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Suggest Alternative Medication For Metronidazole Taken For H-pylori Infection

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Posted on Thu, 31 Mar 2016
Question: I have H pylori and have been taking clarithromyc (500 mg) and metronidazole (500 mg) twice daily and nortriptylin (25 mg) and omeprazole (20 mg) once daily.....these combinations of antibiotic when taken cause a increase and irregular heart beat....wondering if there is some alternative to these antibiotics..


Never mind thought I was on different site....cancel already talked to the doctor on this site
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Answered by Dr. Dr. Muhammad Sareer Khalil (2 hours later)
Brief Answer:
Helicobacter Pylori regimen

Detailed Answer:
Hello and Welcome

I appreciate your concern

The Helicobacter pylori eradication therapy that you have described is not up to the mark. If you are not penicillin allergic then the 1st line therapy is clarithromycin (500 mg) and amoxicillin (1 g) both twice daily in combination with lansoprazole 30 mg twice a day. This regimen should be continued for 14 days. After completion, one month of lansoprazole 30 mg once a day should be used. The PPI omeprazole is prescribed in very low dose. It should be at least 40 mg once if not more. Nortriptylin (25 mg) has no role in eradication of H. Pylori.

You may discuss these options with your doctor and apprise him of my opinion.


Wishing you best of health

Thanks

Let me know if you have any query

Please consult your doctor before deciding on any further course of action.

For future follow up / correspondence you may ask me directly at the link given below

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Dr. M.S. Khalil
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Muhammad Sareer Khalil

General & Family Physician

Practicing since :2012

Answered : 2906 Questions

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Suggest Alternative Medication For Metronidazole Taken For H-pylori Infection

Brief Answer: Helicobacter Pylori regimen Detailed Answer: Hello and Welcome I appreciate your concern The Helicobacter pylori eradication therapy that you have described is not up to the mark. If you are not penicillin allergic then the 1st line therapy is clarithromycin (500 mg) and amoxicillin (1 g) both twice daily in combination with lansoprazole 30 mg twice a day. This regimen should be continued for 14 days. After completion, one month of lansoprazole 30 mg once a day should be used. The PPI omeprazole is prescribed in very low dose. It should be at least 40 mg once if not more. Nortriptylin (25 mg) has no role in eradication of H. Pylori. You may discuss these options with your doctor and apprise him of my opinion. Wishing you best of health Thanks Let me know if you have any query Please consult your doctor before deciding on any further course of action. For future follow up / correspondence you may ask me directly at the link given below http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107 Dr. M.S. Khalil