6005 w6 d1.docx - Since Mike has a positive serum H.pylori...

Since Mike has a positive serum H.pylori test, I would prescribe Aciphex 20mg
PO BID x 10-14 days along with clarithromycin 500 mg bid and Amoxicillin 1 g
bid x 10-14 days. This is considered triple therapy (Woo & Wynne, 2012).
According to Woo & Wynne until healing is complete Proton Pump Inhibitor
(PPI) will be continued for 8 to 12 weeks (2012).
What other possible meds could you prescribe to assist with the side effects
from the medications prescribed?
Other medications that could be used if the patient is unable to tolerate
the side effects of the regimen they are on are PPI with Clarithromycin and
Metronidazole; Ranitidine with Metronidazole, Tetracycline and Bismuth
subsalicylate; or PPI with Levofloxacin and Amoxicillin (Woo & Wynne, 2012).
How would the treatment vary if the patient has GERD instead?
The treatment for a patient with GERD would consist of lifestyle changes
such as elevating the head of bed, avoiding spicy foods and acidic foods, avoid
laying down after eating for at least 3 hours, limit caffeine intake, and other
changes such as smoking cessation and weight loss. Medication would include
antacids and histamine 2 receptor antagonists (H2RAs). According to Woo &