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Antiinfectives
General Rx
Renal Rx
Transplant Rx
Pkinetics
Educational
KidneyWorks
Clinical Tools
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Treatment of Helicobacter pylori
Bismuth/Tetra/Metro "Triple Therapy" (with acid reduction)
cure rate 95% in 7-14 days
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- Famotidine 40 mg PO qd
(or an equivalent dose of an alternative H2 blocker)
or Omeprazole 20 mg PO qd (or an equivalent dose of an alternative PPI)
- Tetracycline 500 mg PO qid
- Metronidazole 250 mg PO qid
- Bismuth subsalicylate 2 tabs PO qid
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Omeprazole, amoxicillin, metronidazole
cure rate 90% in 7 days
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- Omeprazole 20 mg bid
- Amoxicillin 500 mg qid
- Metronidazole 250 mg qid
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Omeprazole, clarithromycin-metronidazole
cure rate 90-95% in 7 days
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- Omeprazole 20 mg bid (or 40 mg qd)
- Clarithromycin 500 mg bid
- Metronidazole 500 mg bid
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Omeprazole, amoxicillin, clarithromycin
90-95% cure in 14 days.
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- Omeprazole 20 mg bid
- Amoxicillin 500 mg qid
- Clarithromycin 500 mg bid
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| This heavy-duty regimen should only be used if the patient has already failed on other therapies, and only after sensitivities have been determined.
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