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Q: Is it ok to drink alcohol when on triple therapy for h pylori?
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What is the triple therapy for helicobacter pylori?

The preferred treatment for helicobacter pylori (H. pylori) infection is triple therapy for two weeks withmetronidazole (250mg, three times daily)a bismuth compound, which prevents degradation of the mucous layer bismuth subsalicylate - Pepto-Bismol available in the US (2 tablets, four times a day)available as colloidal bismuth subcitrate (De-Nol) elsewhere (120 mg, four times daily)either tetracycline (500 mg, four times daily) or amoxicillin (500 mg, three times daily)This triple therapy produces eradication of H. pylori in about 90% of patients. Sometimes, the triple therapy is added to an antisecretory medication (H2 receptor antagonist or almost always, a proton pump inhibitor) which may be used for up to 6 months or prophylactically. Lastly, a urea breath test is used to insure completion of a successful therapy.


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