Re: ADVISE PLEASE

Post by **ANGULIMALA74** » Wed Nov 13, 2013 11:58 am

DEAR SIR,

I AM A GENERAL PHYSICIAN WHO HAS BEEN REFERED A PT WITH RECURRENT H PYLORI WITH A BCKG OF PENICILLIN ALLERGY

HIS UBT IS POSITIVE.

MY QUESTION IS WHETHER TO ADVANCE TO DE NOL BASED THERAPY

KIND REGARDS

RB

Post by **Helico_expert** » Wed Nov 13, 2013 1:53 pm

For penicillin allergic patients who failed the metronidazole and clarithromycin triple therapy, we normall prescribe the PBRC quadruple therapy.

You may find our published work here. However, please bare in mind that the study is based on Western Australia population. The Helicobacter pylori antibiotic resistant profile in your country my differ.

http://onlinelibrary.wiley.com/doi/10.1 ... A92.f02t03

or the supportive document with the treatment plans

http://onlinelibrary.wiley.com/store/10 ... 4ca1d1eb37

Post by **ANGULIMALA74** » Wed Nov 13, 2013 6:54 pm

Dear sir

Thanks. I practise in Central Queensland

Kind regards

Am

Post by **ANGULIMALA74** » Fri Nov 22, 2013 5:06 pm

Dear Sir

With regards to precribing PRBC

I gather that Special access scheme is required for approval for bismuth, is that the same with cipro and rifabutin

Thanks

Kindest regards

AM