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What is the best antibiotic treatment for helicobacter pylori?

1 doctor weighed in
Dr. Thomas Namey
Internal Medicine - Rheumatology

In brief: Many regimens!

There are five commonly used regimens, plus others not used much.
All give about an 85% cure rate, so if 100 people are treated, eradication will not occur in 15. Since if you test positive for h.Pylori, even after rx, you will always remain positive. My favorite combo is Clarithromycin 500 bid, Metronidazole 500 bid, and a twice daily proton pump inhibitor. Six pills a day is a lot.

In brief: Many regimens!

There are five commonly used regimens, plus others not used much.
All give about an 85% cure rate, so if 100 people are treated, eradication will not occur in 15. Since if you test positive for h.Pylori, even after rx, you will always remain positive. My favorite combo is Clarithromycin 500 bid, Metronidazole 500 bid, and a twice daily proton pump inhibitor. Six pills a day is a lot.
Dr. Thomas Namey
Dr. Thomas Namey
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