| H. Pylori Treatment In the treatment of H. pylori no one regimen can be considered definitive and consideration includes cost, compliance, side-effects, and efficacy. Patients unable to tolerate metronidazole would be better served by the 10-14 days regimen including Ampicillin. Please note that these regimens should be used with proven diagnosis of H. Pylori. 1. 10 - 14 Day Regimen • Proton Pump Inhibitor - twice daily dosing • Ampicillin 1g - twice daily dosing • Clarithromycin 500mg - twice daily dosing 2. 10 Day Regimen (for patients resistant to penicillin) • Proton Pump inhibitor - twice daily dosing • Metronidazole 400mg - twice daily dosing • Clarithromycin 250mg ◦ twice daily dosing • Pepto bismol 2 tbsp four times daily (help to over-come the metronidazole resistance) |
