Question 1

how do you take ppi w/ nsaid if you have peptic ulcer?  which ppi drug/dose do you recommend if someone w/ peptic ulcer must on max dose of nsaid?

Accepted Answer

Avoid NSAID if able: I would minimize NSAID use and/or consider a cox-2 alternative. Hpylori needs to be excluded and treated if present. With this i would rec high dose ppi bid for 6-8 weeks and then if PUD healed decrease to once a day.

Question 2

what is the drug of choise for peptic ulcer?

Accepted Answer

PROTON PUMP: Inhibitors like omeprazole, zegerid, nexium, dexilant, (dexlansoprazole) prevacid, aciphex, pantoprazole(generic protonix).

Question 3

what are recently approved drugs for the management of peptic ulcer disease?

Accepted Answer

Define recent: Pylera is a combo pill used to treat helicobacter pylori which causes ulcers. Dexilant (dexlansoprazole) is a proton-pump inhibitor in the same class as Prilosec and Nexium which helps to heal ulcers.

Question 4

what drug suitable to heal the wound in intestines caused by peptic ulcer?

Accepted Answer

OTC meds?: First be sure the diagnosis is confirmed by a doctor.  There is a bacteria that can cause stomach ulcers and you should be checked for this.  If that is negative then OTC meds that can be used include ranitidine (Zantac), Omeprazole (Prilosec), Pantoprazole (protonix), tums (calcium carbonate).

Question 5

what is multi drug cocktail treatment for peptic ulcer ?

Accepted Answer

Several: Common is a ppi, e.g. Prevacid, (lansoprazole) and 2 antibiotics, e.g. Amoxicillin and clarithromycin. Others can include different antibiotics (if allergic or second rx), bismuth, e.g. Pepto bismol, and ppi. Take for 10-14 days. Other rx also.

Question 6

tx for h.pylori infx 6 mos ago, now peptic ulcer comes back after taking anti-inflammatory (lodine/medrol) drug for 2 wks. is current flare-up due to failure eradicate h.pylori or nsaid drugs?

Accepted Answer

Either / both: Could be from either or both.  We're biopsied obtained at time of recent egd for the evaluation of hpylori? If not then you should have a breath test for hpylori (when safe to come off ppi).

Question 7

what is a peptic ulcer?

Accepted Answer

Acid related ulcer: This term generally refers to stomach or duodenal ulcers.  The 2 most common causes of stomach or duodenal ulcers are infection with the helicobacter pylori bacteria and the use of non-steroidal anti-inflammatory (NSAID) drugs such as aspirin, ibuprofen, naproxen, meloxicam, etc.

Question 8

is peptic ulcer painful?

Accepted Answer

Mabye: Ulcers can bleed and be very serious. Please see your primary provider to be further evaluated..

Question 9

what are the tests for peptic ulcer?

Accepted Answer

Endoscopy: Has largely replaced less clear contrast barium swallows.

Question 10

what are some peptic ulcer symptoms?

Accepted Answer

Peptic ulcer: Symptoms are abdominal bloating/burning/pain , belching, feeling of fullness, loss of appetite, nausea/vomiting, unexplained weight loss.

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Doctor answers about:

Peptic ulcer drugs

A member asked:

How do you take ppi w/ nsaid if you have peptic ulcer? which ppi drug/dose do you recommend if someone w/ peptic ulcer must on max dose of nsaid?

A member asked:

What is the drug of choise for peptic ulcer?

A member asked:

What are recently approved drugs for the management of peptic ulcer disease?

A member asked:

What drug suitable to heal the wound in intestines caused by peptic ulcer?

A member asked:

What is multi drug cocktail treatment for peptic ulcer ?

A member asked:

Tx for h.pylori infx 6 mos ago, now peptic ulcer comes back after taking anti-inflammatory (lodine/medrol) drug for 2 wks. is current flare-up due to failure eradicate h.pylori or nsaid drugs?

A member asked:

What is a peptic ulcer?

A member asked:

Is peptic ulcer painful?

A member asked:

What are the tests for peptic ulcer?

A member asked:

What are some peptic ulcer symptoms?

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