QUADRUPLE THERAPY FOR H.PYLORI ULCER

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The American College of Gastroenterology recommends either triple or quadruple therapy as first-line for treating ulcers caused by H. pylori.

Quadruple therapy is a good first choice for patients who have recently used a macrolide or are allergic to penicillin. The course should last 10 to 14 days.

Losec 20mg BID

Nexium 20mg BID (or 40mg OD)

Pantaloc 40mg BID

Pariet 20mg BID

Prevacid 30mg BID

Tetracycline 500mg QID

Metronidazole 250mg QID or 500mg TID

Bismuth compound BSS 525mg QID

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