appropriate drug regimens for H. pylori

February 2012

The clarithromycin and tetracycline shortages will bring up more questions about appropriate drug regimens for H. pylori.

Triple therapy with a PPI, clarithromycin, and amoxicillin or metronidazole is often used first-line...but usually should NOT be. Efficacy rates are falling due to increasing clarithromycin resistance.

Start with quadruple or concomitant therapy instead.

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Gastroenterology appropriate drug regimens for H. pylori
Cardiology you'll see more interest in using chlorthalidone instead of hydrochlorothiazide for hypertension
Cardiology when it's okay to combine renin-angiotensin system blockers...ACEIs, ARBs, or aliskiren (Tekturna, etc)
Vaccines More people will get hepatitis B (Engerix-B, Recombivax HB) or HPV (Gardasil) vaccines
Opioids chronic opioids can lead to low testosterone and estrogen
Pediatrics ciclesonide (Omnaris) or other corticosteroid nasal sprays instead of antibiotics for ear infections
Pediatrics management of constipation in kids
Statins Do statins benefit very elderly patients
Supplements OTC HCG weight loss products off the market
Infectious Diseases a new WEEKLY regimen for latent tuberculosis
Women's Health Women often ask what they can use for pain during pregnancy and breastfeeding
ADHD whether ADHD stimulants increase cardiovascular risk or substance abuse in ADULTS

appropriate drug regimens for H. pylori

Get concise, unbiased advice for effective drug therapy, plus CE/CME

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