Helicobacter pylori infection
Q: I am taking the following treatment for Helicobacter pylori infection - Ornidazole 500 mg mornings and evenings for 5 days, and simultaneously for 1 month, 1 tab Pantoprazole in the morning and 1 tab Domperidone at night. I want to know if this treatment is correct and how long will the symptoms take to disappear after the completeion of this treatment.
A:Helicobacter pylori is ideally treated with what is known as triple therapy with three types of drugs for 7 days. This is the standard regimen in the western countries and published data confirm over 90% eradication of the organisms. The drugs used are Amoxicillin 1gm + Clarythromycin 500mg + Omeprazole 20mg (or another drug of the same group,i.e., Pantoprazole), all taken twice daily. We here as a rule only rarely prescribe Metronidazole group of drugs because of possible drug resistance. Reinfection occurs rarely and the questioner is advised to get rechecked for H. pylori 4-6 weeks after completing the treatment. Consult your gastroenterolgist for furthe if any problem arises.