Hi Maria- He takes Reglan 3x/day(to speed stomach emptying) and Zantac 2x/day. He also had the fundoplication which is supposed to make refluxing physically impossible, which is why he can't vomit or burp.(Can you imagine a seven year old boy who doesn't burp?!). If your daughter is doing ok with the sysytem you have now for feeds thats great. If not, you can always try backing up the rate and/or amount to something easily tolerated, then build back up slowly. He has used the Viokase successfully since he was 18mos, the dose is now up to 1/4tsp before and after the feed.