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Dedicated to up to date pediatric feeding and dysphagia information

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Hi, I'm Krisi Brackett, PhD, CCC-SLP,C/NDT. This blog is dedicated to current information on pediatric feeding and swallowing issues. Email me at feedingnewsletter@gmail.com with questions.

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Cyproheptadine (or periactin) to Boost Appetite

May 16, 2015 by Krisi Brackett 45 Comments

feed 23Question: I was searching your site for more information about the use of cyproheptadine as an appetite stimulant.  I recently had an evaluation with a kiddo who is taking this twice a day to increase appetite but mom doesn’t think it has helped much.  Wondering what your team does for dosage?  I have had some experience working with periactin and I remember that it was usually best to be on it for a period and then off again.  Does cyproheptadine work the same way?

 

Answer:

Cypropheptadine (or periactin) is an antihistamine (similar to benadryl), which frequently has the side effects of increase in hunger. Typically this medication is used only after a child is very comfortable having no symptoms of reflux ( such as vomiting, gagging, choking), as well has constipation managed ( stooling 1-2 times per day pudding like stools).  It is started to help jump start a child’s appetite. Often if a children’s GI symptoms are not medically managed there is not much benefit seen from the periactin.

 

The biggest side effects you see are sleepiness, and irritability. To help counteract this it is typically started once a day at bedtime. If the child does well with this after 3-7 days it is then increased up to twice per day. If the child is too sleepy, or irritable then it is reduced down to once per day. This medication typically works well for around 6-8 weeks and then the effectiveness wears off. For this reason it is often stopped x 3-4 days, and then restarted. At times to maintain effectiveness it is done 5 days on and 2 days off.

 

Victoria Powell RN, MSN, CPNP

Pediatric Gastroenterology Clinic

UNC Children’s Hospital

I have been wanting to post on the benefits of using an appetite stimulant (from the perspective of a feeding therapist) for some time now. I was reminded when I received this question from a reader.

 

Our feeding team uses many different medical management strategies to help kids feel more comfortable and eventually eat better. One of the the medicines we use is periactin to boost appetite. Tori explained how we use it but I will add that in addition to the hunger benefit, we feel it may also have a motility effect. We have some families report that their children have reduced vomiting while taking the medicine.

 

Like all medicines we use, it does not work for everyone, however, for some children we can see real benefit from it. Parents sometimes report that their children are asking for food for the first time or ask for more volume at meals. We combined the medical management (and nutritional) strategies with feeding therapy to get the best and most lasting effect. We also tend to see that over time as eating becomes easier, the children need this medicine less. They do not become dependent on it.

 

I specifically asked Tori not to provide dosing information here on the blog. If you have questions about periactin or are using it with your feeding patients please write in. If you are interested in trying it with your clients, talk with your medical team or referring physician about it.

 

I want to reiterate what Tori said above about making sure the child is comfortable from a GI perspective before adding the appetite stimulant. We have seen children that were given the periactin while still uncomfortable or were started on the medicine multiple times a day and became very sleepy. In both cases, parents were unhappy with the results.

 

However, if used correctly and the child responds it can have very positive outcomes. Typically, we start our feeding patients with gastroesophageal reflux and constipation management as well as nutritional management for caloric and nutrients needs and formula tolerance. A month later, at the second feeding team appointment is when, depending on symptoms, a child may be considered for a motility medicine or appetite stimulant. The time a child may take the periactin varies by case but most of kids use it for several months combined with feeding therapy. As eating becomes easier, and the dramatic effects of the medicine lessen, the periatin is cycled and then at some point stopped under the guidance of the GI nurse practitioners.

 

As a feeding therapist, I might also request a trial of periactin. Especially if I am working with a child who is having difficulty tolerating appropriate amounts of food, or who has poor hunger cues, or a long history of poor intake.

 

Case:

I am working with a patient now who has been struggling with intake. I have seen her a few times and have gotten her to eat 2-3 oz of puree in behavioral feeding therapy with frequent refusals and aversive behaviors. After periactin was started, the child came to therapy and I asked her Father if had noticed a difference. He said he had noticed a small difference and that she was asking to eat foods she used to eat and did seem to be eating bigger amounts. That day in therapy she accepted 10 ounces of puree easily! 2 flavors were familiar but she also accepted 2 oz of a totally new food without any refusals. I definitely saw a difference in this child. Now, we will build on this new acceptance to expand her diet and maintain age appropriate volumes of foods.

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Filed Under: Gastrointestinal Tagged With: appetite, cyproheptidine, extreme picky eating, feeding therapy, food refusal, growth chart, hunger, Pediatric Dysphagia, periactin, reflux, selective eating, speech therapy, swallowing

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  1. Becky says

    June 23, 2015 at 8:27 am

    never heard of Cypropheptadine. am glad to know that it is an antihistamine (similar to benadryl), which frequently has the side effects of increase in hunger.should talk to my pediatrician on the same.thanks for sharing

    Reply
  2. Dawn mohrbacher says

    April 5, 2016 at 6:20 pm

    My son has been on and off of this medication and it clearly has no effect on his appetite. He is severely underweight and has no natural appetite (quit self feeding at ten days and went on a feeding tube). What’s the next step?

    Reply
    • shannon says

      May 27, 2021 at 12:59 pm

      Dawn, I know this comment is many years ago, but I was curious what you have done and what improvements you have had with your child. I would love to hear from you. My child is the same.

      Reply
  3. Janet-Mary says

    May 18, 2016 at 2:40 pm

    Thanks for the write-up, it’s allayed a few fears I had. I’d however like to know if it’s safe to use cyproheptadine for babies under 1.

    Reply
  4. Janet-Mary says

    May 18, 2016 at 2:41 pm

    Thanks for the write-up, it’s allayed a few fears I had. I’d however like to know if it’s safe to use cyproheptidine for babies under 1.

    Reply
  5. Honeylett says

    June 25, 2016 at 9:10 am

    My daughter had a primary complex and was treated for 10 months. She’s turning 2 years old this August and weighs 9kgs. I tried lots of vitamins as prescribed by her pediatrician still didn’t work. On Monday we have a follow up check up and will ask this periactin to her pedia. But I think this med is not available here in our country (Philippines).

    Reply
  6. hanmyo kyi says

    August 26, 2016 at 3:44 pm

    Is it safe in children 1year and 6month age?

    Reply
  7. Sage says

    December 15, 2016 at 11:57 am

    My 6 year old just started Periactin twice daily. She’s underweight., a struggle for 5 years now though we did make good momentum upward between ages 3.5 and 5 but dropped back to 13 percentile. We had a lengthy discussion with the G.I. but I’m not for remembering or maybe understanding but we’re essentially using this along with Nexium twice today to see if it’s possible for her to gain the weight comfortably before jumping to scope her to look for something like EOE. Allergy, stool and thyroid labs were all normal as a toddler.
    We’re only on day 3 of 2.5mg BID and I’m definitely not noticing an appetite change yet. I see “irritability” is mentioned above, would mood swings sound right st this age? She’s a very emotional child but overwhelmingly well-behaved and usually only has trouble coping with little things without an emotional outburst if she is overly tired which I don’t believe she has this week. The medication does not seem to make her sleepy in the waste however unless it is going today and then about 30 to 45 minutes after each does she have had a major breakdown of frustration over something very small. One time it was because it was 30° out and I made her wear a winter coat that she said made her look ugly then last night as another example is playing with make up before that and thought she made her eyebrows look ugly so she had a big meltdown. Two minutes later though she can be absolutely fine but then she got cold in the bathtub and was a mess crying to get out of the bath. So an emotional rollercoaster!! Does this sound typical of the drug or likely coincidence? Her G.I. doctor wanted to start with a smaller dose so doesn’t make her sleepy. Is this does too small to even be affective as it does not seem to be increasing appetite in fact she weighed last night had a half a pound less than the average she has been for the last three or four days. She hasn’t joyed seeing her progress in the last two months so she chooses to get on the scale most nightS.
    And I realize as a pediatric nurse that this is all very complicated but I appreciate any insight. I definitely see with the pound and a half that she has gain since the end of September she looks healthier and I believe she needs to gain another pound or two but I also see her next to her peers and sometimes it is hard to believe all of the Pediatrician in G.I. doctors worries. I worry that she seems to need reflux medicine and I worry when she seems to eat less than the one-year-old me babysit but she is the youngest in her class by up to a year and is the same height as all the other children and even the same exact weight as a few of her good friends. She has a normal stool once every day and she sleeps well and is entering a gifted program. She has never had any swallowing issues ever outside of maybe a week this summer when she said it felt funny when she was swallowing but that resolved on its own. She also has no serious aversions by the definition that I know.

    Reply
    • Sage says

      August 13, 2017 at 11:23 am

      Update: this drug has its challenges ( like emotions at times!) but now we can do even just 3cc once daily or even every other day and she’s gained 6 pounds since September. Looks healthier and can wear clothing better! She’s on the growth chart again and our main concern was her vertical growth stopping from age 5-6. Now going on 7 she is as tall as her peers and almost a full year younger. She has grown like a weed since December. The behavior and emotional roller coaster weren’t an issue with small doses twice daily after a few weeks. It’s more now that I’ve drastically reduced the amount and frequency since her weight is currently small but healthy. Double edged sword.
      But she’s FAR more willing to try foods and consumes drastically more when on the Med.

      Reply
  8. Zulay says

    April 13, 2017 at 11:38 am

    Hi
    I am Zulay and i have been reading your page.
    You see….I have a granddaughter that is 2 years old.
    She has continually colds and even without having colds her apetite is gone.

    I remember my sister was the same way. My mother gave her Periactin and it helped her.
    This was ofcourse decades ago and when we were living in Venezuela.
    We are now in Holland and the doctors here don”t believe in medicine and they”re not helping my granddaughter at all.
    My daughter is broken and can’t stop crying.
    The baby”s weight is 10kg that is more or less than 20 lbs and that is just too little for a girl of 2 years and 5 months old.
    She has no sickness or vomid or diarrea….nothing like that.
    Only colds. Teething and she just hates food.

    Please help me.
    I wanted to buy the periactin and give it too her myself.
    But a little service first is better.
    I really hope to hear from you soon.
    My daughter is desparate.

    Thank you

    Zulay Romero

    Reply
    • Sage says

      April 13, 2017 at 4:53 pm

      Wow. I’m so sorry. I’m not a doctor here but the psychology of feeding little ones is so strong I wonder if since you say she “hates food” she has actually created some aversions . We had great success with the Ellyn Satter DOR methods when my daughter was ages two until four. Our pediatrician and G.I. doctors as well as all of the nutritionist I work with all believe in her methods. When my same daughter got older though she just has a natural tendency towards liking healthier foods and junk food like potato chips but nothing in between. With her tiny appetite she stopped growing vertically and that’s when they got worried. Periactin was a rough start with a lot of emotional highs and lows and if we take the drug holidays where we stop at for a week every few weeks as recommended we have the emotions all over again so I just don’t stop . It has worked wonders for us though and she has put on almost 5 pounds in about five months. She legitimately eat a lot of garbage but the doctors say that calories are more important for her right now then even nutrition. But for example now instead of a tiny bowl of cereal she will eat two or three toaster strudels which give her 4 to 600 cal before school . Yes there is a lot of sugar in there as well but at this point everybody is just happy that she’s growing and when her stomach is stretched and used to eating the same amount of food as normal children then we will probably be able to go off of medication and even now we are getting more of those healthy foods and it’s just that they have no calories. The liquid coconut cooking oil that is flavorless and stays liquid at room temperature has been a godsend for us because I can mix 130 extra calories with just 1 tablespoon into a tiny bit of yogurt and she has no idea. Milkshakes do not work because she does not like them unless they are the ice cream type and Pediasure has too much protein so she gets too full and won’t eat anything else. .
      Anywhere I feel for you because it is such a struggle and I wish her doctors would help you saying that you were willing to try anything but honestly I wonder if your next step should be to take her to a nutritionist that specializes in pediatrics and from there she could recommend whether she thinks a feeding therapy or appetite stimulant could be beneficial. The other thing to consider since you mentioned that she has chronic colds is could she have something like a sinus infection that is rendering her no taste ? Or could there be anything else going on that is making her have zero desire to eat ? Like will she eat garbage if she is allowed or does she not even want that ? Our beloved G.I. doctor literally prescribed our family a dinner or lunch at the local pizza buffet that my daughter states is her favorite restaurant once a week or more. It’s fantastic now on the Periactin to see her go to her favorite restaurant and eat an entire plate full of food . We were on vacation last week and a few days we even skip the dose of Periactin and she still ate well. She has more energy and she was happier when she has enough calories to carry through her day!
      I wish you the best of luck and keep advocating for your granddaughter. I am a pediatric nurse and a mom and I know that children grow at all different rates and some are just small So long as they stay on their growth curve!! It’s when the growth stops that’s we worry.

      Reply
      • diane curry says

        July 28, 2017 at 4:33 pm

        what a wonderful reply, packed full of nuggets of great information and positive advice.
        Thanks for sharing.
        I work with kids on behavioral medications, and this is quite helpful, filled with practical advice and suggestions I will share with them.

        Reply
  9. Mary B says

    July 6, 2017 at 8:42 pm

    My bother who had a stroke in February 2017. Stopped eating about two months ago, he says he doesn’t want to eat, has no taste for food.. He smokes constantly, has lost so much weigh. Do you think Cyproheptadine will help him?.?

    Reply
  10. Adjoa says

    August 9, 2017 at 6:46 pm

    My baby is a year old who has feeding disorder,
    What should I do?

    Reply
  11. tabassum says

    August 10, 2017 at 10:35 am

    i am in hyderabad my child is 7 years old bus he is thin he was not eating food . weight is onl 14 kg please send me cyproheptadine syrup/powder name i search but hyderabad in not available . medical store

    Reply
  12. Oluwakemi Fifo says

    August 12, 2017 at 2:58 pm

    An awesome site for mothers

    Reply
  13. Ngoc N. says

    September 8, 2017 at 11:48 pm

    I had a twin boy and they really picky eater … they are 19 month now and only 20 lb. should I give them using this medicine ???

    Reply
  14. Abi says

    October 26, 2017 at 1:35 am

    Using peritol for my 9months old who refused for feeds all of a sudden,still scared of its dependancy.please advise

    Reply
    • Sage says

      October 30, 2017 at 12:25 am

      Honestly I don’t want mine dependent on meds either so we used it to get her up to a somewhat healthier weight and interested in eating again and stopped daily use. I really hope your MD amd GI are involved as yours is very little and should have a good appetite naturally. Or st least the desire to eat even if little. Don’t be afraid to ask for help. These early years set up their earing attitudes for a long time. Ellen Satter DOR helped us a lot at age 4 then it didn’t when an allergic toddler and traveling spouse at the time changed our cooking and eating routines. Great books. Highly recommended by nutritionists and specialists.
      Now we use periactin sporadically. Three milliliters (3cc) once daily or every other day or even less frequently when it seems we arent eating even like a bird. It makes a drastic difference for us. She is slightly more willing to try things as well. A child who quits eating altogether or has no interest in eating beyond an illness in my book needs an MD or GI appointment asap, but you have already been for the problem. Our GI used a PPI and periactin as a little test before going a scope. His thought was if she starts eating more, it’s likely a hunger ( lack of) problem over a disorder like EOE. Then I did a lot of high calorie foods -some were awful like Cheetos , weekly pizza buffet, coconut cooking oil in everything and toaster strudels. She stopped growing so MD, GI, and nutrition said to get her eating first and calories in and work on nutrition later. We needed it, might not be for everyone.
      Good luck with your sweet one!!! It’s so hard !

      Reply
  15. Allisa says

    November 18, 2017 at 9:13 pm

    I have been taking periactin for about two weeks now, I am 17 and have struggled with appetite issues for years. This is the only thing that gives me motive to eat but on days I don’t take it I again don’t want to eat. Does this mean I will only get the appetite benefits while on it? I have finally gained some weight and don’t want to continue gaining weight if I’m going to lose it all again as soon as I’m dome taking it

    Reply
  16. Nanfuka Margret says

    November 24, 2017 at 1:45 pm

    My child does not have appetite for food and drinks.

    I was given toractin tablets to administer, she improved slightly but if i do not give her the medicine she does not want to eat, what should i do?

    Reply
  17. Pozisa says

    December 14, 2017 at 5:01 pm

    My child does not have appetite we struggle when it is meal time, as a result her wait has droped and also her stool is always hard as she is constipated all the time. Can you advice me with anything that i can use because it is worrying me.

    Reply
  18. Natasha says

    November 28, 2018 at 2:52 am

    Need help my son doesn’t eat all day. N I don’t know what to do. His school says he doesn’t eat his lunch. Only drinks juice. His doctor said if I could find a prescription she will write it for him.

    Reply
  19. Apoorva says

    January 19, 2019 at 6:28 pm

    Hi thank you for the information
    My son is four month old and been refusing the Fedd when awake he just cries n cries but won’t take a sip or latch on , once we put him to sleep he will take the bottle just fine
    So my feeding therapist told it’s purely behavioral so try to wait till he gets super hungry n give him bottle still no luck with day two do u think we are doing the right thing or should we continue dream feed
    Whenever gets hungry he cries n cries n we had to put him to sleep then he takes the bottle that’s with every feed
    Please she’d some light for me on this! Thanks

    Reply
    • Sun says

      February 5, 2019 at 2:05 pm

      I had the same issue and I started dream feeding and feeding with distraction when awake. Now he is 15 months old and If I dont feed him with distraction, he is happy without food for hours even for an entire day. We may do endoscopy soon. He has reflux and is on nexium once daily. If I have to guess, I think he had reflux, severe one, since birth which went unnoticed by his ped even though I gave her some of the classic symptoms of silent reflux. By the time he was diagnosed and treated for reflux, think he already had aversion towards milk and no matter how much I tried I was not able to get him to drink milk willingly..My point is, don’t dreamfeed your baby. Don;’t distract him. He should drink milk willingly and if he does not he may have some GI issue and you need to work on that. Dream feeding may work now but it won’t in a few months. Trust me. What I am going through now, i won’t even wish it on my enemy.

      Reply
    • Neha says

      September 30, 2019 at 5:48 am

      Going through same. I am dreamfeedjng my 16 mon old since she was 3 mon old. She has severe reflux since birth. I am sure it is with reflux or GI issues for ur kid too

      Reply
  20. Mercy says

    February 17, 2019 at 7:25 pm

    Am 25 of age 46kg(weight)can cyproheptadine help me in gaining weight

    Reply
  21. Sara Eidson says

    October 17, 2019 at 3:29 pm

    My child’s been having constipation problems for over a year now. She is 3. All her blood work and x-rays have came back fine. She eats & snacks all the time. The only time she doesn’t really eat is when she’s been constipated and her tummy is hard as a rock. But she will keep drinking her liquids. We just recently saw a GI doctor who put her on this medication. She did lose 2 pounds since her last check up. Is 5ML to much to be taking at bedtime?? Seems like a lot to take for a 34 pound child. Plus will this medicine even help her with constipation ? She was taking miralax for several months once a day but I’m starting to wean her off of that now. What do you think about all this? Thank you so much – Sara

    Reply
  22. Pat Kirkland says

    January 6, 2020 at 4:55 pm

    This was given to my elderly husband as appetite stimulant.4mg at bedtime.taken 1 wk no difference.has been dizzy but was 12 hrs after intake,dont think connected.seems like a low dose

    Reply
  23. Julianna says

    January 13, 2020 at 8:26 pm

    Hello, my daughter is 2 years old she never accepted formula or milk she is struggling to eat and the doctors here in Toronto have been no help to us. I’m desperate what can I do ?

    Reply
    • shannon says

      May 27, 2021 at 1:06 pm

      Julianna, Have you figured anything out yet with your daughter? Has she had feeding issues since birth?

      Reply
  24. Fatemeh says

    March 5, 2020 at 9:24 pm

    Hi
    Thank you for useful information
    I have a daughter. She’s 27 months old. She’s underweight(10 kilogram).from the first, she had low appetite. But,from 6 mounts ago when she was 18 mounts old,her appetite became very very low and her father and me was fullstress. I consalt with her doctor to started drug and he described racip for one month. Her appetite became good and she ate more amount food. But then doctor discontinued it and again her appetite dropped. We(her father and me) started racip again without get permit from dr.
    I think he can’t understand our situation.
    Now I give racip her 3-4times in week and has positive effect. She has normal appetite now.
    Doctor said we should discontinue it suddenly for one mount and again start (one month give racip and one month off)but after off my duagher become nervous and don’t eat any food.
    Please help me and give me the best way for use ciproheptadin for my kid
    Thanks so mush

    Reply
  25. Ndangeseraphine says

    March 7, 2020 at 7:45 pm

    I need this for my baby aged 1year 7

    Reply
  26. Fatemeh says

    March 31, 2020 at 9:28 am

    Hi
    Thanks for useful information. I have a daughter. She’s 28 mounths old.Now her weight is 10 kilogram and her height is 86 cm. (based last data from 2 month’s ago).
    Her doctor prescribed cyproheptadine for her almost 6 months ago and after 1 month, discontinued it.But her appetite dropped again as we(Her father and me)became very tired and started cyproheptadine for her without doctor’s permission.
    Now we have stress about this drug because when we stopped it,her appetite decreased and don’t eat anything.
    Please help us.
    Thanks

    Reply
  27. Precious says

    May 3, 2020 at 10:28 am

    Please what mg of cyproheptadine should be used on a baby of 9 months old, thanks.

    Reply
  28. Kelly says

    May 21, 2020 at 3:56 pm

    Good,my toddler has lost appetite,no temperature,
    Can I give the appetizer

    Reply
  29. Edith says

    October 10, 2020 at 7:49 pm

    Hello,

    My son has been on and off this medicine since he was about 7 months old. He is currently 13 months. Al thought the medicine is working I worry about side effects. I brought this up to his GI who assure me this is safe like Benedryl. Seeking a second opinion here. I care to know what your thoughts are. Hope to hear from you soon. Thanks in advance!

    Reply
  30. Diane says

    January 28, 2021 at 7:27 pm

    Hi, my daughter is 2yrs, 7mnths old and doesn’t eat much n when she tries to she’s picky. Doctors keep saying to leave her be bcos since birth she’s never declined in weight. She’s schooling now n won’t eat in school n when her teacher makes her eat she vomits it out. Should I give her a booster n if yes pls recommend

    Reply
  31. Shuga says

    April 17, 2021 at 6:09 am

    Can I give my 7 months old baby cyprivit

    Reply
  32. Akanksha Gupta says

    August 20, 2022 at 9:20 am

    My child GI gave him this medicine, because he wasn’t drinking at all. 1 oz here and there. We started this medicine 1 month ago. Now he is 9.5 months. I saw a huge difference immediately but he is back again to 2 oz in 2.5 hrs. And nothing overnight. He does not want to eat solid either. 1-2 spoon after so much distraction. What should I do. He had lip and tongue tie released a week after his medicine was started. He was doing well but he suddenly stopped drinking again. Please help!

    Reply
  33. Denise says

    June 7, 2023 at 2:23 pm

    In the fifties, my doctor gave me this tool to pick up my appetite. It did work, does this change anything in the brain? Ever since then I have struggled with my weight my whole life. I think it would be beneficial to do a study. I’d be interested in knowing if any other person has had the same experience.

    Reply
    • Jenny young says

      March 9, 2024 at 9:15 pm

      I wonder if you were ever tested for why you needed to increase your appetite? This medication definitely increased my sons appetite dramatically. After looking into side effects and different things that is not one of the side effects. However, we are testing to determine the cause of his decreased appetite because he never had it before like this. Something is going on and we have to figure it out. We have done medical testing and they said everything was normal and there’s nothing else they can do. His G.I. doc put him on this and it helped a lot but it is starting to not help anymore. We are getting testing done this week from a functional medicine standpoint . They are looking into pandas. It actually changes something in the brain to cause the decreased appetite. I am actually hoping it is something simple because no one seems to know what to do with him

      Reply
  34. Jenny young says

    March 9, 2024 at 9:09 pm

    My son was put on this medication recently. He is 17 years old. It was doing wonderfully and he was able to eat and not gag but he refused to take breaks on it. His doctor never suggested taking breaks. I just heard that from other speech therapist since I am a therapist as well. I work with adults though. He is starting to have more difficulties and is finding that it is working as much I am assuming because he refused to take any breaks in about six months. Will the appetite increase again and the symptoms that were subsiding on the med go away again if he takes a break from it for about a week or do you know? He is getting ready to go in to be tested for pans or pandas this week. However I would really like something to help him while he is struggling until we figure out what the problem is. Thanks

    Reply
  35. Squim says

    November 25, 2024 at 2:04 pm

    My son is 12 and has suffered from no appetite and extremely underweight. We’ve been on this medicine and it does work, only when my son’s GI is under control. He takes famotidine and with his stomach being happy we are definitely noticing the periactin working.

    Reply
  36. Emma says

    April 23, 2025 at 12:05 am

    Hi, I have been taking this medication for about 2 months. I recently got off of it ar 3 weeks ago. I was wondering how long will the medication take to fully leave my system, making me less hungry. Does this affect my appetite full term?

    Reply

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A Gold Standard for Meals with Children Using NG Tubes

Post by: Nick HopwoodTube feeding is becoming more common among children. Increasingly, tube feeding continues after families are discharged from hospital. So, it is important that parents and carers are confident and comfortable in feeding their child in a safe and enjoyable way – at home and in other places where mealtimes would normally happen.There are important medical and safety aspects of Keep Reading >>

Feeding Treatment

Universal Aspects in Feeding Intervention

Let's talk about universal aspects in feeding interventionThis is any idea I have been playing around with for awhile now. We all know that there are different strategies and philosophies in feeding treatment. This is a good thing- we need many Keep Reading >>

Understanding Parenting Styles in Feeding Therapy

As feeding therapists, we work closely with caregivers and parents. Perhaps our biggest success in feeding intervention is helping a parent be able to feed their child. One way we do this is to help caregivers understand their child's cues and how to Keep Reading >>

Involving Caregivers in Feeding Therapy

Feeding children is a dyad between the child and their caregiver who is responsible to buying, preparing, and presenting food. In all of my classes whether it be for professionals or graduate students, I talk about the importance and benefits of Keep Reading >>

Adapted Baby Led Weaning

Information from Jill Rabin CCC-SLP/L, IBCLCI wanted to share some resources for adapted baby led weaning from Jill Rabin. I was lucky enough to catch a free seminar last month from Jill which inspired me to add in some of these techniques to my Keep Reading >>

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Swallowing

Implementing FEES for Infants in CVICU & NICU

BackTable / ENT / Podcast / Episode #165Implementing FEES for Infants in CVICU & NICU with Olivia Brooks, SLPIn this episode, pediatric speech language pathologist (SLP) Olivia Brooks (University of Florida Shands Hospital) shares her experience Keep Reading >>

What is a MBSS- video for kids

I wanted to share a video we made to help children coming to UNC for a modified barium swallow study. Please share with your clients if you think it is helpful. It's also on our feeding team page Keep Reading >>

Swallowing Difficulties May Be Caused by Misfiring Neurons

in Genetic Engineering & Biotechnology News (GEN)Pediatric dysphagia (swallowing difficulties) is a frequent and serious clinical complication in a large number of clinically defined neurodevelopmental disorders including the genetic childhood Keep Reading >>

Swallow: A Documentary- Dysphagia

Nice Documentary on Dysphagia from the National Foundation of Swallowing Disorders. Keep Up the Good Work Everyone! Keep Reading >>

Oral-Motor and Sensory

Impact of Oral Motor Impairment in Infants with Poor Feeding Webinar

Impact of Oral Motor Impairment in Infants with Poor Feeding Presented by Debra Beckman, MS, CCC-SLP, https://www.beckmanoralmotor.com/A few weeks ago I had the pleasure of attending a wonderful free webinar presented by Debra Beckman, MS, Keep Reading >>

Musculus masseter pars coronidea

Scientists Just Identified a Brand New Muscle Layer in The Human Jaw DAVID NIELD23 DECEMBER 2021 It turns out there are still exciting new discoveries to be made in a field as well-studied as human anatomy: researchers have confirmed the existence of Keep Reading >>

Poster: Child Cain’t Chew

This poster from 2018 was shared with me by Sally Asquith who gave permission to post here. The objective of this study: REVIEW CURRENT LITERATURE PERTINENT TO THE ROLE OF ORAL-MOTOR DEVELOPMENT IN DX AND TX OF PFD. COMPLETE A RETROSPECTIVE CHART Keep Reading >>

The Sensory-Motor Approach to Modified Baby-Led Weaning for Babies with Feeding Challenges

by Jill Rabin & Lori Overland Baby-Led Weaning has become “all the rage” with many parents choosing this method of transitioning their little ones to solid foods. Everyone is jumping in, with speech pathologists, dietitians, occupational Keep Reading >>

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Case Studies

Challenging case with advice from Suzanne Evans Morris, PhD

In this post, I have described a challenging case  and solicited advice from Suzanne Evans Morris, PhD, one of the experts in our field. Suzanne graciously provided commentary and advice and challenged me to look differently at the feeding Keep Reading >>

Complex Case – Changing Therapy Strategies When Needed

Complex Case - Changing Therapy Strategies When Needed*I shared this case with Suzanne Evans Morris and she provided some   guidance and analysis at the end. Hope you enjoy John is a 6 year old male with a complex medical history:Downs Keep Reading >>

Feeding Harley

I am excited to share Harley’s story, written by his Mother about her journey to help her son wean from his g-tube and become an oral feeder. Thank you Liz for sharing and inspiring us all to continue looking for answers! I feel I do need post a Keep Reading >>

Cases From Clinic

Cases From Clinic This is my second post highlighting some of our kids and how we provide multidisciplinary intervention using a medical/nutritional/behavioral approach. I post this hoping it might give some treatment ideas to clinicians. There Keep Reading >>

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  • A Gold Standard for Meals with Children Using NG Tubes
  • Feeding Matters – Get Curious!
  • Universal Aspects in Feeding Intervention
  • Handout Info- Feeding and Syndrome Info
  • New Research: The efficacy of 3-ounce water swallow test as a screening tool for dysphagic children: a study in a tertiary hospital. 

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