Penicillin allergy
Usual PathogenHelicobacter pylori
Bismuth quadruple therapy
| Empiric Therapy | Dose | Duration |
|---|---|---|
| PPI | bid | 14 days |
| + | ||
| Bismuth subsalicylate | 2 tabs (524mg) PO qid | |
| + | ||
| Metronidazole | 500mg PO qid | |
| + | ||
| Tetracycline | 500mg PO qid |
Alternative
| Empiric Therapy | Dose | Duration |
|---|---|---|
| Pantoprazole | 40mg PO bid | 14 days |
| + | ||
| Clarithromycin | 500mg PO bid | |
| + | ||
| Metronidazole | 500mg PO bid |