In clinical practice, metronidazole is often chosen as a drug for the treatment of Helicobacter pylori. So, how should the specific method of metronidazole treatment of Helicobacter pylori be arranged? Scenario 1: Omeprazole, metronidazole, and clarithromycin triple therapy is a short-term treatment for eradicating Helicobacter pylori, which lasts for one week. The method is omeprazole 20 mg, tinidazole (metronidazole) or 500 mg, and clarithromycin 250 mg, twice a day for 7 days (abbreviated as OTC250 regimen). Scenario 2: To improve the cure effect, a one-week quadruple therapy of potassium bismuth citrate, omeprazole, metronidazole, and clarithromycin can be used. The quadruple therapy can achieve a higher Hp eradication rate and improve the sensitivity of patients resistant to metronidazole triple therapy. The method is: 0.22g (2 tablets) of potassium bismuth citrate, 20mg of omeprazole, 500mg of metronidazole, and 250mg of clarithromycin, twice a day for 7 days. |
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