Third line treatment suggestions, help please !
Posted: Fri Jul 01, 2016 9:09 am
Hello everyone. I had h pylori in the past (2 years ago) I think i eradicated it but it grew back little by little or now i have a reinfection..not sure. So I want to try a third line treatment, Could you please kindly tell me which one would be more effective?
1st treatment: amoxicillin, Clarithromycin , esomeprazole twice x20mg did not comply , dont know if it was effective, didnt test
2st treatment: tetracicline,metronidazol, esomeprazola twice x20mg did comply, it was effective it seems, negative stool test
2 years later: positive stool test, blood test
which one would be an effective third line treatment assuming its the same bacteria (ive been having symptoms after the 2nd treatment getting worse to this date):
3rd: tetracicline, Furazolidone, lanzoprazole x2 30mg, bismuth
or
amoxcillin, furazolidone, bismuth, lanzoprazole x2 30mg
or
amoxicllin, levaquine, lanzoprazole, bismuth?
Can i use bismuth in all cases? are these combinations okay? not sure if tetracicline and amoxicillin can be used again. Is there a more effective third line treatment? It seems tetracicline, furazolidone is more effective in my country? but not sure if im already resistant to tetracycline.
1st treatment: amoxicillin, Clarithromycin , esomeprazole twice x20mg did not comply , dont know if it was effective, didnt test
2st treatment: tetracicline,metronidazol, esomeprazola twice x20mg did comply, it was effective it seems, negative stool test
2 years later: positive stool test, blood test
which one would be an effective third line treatment assuming its the same bacteria (ive been having symptoms after the 2nd treatment getting worse to this date):
3rd: tetracicline, Furazolidone, lanzoprazole x2 30mg, bismuth
or
amoxcillin, furazolidone, bismuth, lanzoprazole x2 30mg
or
amoxicllin, levaquine, lanzoprazole, bismuth?
Can i use bismuth in all cases? are these combinations okay? not sure if tetracicline and amoxicillin can be used again. Is there a more effective third line treatment? It seems tetracicline, furazolidone is more effective in my country? but not sure if im already resistant to tetracycline.