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欧洲幽门螺杆菌治疗共识 5

Adding Bismuth for better chances of eradication?

The most popular treatments consist of two antibiotics (one of which is usually clarithromycin) plus a strong acid blocker such as omeprazole (PriLosec, Nexium, Somac, Zoton, etc.). Treatment is for 7-10 days. Cure rate is about 85%

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Joined: Mon Jan 03, 2022 6:58 pm

Adding Bismuth for better chances of eradication?

Post by Toesocks »

I have been prescribed Amoxicillin, Clarithromycin and Pantoprazole. I haven't started taking them yet because I'm terrified of it failing. I'm very sensitive to side effects of drugs usually.

I have read about Bismuth increasing the chances of eradication, while also preventing nausea and potential complications like C. diff. I know Bismuth is not typically added to the combination mentioned above, but could it still be beneficial to take it? Can I ask my doctor to add Bismuth to the Amoxicillin+Clarithromycin+Pantoprazole therapy?

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Re: Adding Bismuth for better chances of eradication?

Post by Helico_expert »

Amoxicillin and clarithromycin are very common antibiotics and give very little side effect. You can ask your doctor to include bismuth to boost the cure rate.

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