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?
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?
H. Pylori PPI + Antibiotics Therapy - Dosing Questions
Moderators: barjammar, Toni, luci2010, Ondek-Expert, kkimura
H. Pylori PPI + Antibiotics Therapy - Dosing Questions
Hi All,
What's the optimum way to dose the following PPI + antibiotics combination for H. Pylori eradication?
* Omeprazole
* Rifabutin
* Amoxicillin
* Levofloxacin
Also, what's the maximum dosage of bismuth chewable tablets I can consume per day to boost my treatment?
I'm working with a new GI specialist and this is the next round of treatment he wishes to prescribe for me.
Thanks!
What's the optimum way to dose the following PPI + antibiotics combination for H. Pylori eradication?
* Omeprazole
* Rifabutin
* Amoxicillin
* Levofloxacin
Also, what's the maximum dosage of bismuth chewable tablets I can consume per day to boost my treatment?
I'm working with a new GI specialist and this is the next round of treatment he wishes to prescribe for me.
Thanks!
-
- Site Admin
- Posts: 4601
- Joined: Wed Mar 02, 2011 7:20 am
Re: H. Pylori PPI + Antibiotics Therapy - Dosing Questions
Most importantly is to have the medications spread as evenly as possible.
This is to make ensure that the concentration of the medication in your blood is consistently high and hard for H. pylori to withstand.
So if you are to take it twice a day, then every 12 hrs; three times a day, then every 8 hours; four times a day, then every 6 hours.
We normally prescribe bismuth up to 220mg 4 times a day.
This is to make ensure that the concentration of the medication in your blood is consistently high and hard for H. pylori to withstand.
So if you are to take it twice a day, then every 12 hrs; three times a day, then every 8 hours; four times a day, then every 6 hours.
We normally prescribe bismuth up to 220mg 4 times a day.
Re: H. Pylori PPI + Antibiotics Therapy - Dosing Questions
I appreciate your quick response!
What do you think about the following dosages for my new 14-day treatment plan?
* 40 mg Omeprazole TID (every 8 hours)
* 50 mg Rifabutin TID (every 8 hours)
* 1,000 mg Amoxicillin TID (every 8 hours)
* 500 mg Levofloxacin BID (every 12 hours)
Thanks!
What do you think about the following dosages for my new 14-day treatment plan?
* 40 mg Omeprazole TID (every 8 hours)
* 50 mg Rifabutin TID (every 8 hours)
* 1,000 mg Amoxicillin TID (every 8 hours)
* 500 mg Levofloxacin BID (every 12 hours)
Thanks!
-
- Site Admin
- Posts: 4601
- Joined: Wed Mar 02, 2011 7:20 am
Re: H. Pylori PPI + Antibiotics Therapy - Dosing Questions
Rifabutin dose is a bit low. you sure it's 50mg TID?
We normally prescribe 150mg BID.
We normally prescribe 150mg BID.
Re: H. Pylori PPI + Antibiotics Therapy - Dosing Questions
Unfortunately, yes. It's 50 mg Rifabutin TID since my new GI specialist insists on using brand name Talicia in conjunction with Levofloxacin for this round of treatment. Here are the specs for Talicia:
http://www.talicia.com
In the United States, Rifabutin can only be ordered from a pharmacy in 150 mg capsule form. This means your suggestion of 150 mg Rifabutin BID is definitely an option.
I really appreciate you sharing your thoughts with me! I often struggle to get answers to my questions concerning H. Pylori here in the Dallas-Ft. Worth area of the United States.
http://www.talicia.com
In the United States, Rifabutin can only be ordered from a pharmacy in 150 mg capsule form. This means your suggestion of 150 mg Rifabutin BID is definitely an option.
I really appreciate you sharing your thoughts with me! I often struggle to get answers to my questions concerning H. Pylori here in the Dallas-Ft. Worth area of the United States.
-
- Site Admin
- Posts: 4601
- Joined: Wed Mar 02, 2011 7:20 am
Re: H. Pylori PPI + Antibiotics Therapy - Dosing Questions
each Talicia tablet contain 12.5 mg of Rifabutin.
Patients are meant to take 4 Talicia tablets every 8 hrs.
12.5mg x 4 tablets x 4 times a day = 200mg per day.
still higher than your 50mg TID.
https://www.accessdata.fda.gov/drugsatf ... 004lbl.pdf
Perhaps you can consider increase your omeprazole dose as well.
Patients are meant to take 4 Talicia tablets every 8 hrs.
12.5mg x 4 tablets x 4 times a day = 200mg per day.
still higher than your 50mg TID.
https://www.accessdata.fda.gov/drugsatf ... 004lbl.pdf
Perhaps you can consider increase your omeprazole dose as well.
Re: H. Pylori PPI + Antibiotics Therapy - Dosing Questions
According to the package labeling, each 14-day round of Talicia contains 2 bottles x 84 capsules = 168 capsules total.
https://www.talicia.com/
This means I'll take 168 capsules / 14 days = 12 capsules / day. When taking 4 capsules per dose, I get:
* 40 mg Omeprazole
* 50 mg Rifabutin
* 1,000 mg Amoxicillin
I interpreted "every 8 hours" as 3x per day instead of 4x, so my total daily intake is:
* 120 mg Omeprazole
* 150 mg Rifabutin
* 3,000 mg Amoxicillin
How high, in units of mg, do you recommend I go on the 3x daily doses of Omeprazole?
Thanks!
https://www.talicia.com/
This means I'll take 168 capsules / 14 days = 12 capsules / day. When taking 4 capsules per dose, I get:
* 40 mg Omeprazole
* 50 mg Rifabutin
* 1,000 mg Amoxicillin
I interpreted "every 8 hours" as 3x per day instead of 4x, so my total daily intake is:
* 120 mg Omeprazole
* 150 mg Rifabutin
* 3,000 mg Amoxicillin
How high, in units of mg, do you recommend I go on the 3x daily doses of Omeprazole?
Thanks!
-
- Site Admin
- Posts: 4601
- Joined: Wed Mar 02, 2011 7:20 am
Re: H. Pylori PPI + Antibiotics Therapy - Dosing Questions
gosh.. I think you are right. my mistake. Should be 3 times a day. not 4.
So it is 150mg for Talicia. Stick to it then.
So it is 150mg for Talicia. Stick to it then.
Re: H. Pylori PPI + Antibiotics Therapy - Dosing Questions
What dosage for Omeprazole, greater than 40 mg, do you recommend I take 3x daily in conjunction with the antibiotics to aid in H. Pylori eradication?
Thanks!
Thanks!
-
- Site Admin
- Posts: 4601
- Joined: Wed Mar 02, 2011 7:20 am
Re: H. Pylori PPI + Antibiotics Therapy - Dosing Questions
we normally prescribe rabeprazole 20mg TID, which is probably equal to 40mg omeprazole TID.