Questions in the Gastroenterology and Liver Diseases Forum have been answered by Dr. Kevin Pho who is board certified in Internal Medicine and by doctors from Henry Ford Health System.

Question Title: triple therapy for H. pylorii + ulcer ...For how long?

Forum: The Gastroenterology and Liver Diseases Forum
Topic: H. Pylori



Hello.

What is the current therapeutic scheme on a prepyloric ulcer with H. Pylorii infection?

I've found out about a therapy including

bismuth
proton bomb inhibitors
antibiotics

the question is...

bismuth (what dose? how long?)
proton bomb inhibitors (dose? how long?)
antibiotics (which? what doses? for how long?)

I'll appreciate any responses to my email:

j.l.fernandez@usa.net

Dear Juan,

There are many medical regimens that are effective for Helicobacter pylori infection. One medical regimen includes
metronidazole (Flagyl) 250 mg four times daily; tetracycline 500 mg four times daily; Pepto-Bismol tablets one tablet four times
daily for 14 days.This combination can be prescribed by your physician (if clinically indicated) as Helidac. In order to enhance
bacterial eradication a proton pump inhibitor (Prilosec [dose 20 mg twice daily] or Prevacid) or a histamine receptor antagonist
(such as ranitidine-Zantac) is usually added to these medicines. The acid suppressing medication is usually prescribed for one
month. This medical regimen if taken as directed is almost 90 percent effective. I hope you find this information helpful.

This response is being provided for general informational purposes only and should not be considered medical advice or
consultation. Always check with your personal physician when you have a question pertaining to your health.

If you wish to be seen at our institution please call 1-800-653-6568, our Referring Physicians' Office and make an appointment
to see Dr. Muszkat, one of our experts in Gastroenterology.

HFHSM.D.-ym
*Keywords: Helicobacter pylori infection, medical regimen



 

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