What medicine should I take if I have Helicobacter pylori?
Helicobacter pylori is a common gastric bacterium that may cause gastritis, gastric ulcers and even gastric cancer after infection. Recently, the treatment plan for Helicobacter pylori has become a hot topic, and many patients are concerned about "what medicine to take if you have Helicobacter pylori". This article will combine the hot content of the entire network in the past 10 days to provide you with structured data and suggestions.
1. Treatment drugs for Helicobacter pylori

Helicobacter pylori is usually treated with "quadruple therapy," which includes two antibiotics, a proton pump inhibitor (PPI), and a bismuth agent. The following are common drug combinations:
| drug type | Commonly used drugs | function |
|---|---|---|
| Antibiotics 1 | amoxicillin, clarithromycin | Kill Helicobacter pylori |
| Antibiotics 2 | Metronidazole, tetracycline | Enhance sterilization effect |
| Proton pump inhibitors (PPIs) | Omeprazole, lansoprazole | Reduce gastric acid secretion |
| bismuth agent | Potassium bismuth citrate | Protect gastric mucosa |
2. Selection of treatment options
Based on the patient's specific situation (such as allergy history, drug resistance, etc.), the doctor will adjust the drug combination. The following are several treatment options that have been hotly discussed recently:
| Scheme name | drug combination | Course of treatment | efficient |
|---|---|---|---|
| standard quadruple therapy | Amoxicillin + Clarithromycin + Omeprazole + Bismuth | 14 days | 85%-90% |
| alternative quadruple therapy | Metronidazole + tetracycline + lansoprazole + bismuth | 14 days | 80%-85% |
| Highly resistant area plan | Amoxicillin+Levofloxacin+PPI+Bismuth | 10 days | 75%-80% |
3. Medication precautions
1.Take medicine on time: Antibiotics must be taken strictly according to the course of treatment to avoid drug resistance.
2.Avoid alcohol: Taking metronidazole and other drugs together with alcohol may cause serious reactions.
3.Review: A breath test review is required 4 weeks after the end of treatment.
4.Diet coordination: Avoid spicy food to reduce stomach burden.
4. Answers to recent hot questions
1.Will Helicobacter pylori recur?The recurrence rate after treatment is about 5%-10%, so you need to pay attention to dietary hygiene.
2.How are infections in children treated?The dosage of medication for children needs to be adjusted, and the amoxicillin + PPI regimen is usually chosen.
3.Can Chinese medicine cure Helicobacter pylori?Traditional Chinese medicine can help relieve symptoms, but the radical cure still requires combination with antibiotics.
5. Prevention and life suggestions
| Precautions | Specific methods |
|---|---|
| Meal sharing system | Avoid sharing tableware to reduce the risk of transmission |
| Food hygiene | Do not eat raw or cold food, and disinfect tableware regularly |
| Enhance immunity | Supplement vitamin C, probiotics, etc. |
Helicobacter pylori infection requires standardized treatment. Patients should take medication under the guidance of a doctor and do not buy antibiotics on their own. With scientific medication and a healthy lifestyle, most patients can be successfully cured.
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