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Search found 3723 matches

by Helico_expert
Tue Jul 07, 2020 8:53 am
Forum: Antibiotics and Acid Pump Blockers
Topic: Cefixime 200mg twice a day + 20mg omeprazole twice a day for suspected H pylori
Replies: 17
Views: 258

Re: Cefixime 200mg twice a day + 20mg omeprazole twice a day for suspected H pylori

i see.. let's hope that the one stone will kill two birds. do keep us updated with your treatment progress.
by Helico_expert
Mon Jul 06, 2020 10:23 pm
Forum: Antibiotics and Acid Pump Blockers
Topic: Cefixime 200mg twice a day + 20mg omeprazole twice a day for suspected H pylori
Replies: 17
Views: 258

Re: Cefixime 200mg twice a day + 20mg omeprazole twice a day for suspected H pylori

you almost complete your treatment. I am not sure how much will it help if you change your PPI now. I wonder where your doctor get the idea of having Cefixime dual drug therapy. Cefixime is not commonly used for H. pylori. Is there a reason why?
by Helico_expert
Mon Jul 06, 2020 10:17 pm
Forum: Hot Topics and Common forum Issues 热门话题和常见问题
Topic: Advice for persistant H. pylori
Replies: 15
Views: 2098

Re: Advice for persistant H. pylori

Bismuth comes in various compound form. They all work the same.

Perhaps you can try PBRC treatment.

R = rifabutin (150mg BID).
by Helico_expert
Mon Jul 06, 2020 9:43 am
Forum: Hot Topics and Common forum Issues 热门话题和常见问题
Topic: Advice for persistant H. pylori
Replies: 15
Views: 2098

Re: Advice for persistant H. pylori

your gastroenterologist probably knows better about the local strains.
If he had PBTC worked before, then go ahead a try that.
otherwise, I would recommend PBAC

P = PPI (eg rabeprazole 20mg TID)
B = bismuth (240mg QID)
T = tetracycline
C = ciprofloxacin or levofloxacin
A = Amoxicillin (1g TID)
by Helico_expert
Mon Jul 06, 2020 9:35 am
Forum: Everything Else 其他
Topic: Still looking for answers
Replies: 3
Views: 113

Re: Still looking for answers

Interesting case. In general, H. pylori only cause problem in the stomach as it can only colonise in the stomach. Some researchers believes that the inflammation factors that is causing inflammation in the stomach may flow to other body parts, triggering inflammation else where. So, the actual quest...
by Helico_expert
Mon Jul 06, 2020 9:03 am
Forum: Antibiotics and Acid Pump Blockers
Topic: Cefixime 200mg twice a day + 20mg omeprazole twice a day for suspected H pylori
Replies: 17
Views: 258

Re: Cefixime 200mg twice a day + 20mg omeprazole twice a day for suspected H pylori

good question!
you might have to try vonoprazan, a new type of PPI. Not sure if that's available where you are.

otherwise, you might have to try rabeprazole, 20mg TID.
by Helico_expert
Sat Jul 04, 2020 10:17 pm
Forum: Antibiotics and Acid Pump Blockers
Topic: Cefixime 200mg twice a day + 20mg omeprazole twice a day for suspected H pylori
Replies: 17
Views: 258

Re: Cefixime 200mg twice a day + 20mg omeprazole twice a day for suspected H pylori

with only Cexime and Omeprazole, the cure rate is probably around 50% or lower.

you need a very strong dose of PPI to make this treatment work against H. pylori.
by Helico_expert
Sun Jun 28, 2020 4:47 pm
Forum: Hot Topics and Common forum Issues 热门话题和常见问题
Topic: Talicia (rifabutin, Amox, PPI) said to cause male infertility (can’t be true please)
Replies: 3
Views: 138

Re: Talicia (rifabutin, Amox, PPI) said to cause male infertility (can’t be true please)

hmm it's a hard question for me. anyway, I have found this disclosure of rifabutin from Australia http://secure.healthlinks.net.au/content/pf/retriever.cfm?product=pfpmycoc11210 In Section 4.6 it says. Effects on fertilityStudies in rats at oral doses of rifabutin at 160mg/kg/day have shown impairme...
by Helico_expert
Sun Jun 28, 2020 9:34 am
Forum: Hot Topics and Common forum Issues 热门话题和常见问题
Topic: H pylori Resistance (5 treatments)
Replies: 5
Views: 235

Re: H pylori Resistance (5 treatments)

unfortunately yes.
to date, it is the only way to get the H. pylori out.
by Helico_expert
Sun Jun 28, 2020 9:33 am
Forum: Hot Topics and Common forum Issues 热门话题和常见问题
Topic: Talicia (rifabutin, Amox, PPI) said to cause male infertility (can’t be true please)
Replies: 3
Views: 138

Re: Talicia (rifabutin, Amox, PPI) said to cause male infertility (can’t be true please)

Talicia is fairly new on the market. But the combination is not novel. PPI and amoxicillin is pretty safe. Rifabutin can be problematic to some people. Rifabutin is normally reserved for tuberculosis patients. Therefore, the widespread use of this drug may lead to resistance in TB. my other criticis...

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