| Written by Dr.Md.Redwanul Huq (Masum) |
| Monday, 20 June 2011 15:33 |
[HINTS: Contd-To be continued, M- Month, ±M- Before or After Meal, AM- After Meal, ½HBM- ½ Hour Before Meal,W- Week, D-Day.2HAM- 2 Hour After Meal,bid-Twice daily, tid-Three times daily,qid-Four times daily.]
Treatment for peptic ulcer disease by H. pylori is given below-
a) A Strip containing-
1 Cap. Lansoprazole 30mg,
1 Tab. Clarithromycin 500mg,
2 Cap. Amoxycillin 500 mg;
-1 strip -bid- (½ HBM) ————— 7 – 14 D
Then, Cap.Omeprazole (20/40 mg) / Tab. Esomeprazole (20/40 mg) / Cap. Lansoprazole 30mg / Tab. Rabeprazole 20 mg / Tab. Pantoprazole (20/40 mg)
1 cap/tab-bid (½ HBM) —————7 – 14 D
[Tab. Rabeprazole can be taken after meal]
Or,
b)1. Cap. Amoxycillin 500 mg
2 cap-bid (12 hourly) (AM) —————7 – 14 D
2.Tab.Clarithromycin (500 mg)
1 tab-bid (12 hourly) (AM) —————7 – 14 D
3. Cap.Omeprazole (20/40 mg) / Tab. Esomeprazole (20/40 mg) /
Cap. Lansoprazole 30mg / Tab. Rabeprazole 20 mg / Tab. Pantoprazole (20/40 mg)
1 cap/tab-bid (½ HBM) —————7 – 14 D
[Tab. Rabeprazole can be taken after meal]
Or,
c)1. Tab. Metronidazole 400 mg
1 tab-bid (12 hourly) (AM) —————7 – 14 D
2.Tab.Clarithromycin (500 mg)
1 tab-bid (12 hourly) (AM) —————7 – 14 D
3. Cap.Omeprazole (20/40 mg) / Tab. Esomeprazole (20/40 mg) /
Cap. Lansoprazole 30mg / Tab. Rabeprazole 20 mg / Tab. Pantoprazole (20/40 mg)
1 cap/tab-bid (½ HBM) —————7 – 14 D
[Tab. Rabeprazole can be taken after meal]
Or,
d)
1. Tab. Azithromycin 500 mg
1 tab-once daily (½ HBM) —————7 – 14 D
2.Tab.Levofloxacin (500 mg)
1 tab-once daily (± M) ——————-7 – 14 D
3. Cap.Omeprazole (20/40 mg) / Tab. Esomeprazole (20/40 mg) / Cap. Lansoprazole 30mg / Tab. Rabeprazole 20 mg / Tab. Pantoprazole (20/40 mg)
1 cap/tab-bid (½ HBM) —————7 – 14 D
[Tab. Rabeprazole can be taken after meal]
Or,
e)
1.Cap. Amoxycillin 500 mg
2 cap-bid (12 hourly) (AM) —————7 – 14 D
2.Tab.Levofloxacin (500 mg)
1 tab-once daily (± M) ——————-7 – 14 D
3. Cap.Omeprazole (20/40 mg) / Tab. Esomeprazole (20/40 mg) / Cap. Lansoprazole 30mg / Tab. Rabeprazole 20 mg / Tab. Pantoprazole (20/40 mg)
1 cap/tab-bid (½ HBM) —————7 – 14 D
[Tab. Rabeprazole can be taken after meal]
Or,
f)1. Tab. Metronidazole 400 mg
1 tab-bid (12 hourly) (AM) —————7 D
2.Tab. Tetracycline 500 mg
1 tab-qid(6 hourly) ————————- 7 D
3.Tab. Bismuth 120 mg
1 tab-qid(6 hourly) ————————- 7 D
4. Cap.Omeprazole (20/40 mg) / Tab. Esomeprazole (20/40 mg) / Cap. Lansoprazole 30mg / Tab. Rabeprazole 20 mg / Tab. Pantoprazole (20/40 mg)
1 cap/tab-bid (½ HBM) —————7 D
[Tab. Rabeprazole can be taken after meal]
To know and give advice to your patient about Lifestyle and Dietary modification in Peptic Ulcer Diseases (PUD) click here.
NSAID induced PUD:
1.Cap. Omeprazole (20/40 mg)/ Tab. Esomeprazole (20/40 mg) /
Cap. Lansoprazole 30mg / Tab. Rabeprazole 20 mg / Tab. Pantoprazole (20/40 mg)
1 cap/tab-bid (½ HBM) —————1 / 2 M
[Tab. Rabeprazole can be taken after meal]
2.Tab.Misoprostol (200 microgm)
-1 Tab 6/8 hourly—————————————–1 / 2 M
3.Tab.Sucralfate (500/1000 mg)
1tab-6 hrly or, 2 tab-12 hourly (½HBM) —————1 M
4.Combination of Aluminium Hydroxide, Magnesium Hydroxide
& Simethicone in Tablet(Chewable)[2+2+2]
or Suspension form[2 tsf – tid] (½ HBM or 2 HAM)————-2 /4W.
