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Failed eradication therapy for 3rd times

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minhle96
Posts: 10
Joined: Wed Sep 09, 2020 10:53 am

Failed eradication therapy for 3rd times

Post by minhle96 »

Hi
I attached a picture of my prescription, antibiotic susceptibility test below
It seem that only Clarithromycin is the only antibiotic that Hpylori is resisted to, however in my 2nd treatment I took amoxicillin and tetracycline and 1 other antibiotic that I could not tell from my doctor hand writing (I attached a picture of prescription below) failed. Could this mean I got reinfected at some point?
Attachments
z2258575186764_086dc7a7fba81484a42867d662b44d8f.jpg
z2258575182239_56aac6c0a6704af539c9f1e4e9a97b74.jpg
z2258575191255_f97019aee9dce3e81ff458315e82380c.jpg

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

Re: Failed eradication therapy for 3rd times

Post by Helico_expert »

Unfortunately I cannot read Viet language.

I dont like the combination of Amoxicillin and Tetracycline.

anyway. Levofloxacin seems working. Perhaps you can ask your doctor to give
rabeprazole 20mg TID
bismuth 220mg QID
Amoxicillin 1g TID
levofloxacin 250mg BID

minhle96
Posts: 10
Joined: Wed Sep 09, 2020 10:53 am

Re: Failed eradication therapy for 3rd times

Post by minhle96 »

The result say that I have 'PPI extensive metabolizer' what does this mean?

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

Re: Failed eradication therapy for 3rd times

Post by Helico_expert »

it means you need higher dose PPI to make it work.

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