Is Erythromycin the right antibiotics for H. Pylori?
Posted: Mon Nov 21, 2022 5:40 am
I self-diagnosed through an OTC stool antigen test last week, and was prescribed the following by my GP (for 14 days):
Amoxycillin 500mg 3 times a day
Erythromycin 250mg 3 times a day
Omeprazole 20mg twice a day
Cimetidine 200mg 3 times a day
I started my treatment last Monday, and the swelling / burning of my stomach and intestines went down immediately overnight. I am half way through the treatment now, and started to have a bit of abdominal pain here and there which makes me a bit paranoid that my treatment isn't working.
After some online research, I found some articles stating that erythromycin is not an effective microlide for H. pylori, and it seems most treatments uses clarithromycin. I've also read that different regions have differing types of antibiotics resistance, could this be the reason why I was prescribed erythromycin rather than the usual clarithromycin? (I'm based in Hong Kong)
I would love for an opinion on whether this is an adequate treatment, or if the dosage is too low (saw some treatments prescribing 750mg - 1g amoxycillin) / the wrong antibiotics was prescribed. Thanks in advance!
Side question: If I were to do the stool test again to confirm eradication, how long after my treatment should I do it? (My first one actually tested negative due to the PPIs (for 3 days) my GP initially put me on. I retested 2 days after the PPIs and was positive.)
Amoxycillin 500mg 3 times a day
Erythromycin 250mg 3 times a day
Omeprazole 20mg twice a day
Cimetidine 200mg 3 times a day
I started my treatment last Monday, and the swelling / burning of my stomach and intestines went down immediately overnight. I am half way through the treatment now, and started to have a bit of abdominal pain here and there which makes me a bit paranoid that my treatment isn't working.
After some online research, I found some articles stating that erythromycin is not an effective microlide for H. pylori, and it seems most treatments uses clarithromycin. I've also read that different regions have differing types of antibiotics resistance, could this be the reason why I was prescribed erythromycin rather than the usual clarithromycin? (I'm based in Hong Kong)
I would love for an opinion on whether this is an adequate treatment, or if the dosage is too low (saw some treatments prescribing 750mg - 1g amoxycillin) / the wrong antibiotics was prescribed. Thanks in advance!
Side question: If I were to do the stool test again to confirm eradication, how long after my treatment should I do it? (My first one actually tested negative due to the PPIs (for 3 days) my GP initially put me on. I retested 2 days after the PPIs and was positive.)