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?
Best treatment after failures
Best treatment after failures
Hello, i received the results from my biopsy and the treatment failed again, and i would like to know, what is the treatment with higher cure rate after both triple therapy failure? My first was clarithromycin 500mg every 12h, amoxicillin 1g every 12h and lansoprazole 30mg every 12h, the second was levofloxacin 500mg 1 time a day, amoxicillin 1g every 12h and lansoprazole 30mg every 12h.
-
- Site Admin
- Posts: 4601
- Joined: Wed Mar 02, 2011 7:20 am
Re: Best treatment after failures
Hi, you can talk to your doctor about the following treatment
High dose PPI, eg. Rabeprazole 20mg 3 TID
High dose bismuth, 220 mg QID
Tetracycline, 500mg QID
Metronidazole 400 mg TID
This combination is very similar to Pylera.
High dose PPI, eg. Rabeprazole 20mg 3 TID
High dose bismuth, 220 mg QID
Tetracycline, 500mg QID
Metronidazole 400 mg TID
This combination is very similar to Pylera.
Re: Best treatment after failures
Thanks for your feedback, i'll talk with him tomorrow, i hope that this one Works.
Re: Best treatment after failures
Hello again, i need your opinion, i talk with the doctor about your recommendations, and then he told me that the quadruple therapy is hard to do because bismuth is not widely available in my country, he then recommended a treatment with moxifloxacin 400mg and omeprazole, i didnt find any study using only one antibiotic, but did find triple therapy with moxifloxacin, amoxicilin and lansoprazole, i even told him if i shouldnt take more than one antibiotic and then he told that only moxifloxacin is fine, i find this quite weird, so what do you think, should i go to another specialist and insist in quadruple therapy?
-
- Site Admin
- Posts: 4601
- Joined: Wed Mar 02, 2011 7:20 am
Re: Best treatment after failures
i think you should go to another specialist.
Moxifloxacin and levofloxacin are the same class, which you had tried and failed. Therefore, you should not try again.
And you are right about single antibiotic treatment, the success rate will be too low.
Moxifloxacin and levofloxacin are the same class, which you had tried and failed. Therefore, you should not try again.
And you are right about single antibiotic treatment, the success rate will be too low.
Re: Best treatment after failures
Hello, i found a better doctor and he prescribed the therapy that you recommended, i'll start next week. I am a little worried about the side effects, i had a lot with the first therapy, is this one worse than with clarithromycin?
-
- Site Admin
- Posts: 4601
- Joined: Wed Mar 02, 2011 7:20 am
Re: Best treatment after failures
everyone reacted differently to the antibiotics. but in general, tetracycline does have more side effects than clarithromycin. do discuss the side effects with your doctors.
if the side effect is not too difficult, do try to finish the course to avoid resistance. i dont want to tell you too much about the side effect. usually the more you know, the more likely you'll feel it.
if the side effect is not too difficult, do try to finish the course to avoid resistance. i dont want to tell you too much about the side effect. usually the more you know, the more likely you'll feel it.
Re: Best treatment after failures
Thanks for your answers, i ask him about what side effects should i expect, he said that is very common nausea and vomiting, this type of side effects do not scare me, that is normal, i asked him more about some side effect that could be dangerous in comparison with clarithromycin or levo, because when i was taking levo my stool became almost white, i got scared because this is a sign of problems with the liver, then i went to hospital and they told me that this is normal when you take fluoroquinolones. But even with lot of side effects i'll not interrupt the treatment, i know that this is the worst decision.
-
- Site Admin
- Posts: 4601
- Joined: Wed Mar 02, 2011 7:20 am
Re: Best treatment after failures
All the best to your treatment.
Re: Best treatment after failures
Hello helico, so, before i started my treatment i did an hepatogram and my TGO and TGP are high(50/115UI) and my doctor prescribed a medication with silybum marianum, it is ok to take this medication with the quadruple therapy? thanks