Regimens Recommended for Eradication of H. Pylori Infection
Drug | Dose |
---|---|
Triple therapy | |
1. Bismuth subsalicylate plus | 2 tablets qid |
Metronidazoleplus | 250 mg qid |
Tetracyclinea | 500 mg qid |
2. Ranitidine bismuth citrate plus | 400 mg bid |
Tetracycline plus | 500 mg bid |
Clarithromycin or metronidazole | 500 mg bid |
3. Omeprazole (lansoprazole) plus | 20 mg bid (30 mg bid) |
Clarithromycin plus | 250 or 500 mg bid |
Metronidazoleb or | 500 mg bid |
Amoxicillinc | 1 g bid |
Quadruple therapy | |
Omeprazole (lansoprazole) | 20 mg (30 mg) daily |
Bismuth subsalicylate | 2 tablets qid |
Metronidazole | 250 mg qid |
Tetracycline | 500 mg qid |
aAlternative: use prepacked Helidac.
bAlternative: use prepacked Prevpac.
cUse either metronidazole or amoxicillin, not both.