TODAYS PICK (9-07-2010)

Question history: AIIMS 97,AIPG-08,98.


All of the following drugs are commonly used in regimens against H.pylori Except

a)Oxytetracycline

b)Amoxycillin

c)Bismuth subcitrate

d)Omeprazole


Ans:a


Discussion: Harrisons


Recommended regimens for Eradication of H.pylori

* Triple therapy

1. Bismuth subsalicylate + Metronidazole +Tetracycline
2. Ranitidine + Tetracycline+Clarithromycin/Metronidazole
3. PPI +Clarithromycin+metronidazole/Amoxicillin

* Quadruple Therapy:

1. PPI + Bismuth Subsalicylate + Metronidazole + Tetracycline

* All PPI (proton pump inhibitors) are given twice daily except Esomeprazole.


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