Latest 2023 / 2024
Which cytoprotective agents would be used in pregnancy
- Sucralfate (Carafate)
- Pylori
- Treatment is not recommended for asymptomatic individuals who
test positive for H. Pylori.Otherwise, treat with clarithromycin, amoxicillin, bismuth, metronidazole, and tetracycline.Drug resistance my occur, so recommendation is to use at least two antibiotics (preferably three) and an antisecretory agent or H2RA
ACG recommended H. Pylori treatment
- Clarithromycin plus amoxicillin, plus PPI - may substitute Flagyl if
PCN allergy
Peptic Ulcer Disease (PUD) - lifestyle modifications to support ulcer healing
- Change in eating pattern such as consumption of five or six small
meals a day rather than 3 large ones.Avoid smoking, aspirin and NSAIDS, stop ETOH if casual relationship of symptoms exist.
Anti-Diarrheal
- Bismuth Subsalicylate (Pepto-Bismol) is contraindicated in children
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during or after chickenpox. due to increased risk of Reye's syndrome.