Comparison of three triple regimens with omeprazole or ranitidine bismuth citrate for Helicobacter pylori eradication.
Scand J Gastroenterol
; 37(12): 1374-9, 2002 Dec.
Article
in En
| MEDLINE
| ID: mdl-12523585
ABSTRACT
BACKGROUND:
Regimens with ranitidine bismuth citrate (RBC) or omeprazole (O) are effective in eradicating Helicobacter pylori. This randomized, open, multicentre trial compares three different regimens with these drugs.METHODS:
Consecutive H. pylori +ve outpatients were included. The alternative regimens were 1) O 20 mg, clarithromycin (C) 250 mg and metronidazole (M) 500 mg (O.C.M), 2) RBC 400 mg, C 250 mg and M 500 mg (RBC.C.M), 3) RBC 400 mg, tetracycline (T) 1000 mg and M 500 mg [RBC.T.M]. All drugs were given twice daily for 7 days. H. pylori infection was assessed with H. pylori urea breath tests.RESULTS:
426 H. pylori +ve patients were included (mean age 58 years [range 18-88], male/female 244/182). The eradication rates (intention to treat) in the O.C.M, RBC.C.M and RBC.T.M groups were 117/137 (85%), 141/146 (97%) and 117/143 (82%), respectively (P < 0.001, overall assessment). There were no significant differences in side effects between the alternatives.CONCLUSION:
In this trial, RBC.C.M was the most effective one, it was well tolerated and compliance was satisfactory. RBC.T.M is an alternative to regimens with clarithromycin.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Ranitidine
/
Bismuth
/
Omeprazole
/
Helicobacter pylori
/
Helicobacter Infections
/
Anti-Ulcer Agents
Type of study:
Clinical_trials
Limits:
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Scand J Gastroenterol
Year:
2002
Document type:
Article
Affiliation country:
Noruega