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Failed eradication even after quadruple and levoflaxicin based therapy

Posted: Sat Sep 25, 2021 7:38 pm
by vivekr64
Background

I have had 4 treatments for H pylori over the last 10 years. I have visited two prominent Gastros' in Singapore , and after failure of a bismuth containing quadruple therapy, the gastro has prescribed a levoflaxicin based triple therapy.

Despite this the H PYLORI has persisted, and is giving me a peptic ulcer with daily pain and frustration. I am taking a high dose of probiotics to restore gut health, but it helps only partially

I am beginning to assume that i have a ultra-resistant form. I know that culturing the bacteria is the next step. But if that does not work, what are my options?

Please help

Re: Failed eradication even after quadruple and levoflaxicin based therapy

Posted: Sun Sep 26, 2021 10:33 am
by Helico_expert
If you do not know what antibiotics have you used before, then indeed, culturing the H. pylori is the best way to find out what antibiotics should be used next to efficiently eradicate the nasty bacteria.

Otherwise, you can always try the following

high dose PPI, eg rabeprazole 20mg TID
high dose amoxicillin, 1g TID
high dose bismuth, 240mg QID

and one more antibiotic that you are less likely tried.
eg. rifabutin or furazolidone.

Re: Failed eradication even after quadruple and levoflaxicin based therapy

Posted: Wed Jul 12, 2023 9:18 am
by turtlethank
have you tried checking for updates?moto x3m

Re: Failed eradication even after quadruple and levoflaxicin based therapy

Posted: Thu May 23, 2024 3:21 pm
by doesglobe
I'm starting to believe that my shape is very resistant. I am aware thatgeometry dash the next step is to culture the germs. What are my choices, however, if it doesn't work?

Re: Failed eradication even after quadruple and levoflaxicin based therapy

Posted: Fri May 24, 2024 2:45 pm
by Helico_expert
You can discuss with your doctor and find out if he knows if the laboratory is able to culture the H. pylori.
It's not an easy bacteria to culture. Many laboratory refuse to culture them.

Re: Failed eradication even after quadruple and levoflaxicin based therapy

Posted: Mon Oct 07, 2024 10:33 am
by eventdaylight
thx. It's help alotDoodle Jump