that includes histamine 2 blockers when eradication of H. pylori . According to Chey et al. (2017), clarithromycin and amoxicillin are therapeutic in such patients as it kills H. pylori since it is an antibiotic. Zeng et al. (2015) further recommend Lansoprazole since it is effective in inhibiting gastric acid production. Satoh et al. (2016) provide evidence-based guidelines that support a combination of the three drugs. For that reason, the initial prescription would include Lansoprazole 30 mg by mouth twice a day for ten days, clarithromycin 500 mg orally thrice a day for ten days, and amoxicillin 1 g orally twice a day for ten days.
PEPTIC ULCER DISEASE 2 How long would you prescribe these medications? The triple therapy is the first line of treatment in treating peptic ulcer disease (Woo, 2015). I will prescribe the medication for 10 days. What other possible meds could you prescribe to assist with the side effects from the medications prescribed? Diarrhea is one of the side effects that may arise from managing peptic ulcers using this regimen. According to de-la-Coba et al. (2016), proton-pump inhibitors (PPIs) are safe but may cause diarrhea. I will prescribe Saccharomyces boulardii 250mg by mouth twice daily. Probiotics are used to restore the healthy balance of gut flora that is disturbed by antibiotics and other conditions (Woo, 2015). Probiotics also reduce antibiotic-associated diarrhea in adults. Probiotics are generally sold as capsules, powder, tablets, liquid, or are incorporated into food. Probiotics can be Saccharomyces boulardii, Lactobacillus acidophilus, Bifidobacterium lactis or a combination. When S. boulardii
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- Fall '17
- Helicobacter pylori, Helicobacter pylori infection, Advanced Pharmacology, NSG6005, SUO PHARM, Nursing6005, Fnp6005 , Peptic Ulcer Disease