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Failed eradication therapy for 3rd times

Posted: Sat Jan 02, 2021 10:52 am
by minhle96
Hi
I attached a picture of my prescription, antibiotic susceptibility test below
It seem that only Clarithromycin is the only antibiotic that Hpylori is resisted to, however in my 2nd treatment I took amoxicillin and tetracycline and 1 other antibiotic that I could not tell from my doctor hand writing (I attached a picture of prescription below) failed. Could this mean I got reinfected at some point?

Re: Failed eradication therapy for 3rd times

Posted: Mon Jan 04, 2021 10:53 am
by Helico_expert
Unfortunately I cannot read Viet language.

I dont like the combination of Amoxicillin and Tetracycline.

anyway. Levofloxacin seems working. Perhaps you can ask your doctor to give
rabeprazole 20mg TID
bismuth 220mg QID
Amoxicillin 1g TID
levofloxacin 250mg BID

Re: Failed eradication therapy for 3rd times

Posted: Thu Jan 07, 2021 10:50 am
by minhle96
The result say that I have 'PPI extensive metabolizer' what does this mean?

Re: Failed eradication therapy for 3rd times

Posted: Thu Jan 07, 2021 4:02 pm
by Helico_expert
it means you need higher dose PPI to make it work.