Gosh, sorry, scaremongering wasn't my intention at all - in fact we got omeprazole for my daughter at 3 weeks old.
Sadly for us it didn't work, as we have deeper rooted issues it seems. Ranitidine only worked v briefly too and now we're on a whole raft of horrible meds (ketotifen nalcrom, montelukast). I'm not anti-meds, I promise. I was just meaning that as a starter ranitidine is a gentler one to try FIRST as its an H2 receptor as opposed to a PPI.
God knows we all do whatever works for us. Omeprazole is v widely used, rightly so. By long term we're talking years and years, which isn't the case for most kids. If you're lucky enough that omeprazole negates the issue and you can then progress to decrease it without issue then that's brilliant, and I'm sure in straight reflux (so just the immature tummy muscle) that works fine.
I'm probably coming from a skewed perseoctive where allergies and other conditions are at play and it isn't just 'straight' reflux, and seeing friends with older children on crazy doses of PPI struggling to decrease. They are the other end of the spectrum, I'm sure.
I guess my point was that sometimes just stopping the acid isn't enough ....... a little acid can be needed to keep nasty tummy germs at bay we were told (we are also under a highly respected gastro paed at Gt Ormond St who is the guy who's told us all this).
My first DD had 'straightforward' reflux, and she did great on her meds and is doing great now age 7 (albeit with a bit of ENT issue from the refluxing), my second reflux baby (now toddler - reflux not cleared up by 2) is a little more complex, with some allergies & immune issues at play meaning usual meds aren't really helping us, so I've just got a bit of a broader range of opinion on this now.
I would always try ranitidine first, then always definitely got to omeprazole. But what I mean is, try not to keep on pushing that dose up to crazy amounts over long periods (and here I have to say, I don't find 10mg high, I'm not including you in that - I'm talking 30/40) if it isn't doing much other than a short term gain - maybe investigate other plans. Thats' all I meant. It's the go to drug to try initially (after ranitidine) and I agree with its use as a short term thing.