Nexium Hp7 triple therapy

The most popular treatments consist of two antibiotics (one of which is usually clarithromycin) plus a strong acid blocker such as omeprazole (PriLosec, Nexium, Somac, Zoton, etc.). Treatment is for 7-10 days. Cure rate is about 85%

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Mims
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Nexium Hp7 triple therapy

Post by Mims » Mon Apr 08, 2019 6:29 pm

I was diagnosed with h.pylori in February and was prescribed Nexium hp7 triple therapy for 7 days ( Amoxicilin 500mg, clarithtomycin 500mg and esomeprazole 20mg). I however only managed to take the medication for one day and woke up to a full on heart attack type feeling, with pain mostly radiating on my right upper quadrant, was taken to ER and was diagnosed with gallstones and a bad gallbladder that needed emergency operation. The surgeons advised me to stop taking the triple therapy and concentrate on healing from the surgery first. I had no knowledge that i had gallstones or any such problems prior to starting the triple therapy. Anyway I have recovered some what from the surgery and I now wanted to treat h.pylori. I returned to my Gp and i told him I want to treat the h.pylori again and that I had only managed to take triple therapy for one day. Now he tells me that I can just take the left over 6 days treatment from the pack I couldnt complete and that I should be ok. Does this sound correct or should i go and see another doctor?

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barjammar
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Re: Nexium Hp7 triple therapy

Post by barjammar » Mon Apr 08, 2019 8:41 pm

Its confusing and impossible to work out exactly, but I kind of agree with your doctor. Just take all the antibiotics you have, don't forget the Nexium (more is better so I often give 40 mg 3x daily). If you fail treatment then nothing is lost because it means the bacterium was resistant to clarithromycin already.
If you need further advice, send another follow-up post with any new information and breath test results post therapy. Anecdotally, I knew a patient who was cured with just one day therapy. Usually we need at least 5 days. Best cure is with 14 days but it is very tedious and not much extra benefit.
Good Luck.
Check the link below for information on hard-to-treat cases. Then search the forums for questions and answers similar to yours.
docs/200808%20stenstrom%20Hp%20Treatment.pdf

Mims
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Joined: Mon Apr 08, 2019 6:09 pm

Re: Nexium Hp7 triple therapy

Post by Mims » Tue Apr 09, 2019 10:58 am

Thank you so much for your response. I will take the remaining 6 days of the Nexium Hp7 as recommended. I also managed to get a repeat prescription for Esomeprazole (40mg) for 30 days and it says to take 1 tablet daily. So I am a little confused on how I should take the esomeprazole (40mg) with the Nexium Hp.7 which has 20mg, twice daily.
The dosages for the NP7 says
Nexium 20mg-1 tablet morning and evening
Amoxil capsules 500mg- 2 capsules morning and evening
Klacid tablets (500mg)-1 tablet morning and evening.

Can i just ignore the esomeprazole 20mg in the Nexium HP7 pack and take the dosage as follows:
Esomeprazole 40mg- 1 tablet x3 -morning,afternoon and evening
Amoxil capsules 500mg- 2 capsules morning and evening
Klacid tablets 500mg- 1 tablet morning and evening

Also when I am finished taking the triple therapy , should i continue taking the remaining Esomeprazole 40mg,once daily till 2 weeks before I go for the breath test?

Thank you so much for your assistance, I will definately come back with results after my breath test.

Helico_expert
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Re: Nexium Hp7 triple therapy

Post by Helico_expert » Tue Apr 09, 2019 2:20 pm

yes. you are allow to replace 20mg with 40mg Esomeprazole. It'll give you higher cure rate.

You can also take two tablets of the 20mg esomeprazole, then it would be the same as taking 1x 40mg tablet.

After you finish everything, wait wait at least 2 weeks before going for the follow up breath test.

Mims
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Joined: Mon Apr 08, 2019 6:09 pm

Re: Nexium Hp7 triple therapy

Post by Mims » Wed Apr 10, 2019 6:12 pm

Thank you so much, i will give you an update on how I go

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