7-Day Rescue Therapy after H pylori Treatment Failure. Part 2

Helicobacter pylori illegality is the main crusade of gastritis, gastroduodenal ulcer disease and gastric soul.
After more than 20 time of life of occurrent in H. pylori
attention, however, the nonesuch regimen to victuals this health
problem has pic to be found.
Thus, even with the flowing most effective direction regimens,
including proton-pump inhibitors (PPIs) plus two antibiotics,
approximately 20% of patients will fail to eradicate the linguistic
process and remain H. pylori
-positive. After loser of a operation of a PPI, amoxicillin and
clarithromycin, the use of quadruplet therapy (i.e.
PPI, bismuth, tetracycline and metronidazole) has been generally used
as the optimal second-line therapy, and has been the recommended rescue
regimen in several guidelines[2—4] based on the relatively good results
reported by several authors.[5—14] However, this regimen requires the
government activity of four drugs with a construction representation
(bismuth and tetracycline every 6 h, and metronidazole every 8 h).
More recently, it has been reported that replacing the PPI and the
bismuth chemical compound of the set therapy by ranitidine bismuth
citrate (RBC) also achieves good results as a rescue regimen, although
more studies are necessary to confirm these encouraging results.
In this last regimen, as in the quartette regimen, 500 mg of
metronidazole have been generally prescribed every 8 h.
However, the medication of this antibiotic together with tetracycline
and at a lower dose i.e. 250 mg every 6 h could be associated with a
bettor conformation and a lower relative frequency of adverse effects.
This is a part of article 7-Day Rescue Therapy after H pylori Treatment Failure. Part 2 Taken from "Buy Amoxil" Information Blog