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如何贴文?
欧洲幽门螺杆菌治疗共识 5
第五次全国幽门螺杆菌感染处理共识报告
用药后,多久以后可以再做吹气测试?

Six Failed Treatments and Counting

The cure of Hp usually requires antibiotics. Other things have been tried and have a weaker effect.

Moderator: barjammar

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bex
Posts: 3
Joined: Wed Oct 31, 2012 11:55 am

Six Failed Treatments and Counting

Post by bex »

Hello,

I would like some advice as to the options available for my situation with 6 failed treatments for helicobacter. The following are the treatments up until a few months ago:

1. Nexium 20mg, Klacid 250mg & Flagyl 200mg for 7 days.
2. Nexium 20mg, Klacid 250mg & Flagyl 400mg for 7 days.
3. Nexium 20mg, Klacid 250mg & Flagyl 400mg for 7 days.
4. Nexium 20mg, Klacid 500mg & Flagyl 400mg for 7 days.
5. Nexium 40mg, Klacid 500mg & Flagyl 400mg for 7 days.
6. Nexium 40mg, Klacid 500mg & Ciproxin 500mg for 7 days.

Although the affects of feeling better were present after the last couple of treatments that only lasted for about 2 to 3 weeks. I more or less had the feeling that the treatments failed, the breath tests only confirmed.
Is there anything I could do or ask that my GP does that could see success in my next treatment?
I would prefer to avoid CIPROXIN as the side effects experienced with this drug were not "ideal".
I have experienced an allergic reaction to Amoxycilian many years ago as light pink rash over my body.

Regards

Bex
Helico_expert
Site Admin
Posts: 4513
Joined: Wed Mar 02, 2011 7:20 am

Re: Six Failed Treatments and Counting

Post by Helico_expert »

Your 1 - 5 treatment is really... same. Your bacteria is obviously resistant to Klacid and Flagyl. Now, probably also Cipro.

I would suggest you to follow one of the treatment plan design for amoxicillin allergic patients in the following publication
http://onlinelibrary.wiley.com/doi/10.1 ... 9/suppinfo
bex
Posts: 3
Joined: Wed Oct 31, 2012 11:55 am

Re: Six Failed Treatments and Counting

Post by bex »

Hi Helico_expert,

Thankyou for the reply, I will check out the suggested publication.
Are there any tests that can identify which antibiotics my bacteria is resistant toward?
Are there any doctors that you know or could recommend for treatment here in Melbourne?
Helico_expert
Site Admin
Posts: 4513
Joined: Wed Mar 02, 2011 7:20 am

Re: Six Failed Treatments and Counting

Post by Helico_expert »

There certainly is a way to test the antibiotic resistance. But you'll need to book an appointment for endoscopy. Ask your specialist for the antibiotic sensitivity test before treatment. Sorry that I cannot recommend you any specialist in Melbourne.
bex
Posts: 3
Joined: Wed Oct 31, 2012 11:55 am

Re: Six Failed Treatments and Counting

Post by bex »

Hi Helico_expert,

That was a very quick reply, thankyou very much. I will visit my GP with the information from the publication and also ask for a referal for endoscopy.
Will the sensitivity test indicate the antibiotics to use for the erradication of my strain of bacteria?
Helico_expert
Site Admin
Posts: 4513
Joined: Wed Mar 02, 2011 7:20 am

Re: Six Failed Treatments and Counting

Post by Helico_expert »

yes. That journal article mentioned the antibiotics that were tested on H. pylori before treatment. Briefly, it includes, amoxicillin, clarithromycin, metronidazole, tetracyclin, rifabutin, and ciprofloxacin.
lvmmyof2
Posts: 5
Joined: Fri Nov 16, 2012 12:21 am

Re: Six Failed Treatments and Counting

Post by lvmmyof2 »

bex wrote:Hi Helico_expert,

Thankyou for the reply, I will check out the suggested publication.
Are there any tests that can identify which antibiotics my bacteria is resistant toward?
Are there any doctors that you know or could recommend for treatment here in Melbourne?

**Are you in Melbourne Australia or Melbourne Florida?
Dublingirl
Posts: 17
Joined: Tue Nov 27, 2012 11:34 pm

Re: Six Failed Treatments and Counting

Post by Dublingirl »

I would also suggest going to a Naturopath. They can help you with your diet and other things to complement the medication doctors have given you. Your well being must be absolutely shot. I know mine is. And i've just started my treatment last monday... good luck...
Helico_expert
Site Admin
Posts: 4513
Joined: Wed Mar 02, 2011 7:20 am

Re: Six Failed Treatments and Counting

Post by Helico_expert »

Are there any tests that can identify which antibiotics my bacteria is resistant toward?
yes, you can ask your specialist to do an antibiotic sensitivity test from your biosy collected from endoscopy. It's not commonly done, but worth it.
Naturopath, And i've just started my treatment last monday
Do update us your treatment plan. Tell us how it helps you.
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