|
| First option (Preferred
option):
proton pump inhibitor (eg, lansoprazole 30 mg twice daily, omeprazole 20
mg twice daily, pantoprazole 40 mg twice daily, rabeprazole 20 mg twice
daily, or esomeprazole 40 mg once daily) PLUS Biaxin 500mg orally twice
daily PLUS Amoxicillin 1 gram orally twice daily x 14 days. |
| Second option
(penicillin allergic): proton pump inhibitor (eg, lansoprazole 30 mg
twice daily, omeprazole 20 mg twice daily, pantoprazole 40 mg twice
daily, rabeprazole 20 mg twice daily, or esomeprazole 40 mg once daily) PLUS
Biaxin 500mg orally twice daily PLUS Flagyl 500mg orally twice daily x 14
days. |
Third option :
proton pump inhibitor (eg, lansoprazole 30 mg twice daily, omeprazole 20
mg twice daily, pantoprazole 40 mg twice daily, rabeprazole 20 mg twice
daily, or esomeprazole 40 mg once daily) PLUS Pepto Bismol (2
tablets) orally four times daily PLUS flagyl 500mg orally three times
daily for 14 days.
|
Dual therapy regimens
using a PPI plus one antibiotic (amoxicillin
or clarithromycin) are frequently cited in the literature. However, they
cannot be recommended as primary therapy because their eradication rates
are significantly lower (60 to 85 percent) than the standard regimens.
Combination products: Helidac
(bismuth subsalicylate + metronidazole + Tetracycline). PrevPac
(lansoprazole + amoxicillin + clarithromycin) |
|
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