Only registered users are allowed to post. To register, please click here

Should you have any problem in posting, registering, or login, please do not hesitate to contact the admin at Marshall.centre(at)gmail(dot)com. In the subject, please use "Help needed for www.helico.com"

Advertisement is not allowed. While we encourage discussion, please try not to promote your website, goods, or unproven treatment here.

This is a non-profit website. We will try our best to help anyone that has question about H. pylori and their treatment. We shall provide the most accurate answer about H. pylori. You can help us by clicking here to keep this forum alive.

Some useful guides
How to post in the forum?
Management of Helicobacter pylori infection—the Maastricht V/Florence Consensus Report
The 5th Chinese Helicobacter treatment consensus
How long should I wait before doing follow up breath/stool test?

If you are confirmed with H. pylori, in your convenient time, please help us with the symptoms survey that you are experiencing.
Symptoms survey
(contributed by frostyfeet)


此网站免费然您阅读。若想分享心得或提问,请先注册
若有困难注册,请联络站长 Marshall.centre(at)gmail(dot)com。标题请用 "Help needed for www.helico.com"
此网站不允许打广告。我们欢迎任何的讨论。但尽量不要推销没医学根据的网站,商品或治疗方案。
此网站是非盈利网站。我们会尽最大能力提供任何有关幽门螺杆菌的讯息。您的捐款可以让我们继续帮助更多的病人。

指南
如何贴文?
欧洲幽门螺杆菌治疗共识 5
第五次全国幽门螺杆菌感染处理共识报告
用药后,多久以后可以再做吹气测试?

Does this therapy work??

New things in the forums might be highlighted here. Take a look at the avatars! Get yourself one, there are hundreds to choose from.

Moderators: barjammar, Toni

cyprian zimunya
Posts: 41
Joined: Mon Mar 11, 2019 5:25 pm

Does this therapy work??

Post by cyprian zimunya »

I want to ask that does this therapy more effective to eradicate h pylori.. amox ig three times a day ,bismuth 120mg three times a day , metronidazole 200mg three times a day and esomeprazole 40mg 2 times a day... my main voncern is on metronidazole i have used it before so it might not work ..furazolidone is not widely spread in my country so i might not able to get it ..so is there other antibiotic that i can use instead of metronidazole or i can just use metronidazole since i heard you saying that metronidazole resistance can be overcomed when using another strong antibiotic

Helico_expert
Site Admin
Posts: 4600
Joined: Wed Mar 02, 2011 7:20 am

Re: Does this therapy work??

Post by Helico_expert »

High dose PPI + High dose Amox + Bismuth may already give you a cure rate of 80%.

Metronidazole resistance has been shown to be able to be overcome when used with Tetracycline. Since The H. pylori will not become resistant to Amox and Bismuth, I think you can give this quadruple (PPI + Amox + Bismuth + Metro) a try.

If it failed, you can always repeat PPI + Amox + Bismuth + one other antibiotic.

cyprian zimunya
Posts: 41
Joined: Mon Mar 11, 2019 5:25 pm

Re: Does this therapy work??

Post by cyprian zimunya »

Ok i will take your recommendation thanks. What about if it failed what other antibiotic should i add there?...is tetracycline and amox the same or is it possible to add tetracycline there or i should not add it ,it will reduce the effectiveness of amox

Helico_expert
Site Admin
Posts: 4600
Joined: Wed Mar 02, 2011 7:20 am

Re: Does this therapy work??

Post by Helico_expert »

very good question. In theory, Amox and Tetracycline should counter each other. But in practical they dont. I am not sure why.

So, Yes, tetracycline can be your next choice if your current therapy failed.

cyprian zimunya
Posts: 41
Joined: Mon Mar 11, 2019 5:25 pm

Re: Does this therapy work??

Post by cyprian zimunya »

Ok thanks so i can include tetracycline in my therapy if it failed ..so it will be amox,bismuth, tetracycline and ppi

Helico_expert
Site Admin
Posts: 4600
Joined: Wed Mar 02, 2011 7:20 am

Re: Does this therapy work??

Post by Helico_expert »

Yes. But hopefully your PBAM will work and you dont have to try PBAT.

cyprian zimunya
Posts: 41
Joined: Mon Mar 11, 2019 5:25 pm

Re: Does this therapy work??

Post by cyprian zimunya »

Lets hope it will work i will talk to my doctor about. Is it possible to increase omeprazole dosage to 40mg twice a day

Helico_expert
Site Admin
Posts: 4600
Joined: Wed Mar 02, 2011 7:20 am

Re: Does this therapy work??

Post by Helico_expert »

yup. you can do 40mg twice a day.

cyprian zimunya
Posts: 41
Joined: Mon Mar 11, 2019 5:25 pm

Re: Does this therapy work??

Post by cyprian zimunya »

I finished my antiniotics for h pylori four weeks ago ,since then i was on ppi but there are no changes yet ,should i start worrying or give my stomach time to heal . I have chronic gastritis and h pylori

Helico_expert
Site Admin
Posts: 4600
Joined: Wed Mar 02, 2011 7:20 am

Re: Does this therapy work??

Post by Helico_expert »

You can gradually stop your PPI.

switch to one tablet a day or a tablet every two days.

Post Reply

Return to “Hot Topics and Common forum Issues 热门话题和常见问题”