Mickey buttons and lansoprazole capsules

[Blackcat99]

I open the capsule and mix the ingredients in water or apple juice. The little white granules always block and clog up my patient's mickey button. What can I mix it with to put a stop to the clogging of the mickey button? Thanks for any advice.

[nurseheatherMDSPCC]

Have you tried applesauce? Works well with PEG/J/ NG tubes. Use just enough to mix the beads in

[Blackcat99]

I use to work in LTC many years ago. I had forgotten how we always used applesauce. Yes, I will try applesauce with this med too. Thanks for your help.

[KelRN215, BSN, RN]

I open the capsule and mix the ingredients in water or apple juice. The little white granules always block and clog up my patient's mickey button. What can I mix it with to put a stop to the clogging of the mickey button? Thanks for any advice.

Lansoprazole also comes in liquid formulation. Those little beads are darn near impossible to get down a tube... why not just have the liquid formulation ordered?

[caliotter3]

I was told that medicaid refuses to pay for the liquid formulation.

[LoveMyBugs, BSN, CNA, RN]

try applesauce or at my facility we use pearsauce as it is more watery, mix the applesauce with just a few drops of formula and the beads and make a slurry stype solution

[Blackcat99]

Thanks all for your help. I would love to try the liquid formula. Unfortunately, my patient is on medicaid. Pearsauce with a little formula sounds good too.

[ayla2004, ASN, RN]

do you have fast tab its an oro-dispersibe form of lansoprazole, or get pharmacy to supply sodium bicarbonate to dislove te beads

[KelRN215, BSN, RN]

Hmm... I have never known that to be an issue, at least not in this state. I have never even known our pharmacy to question an order, be it for brand-name only, liquid formulation, whatever it may be, because of a child's insurance. Medicaid is a state program, though, so I guess it differs by state. I have patients on medicaid who are on brand-name medications when generics exist, who are on compounded medications, special formulas, etc.

[NotReady4PrimeTime, RN]

So Medicaid would rather pay for replacement Mic-Keys. That sounds about right.

[Pappilli0n]

not sure what a "mickey button" is but I'll assume it has something to do with a feeding tube...either the doctor needs to change the prescription or the pharmacy might could suggest a generic to the med or saline vs. water flush or coke flush, or you give it bit by bit with LOTS of water (IF the doctor says that's okay for the patient's wellbeing). Just remember, keep the patient's wellbeing at the top of your list and good luck.

[NeoPediRN]

Try mixing it with warm cranberry juice.