Formulary Monographs [MISCELLANEOUS GI DRUGS, 5640]
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MISCELLANEOUS GI DRUGS
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MISCELLANEOUS GI DRUGS
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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) |