Pure Encapsulations Cod Liver Oil Lemon
Body weight :
• Nordic Naturals Baby’s DHA with Vitamin D3
5 to 10 lbs — 1ml
11 to 20 lbs — 2 ml
21 to 25 lbs — 3ml
26 to 35 lbs — 4ml
Eczema
6 grams per day of EPA/DHA combined until
improvement is seen then titrate down by 2 grams
to maintenance dose of 2 grams/day
• Nordic Naturals Ultimate Omega (0il or capsules)
Asthma
2 grams per day of EPA/DHA combined
• Carlson Very Finest Fish Oil
• Metagenics EPA-DHA Extra Strength (capsules)
ADD/ADHD
2 grams per day of EPA/DHA combined
• Nordic Naturals DHA Junior Strawberry
STORAGE REQUIREMENTS
Follow label instructions. Store in dark container in the refrigerator, freezer, or cool cabinet.
POTENTIAL SIDE EFFECTS
May experience a fishy aftertaste or repeating. Typically is managed by ensuring product quality and refrigeration/
freezing allowing product to dissolve lower in the GI tract.
Contraindicated due to clotting disorders or allergies.
Apothecary by Design | 84 Marginal Way, Suite 10, Portland, Maine 04101 |
PH: 207-899-0886
|
FX: 207-773-2942
Vitamin D for Pediatric Patients
Vitamin D promotes calcium absorption in the gut and is critical for bone growth and remodeling. It also supports immune health and plays a key role in helping to reduce the risk of cancer, diabetes and heart disease. While vitamin D is
found in milk, tuna, mackerel, sardines, and some other fortified foods like cereal, up to 70% of children in our country
are vitamin D deficient (according to a study in Pediatrics journal). Supplementation can help counteract decreased D
levels and support disease prevention throughout life.
Vitamin D supplements are recommended for children of all ages to help fight disease though doses vary. It is best to
refer to the standard recommended dietary allowance (RDAs). Visit the Council for Responsible Nutrition (crnusa.org).
COMMON APPLICATIONS
AGE
DOSAGE/FORM (BEST TAKEN WITH A MEAL)
PRODUCT RECOMMENDATIONS
Newborn – 2 years old
400 International Units (IU) daily
• Baby D Drops from Carlson
2 – 12 years old
600-1000 IU daily
• D Drops for Kids from Carlson
POTENTIAL SIDE EFFECTS
Contraindicated in kidney and granulomatous disease. Toxicity is a possibility so monitor blood levels including
serum calcium and manage by self-correcting and decreasing dose.
Apothecary by Design | 84 Marginal Way, Suite 10, Portland, Maine 04101 |
PH: 207-899-0886
|
FX: 207-773-2942