Mickey buttons and lansoprazole capsules

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  1. This is a discussion on Mickey buttons and lansoprazole capsules in Pediatric Nursing, part of Nursing Specialties ... I open the capsule and mix the ingredients in water or apple juice. The little white granules...

    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.
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  3. 23 Comments so far...

  4. Have you tried applesauce? Works well with PEG/J/ NG tubes. Use just enough to mix the beads in
    Blackcat99 likes this.
  5. 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.
  6. Quote from 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.
    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?
    wooh and Blackcat99 like this.
  7. I was told that medicaid refuses to pay for the liquid formulation.
    Blackcat99 and fiveofpeep like this.
  8. 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 likes this.
  9. 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.
  10. do you have fast tab its an oro-dispersibe form of lansoprazole, or get pharmacy to supply sodium bicarbonate to dislove te beads
    wooh and Blackcat99 like this.
  11. 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.
    Blackcat99 likes this.
  12. Asst. Admin
    So Medicaid would rather pay for replacement Mic-Keys. That sounds about right.
    pedshemoncRN:), mustang 66, wooh, and 3 others like this.