Eradication of Helicobacter pylori

Basic Therapy
The treatment regimen used for Helicobacter pylori eradication therapy includes a basic three-drug combination. Treatment in the Czech Republic takes 10-14 days.

The combination used in case of ""allergy"" to penicillin antibiotics:

With this combination treatment, eradication can be achieved in 90%. In case of recurrent infection, we administer a four combination': (not available in the Czech Republic)

In case of recurrent infections, 'sequential treatment can also be administered. This consists of administering an IPP twice a day + levofloxacin 2x 500 mg or amoxicillin 2x 1000 mg for the first five days and then a combination of an IPP twice a day with clarithromycin and metronidazole for the next five days.

HVLP Examples
Assignment: Prescribe a preparation used in the eradication of Helicobacter pylori: amoxicillin + ranitidine complex with bismuth citrate.

Rp.

AMOCLEN 30 × 500 cps. Exp. orig. No. II (duas) D. S. 1 tablet after 6 hours

'''ERADIPAK 14 × 40 mg tablet. obd.''' Exp. orig. No. I (unam) D. S. 1 tablet twice a day.

Links
Helicobacter pylori infection – recommended procedure

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