⚕️ Efficient Protocol for Waterborne Parasites (Thailand & Vietnam)

New name   B I U S link image code HTML list	Show page  Syntax
'''Only proceed to the next drug if the previous drug did not clear up condition, which means test and see rest days in between. For most people, single dose Albendazole is all that is required. Antibiotics does not remove parasites, and losing weight and digestive issues are likely a parasite if you have visited certain parts of the world.''' {html} <table style="width: 100%; border-collapse: collapse; font-family: Arial, Helvetica, sans-serif; font-size: 14px"> <thead> <tr> <th style="border: 1px solid #ddd; padding: 8px; background: #f6f8fa; text-align: left">Day</th> <th style="border: 1px solid #ddd; padding: 8px; background: #f6f8fa; text-align: left">Drug</th> <th style="border: 1px solid #ddd; padding: 8px; background: #f6f8fa; text-align: left">Dose</th> <th style="border: 1px solid #ddd; padding: 8px; background: #f6f8fa; text-align: left">Time(s) to take</th> <th style="border: 1px solid #ddd; padding: 8px; background: #f6f8fa; text-align: left">Target</th> <th style="border: 1px solid #ddd; padding: 8px; background: #f6f8fa; text-align: left">Notes</th> </tr> </thead> <tbody> <tr> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Day 1</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Albendazole</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">400 mg — single dose</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top"> 20:00 (evening) — take with a fatty meal </td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top"> Common intestinal helminths (Ascaris, hookworm, Trichuris) </td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top"> Baseline deworming; avoid if pregnant. Taking with food enhances absorption. </td> </tr> <tr> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Days 2–4</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Nitazoxanide</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top"> 500 mg — twice daily (total 6 doses) </td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top"> 08:00 &amp; 20:00 each day (with food) </td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top"> Giardia, Cryptosporidium, Blastocystis, some Entamoeba </td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top"> Preferred broad protozoal course; well tolerated. Do not combine with tinidazole simultaneously. </td> </tr> <tr> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Days 5–6</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Rest / Supportive care</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">—</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top"> Hydration throughout the day; probiotics morning &amp; evening </td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Recovery / assess response</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top"> Light diet, bottled/boiled water, ORS if loose stools; consider S. boulardii or equivalent probiotic. </td> </tr> <tr> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Day 7 (optional)</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top"> Tinidazole (only if persistent symptoms) </td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">2 g — single dose</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">08:00 (single dose, with food)</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top"> Amoebiasis or tinidazole-responsive Giardia </td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top"> Use only if no improvement after nitazoxanide; avoid alcohol during and 72 h after dose; not for pregnancy. </td> </tr> </tbody> </table> {/html} !⚕️ Efficient Protocol for Undercooked Meat or Fish Exposure (Thailand & Vietnam) {html} <table style="width: 100%; border-collapse: collapse; font-family: Arial, Helvetica, sans-serif; font-size: 14px"> <thead> <tr> <th style="border: 1px solid #ddd; padding: 8px; background: #f6f8fa">Day</th> <th style="border: 1px solid #ddd; padding: 8px; background: #f6f8fa">Drug</th> <th style="border: 1px solid #ddd; padding: 8px; background: #f6f8fa">Dose</th> <th style="border: 1px solid #ddd; padding: 8px; background: #f6f8fa">Time(s)</th> <th style="border: 1px solid #ddd; padding: 8px; background: #f6f8fa">Target Parasites</th> <th style="border: 1px solid #ddd; padding: 8px; background: #f6f8fa">Notes</th> </tr> </thead> <tbody> <tr> <td style="border: 1px solid #ddd; padding: 8px">Day 1</td> <td style="border: 1px solid #ddd; padding: 8px">Albendazole</td> <td style="border: 1px solid #ddd; padding: 8px">400 mg — single dose (with fatty meal)</td> <td style="border: 1px solid #ddd; padding: 8px">20:00</td> <td style="border: 1px solid #ddd; padding: 8px"> General intestinal worms (*Taenia*, *Ascaris*, *Trichuris*) </td> <td style="border: 1px solid #ddd; padding: 8px"> Basic deworming foundation. Enhances safety of later praziquantel dose. </td> </tr> <tr> <td style="border: 1px solid #ddd; padding: 8px">Days 2–3</td> <td style="border: 1px solid #ddd; padding: 8px">Praziquantel</td> <td style="border: 1px solid #ddd; padding: 8px"> 25 mg/kg per dose, three doses per day (total 75 mg/kg/day) × 2 days </td> <td style="border: 1px solid #ddd; padding: 8px">08:00, 14:00, 20:00 (with meals)</td> <td style="border: 1px solid #ddd; padding: 8px">Tapeworms, liver flukes, lung flukes</td> <td style="border: 1px solid #ddd; padding: 8px"> Do not combine with alcohol. May cause dizziness or nausea. Liver support (hydration, rest). </td> </tr> <tr> <td style="border: 1px solid #ddd; padding: 8px">Days 4–5</td> <td style="border: 1px solid #ddd; padding: 8px">Rest / Recovery</td> <td style="border: 1px solid #ddd; padding: 8px">—</td> <td style="border: 1px solid #ddd; padding: 8px">Hydrate and monitor symptoms morning &amp; night</td> <td style="border: 1px solid #ddd; padding: 8px">Liver and GI recovery</td> <td style="border: 1px solid #ddd; padding: 8px"> Bland diet, probiotics, no alcohol, avoid heavy fats. Re-evaluate energy, digestion, and stool. </td> </tr> <tr> <td style="border: 1px solid #ddd; padding: 8px">Day 7</td> <td style="border: 1px solid #ddd; padding: 8px">Ivermectin (optional)</td> <td style="border: 1px solid #ddd; padding: 8px">200 µg/kg single dose</td> <td style="border: 1px solid #ddd; padding: 8px">08:00 (before breakfast)</td> <td style="border: 1px solid #ddd; padding: 8px">Strongyloides, other nematodes</td> <td style="border: 1px solid #ddd; padding: 8px"> Take on empty stomach; avoid if unconfirmed filarial infection. </td> </tr> </tbody> </table> {/html} !🌏 Unified Broad-Spectrum Parasite Treatment Protocol (Thailand & Vietnam) Covers: Tapeworms, flukes, roundworms, Giardia, amoebae, Cryptosporidium, Strongyloides, Trichinella, and most protozoa. {html} <table style="width: 100%; border-collapse: collapse; font-family: Arial, Helvetica, sans-serif; font-size: 14px"> <thead> <tr> <th style="border: 1px solid #ddd; padding: 8px; background: #f6f8fa">Day</th> <th style="border: 1px solid #ddd; padding: 8px; background: #f6f8fa">Drug</th> <th style="border: 1px solid #ddd; padding: 8px; background: #f6f8fa">Dose</th> <th style="border: 1px solid #ddd; padding: 8px; background: #f6f8fa">Time(s)</th> <th style="border: 1px solid #ddd; padding: 8px; background: #f6f8fa">Targets</th> <th style="border: 1px solid #ddd; padding: 8px; background: #f6f8fa">Notes</th> </tr> </thead> <tbody> <tr> <td style="border: 1px solid #ddd; padding: 8px">Day 1</td> <td style="border: 1px solid #ddd; padding: 8px">Albendazole</td> <td style="border: 1px solid #ddd; padding: 8px">400 mg single dose (evening)</td> <td style="border: 1px solid #ddd; padding: 8px">20:00 — with fatty meal</td> <td style="border: 1px solid #ddd; padding: 8px">Roundworms, hookworm, Taenia cyst stage</td> <td style="border: 1px solid #ddd; padding: 8px"> Foundation dewormer. Precedes praziquantel to reduce cyst activation risk. </td> </tr> <tr> <td style="border: 1px solid #ddd; padding: 8px">Days 2–3</td> <td style="border: 1px solid #ddd; padding: 8px">Nitazoxanide</td> <td style="border: 1px solid #ddd; padding: 8px">500 mg twice daily × 3 days</td> <td style="border: 1px solid #ddd; padding: 8px">08:00 &amp; 20:00 — with food</td> <td style="border: 1px solid #ddd; padding: 8px">Giardia, Cryptosporidium, amoebae, Blastocystis</td> <td style="border: 1px solid #ddd; padding: 8px"> Gentle and effective for protozoa; may turn urine yellow-green temporarily. </td> </tr> <tr> <td style="border: 1px solid #ddd; padding: 8px">Days 4–5</td> <td style="border: 1px solid #ddd; padding: 8px">Praziquantel</td> <td style="border: 1px solid #ddd; padding: 8px">25 mg/kg per dose × 3 doses per day (every 6 hours)</td> <td style="border: 1px solid #ddd; padding: 8px">08:00 / 14:00 / 20:00 — with meals</td> <td style="border: 1px solid #ddd; padding: 8px">Tapeworms, flukes, schistosomes</td> <td style="border: 1px solid #ddd; padding: 8px"> Take with meals. May cause dizziness or nausea. Hydrate well. </td> </tr> <tr> <td style="border: 1px solid #ddd; padding: 8px">Day 7</td> <td style="border: 1px solid #ddd; padding: 8px">Ivermectin (optional)</td> <td style="border: 1px solid #ddd; padding: 8px">200 µg/kg single dose</td> <td style="border: 1px solid #ddd; padding: 8px">08:00 — empty stomach</td> <td style="border: 1px solid #ddd; padding: 8px">Strongyloides, cutaneous nematodes</td> <td style="border: 1px solid #ddd; padding: 8px"> Only if skin rash or soil contact likely. Avoid alcohol for 24 h before/after. </td> </tr> </tbody> </table> {/html} !🇮🇳 India Specific {html} <table style="width: 100%; border-collapse: collapse; font-family: Arial, Helvetica, sans-serif; font-size: 14px"> <thead> <tr> <th style="border: 1px solid #ddd; padding: 8px; background: #f6f8fa; text-align: left">Day</th> <th style="border: 1px solid #ddd; padding: 8px; background: #f6f8fa; text-align: left">Drug</th> <th style="border: 1px solid #ddd; padding: 8px; background: #f6f8fa; text-align: left">Dose</th> <th style="border: 1px solid #ddd; padding: 8px; background: #f6f8fa; text-align: left">Time(s) to take</th> <th style="border: 1px solid #ddd; padding: 8px; background: #f6f8fa; text-align: left">Primary targets</th> <th style="border: 1px solid #ddd; padding: 8px; background: #f6f8fa; text-align: left"> Notes / next steps </th> </tr> </thead> <tbody> <tr> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Day 1 (start)</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Albendazole</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">400 mg PO — single dose</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">20:00 — with a fatty meal</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top"> STH: *Ascaris*, hookworm, *Trichuris*; partial coverage for tissue worms </td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top"> Baseline deworming to reduce worm load and aid recovery. Avoid in pregnancy. </td> </tr> <tr> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Days 1–3 (start immediately)</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Nitazoxanide</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">500 mg PO twice daily × 3 days</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">08:00 &amp; 20:00 — with food</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top"> Protozoa: *Giardia*, *Cryptosporidium*, *Blastocystis*; some *Entamoeba* </td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top"> Good first-line for suspected metronidazole-resistant *Giardia/Entamoeba*. Monitor tolerance; urine may darken slightly. </td> </tr> <tr> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Day 4</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Rest / assess</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">—</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top"> Hydration, light diet, probiotics AM/PM </td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Recovery &amp; response check</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top"> If symptoms improved → stop and monitor. If persistent/worse → follow refractory steps below (Day 5+). </td> </tr> <tr> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Day 5 (refractory option)</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top"> Tinidazole (or Metronidazole alternative) </td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top"> Tinidazole 2 g PO once — OR Metronidazole 500 mg PO TID × 7 days </td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top"> 08:00 (single tinidazole dose with food) — avoid alcohol 72 h </td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top"> Refractory *Giardia* or *Entamoeba* (amoebic colitis needs clinician confirmation) </td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top"> If *E. histolytica* suspected clinically, follow tinidazole/metronidazole with a luminal agent (e.g., paromomycin or diloxanide) per clinician. </td> </tr> <tr> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Day 6–7 (optional)</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Ivermectin (only if indicated)</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top"> 200 µg/kg PO once (may repeat next day if local guidance) </td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">08:00 — empty stomach</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top"> *Strongyloides* (suspected with eosinophilia, pruritic rash, pulmonary symptoms) </td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top"> Only use when clinical/epidemiologic suspicion; check for filarial co-endemic risk if relevant. Not for pregnancy. </td> </tr> <tr> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Supportive (Days 1–14)</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Hydration, probiotics, nutrition</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top"> Probiotic (e.g., <em>S. boulardii</em> 250 mg) AM &amp; PM; ORS PRN </td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Morning &amp; evening</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Gut recovery, prevent dehydration</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top"> Avoid raw/uncertain food &amp; ice; follow up if weight loss continues. </td> </tr> </tbody> </table> {/html} !⚕️ Efficient Protocol for SIBO IBS, (Small intestinal bacterial overgrowth, Irritable Bowel Syndrome) * Rifaximin + Metronidazole taken at the same time * Rifaximin: 14 days, Metronidazole: 10–14 days * Rifaximin, 550 mg, 3× per day (every ~8 hours), 14 days. Example times: 08:00, 16:00, 24:00 * Metronidazole, 500 mg, 2× per day (every ~12 hours), 14 days. Example times: 08:00, 20:00 If Rifaximin is not available, * Metronidazole + Ciprofloxacin * Metronidazole, 500 mg — 2× daily — 14 days * Ciprofloxacin, 500 mg — 2× daily — 7–10 days 12 hours apart, Ciprofloxacin on empty stomach, 1 hour later Metronidazole with food. !⚕️ Efficient Protocol for H. Pylori (Helicobacter pylori) (Vietnam) H. pylori infection is highly prevalent across Vietnam, with national estimates ranging from 50-80% in adults and even higher in children (up to 92% in some studies). It is widespread due to factors like poor sanitation, etc. '''Antibiotic resistance is already a problem in treating H. Pylori.''' {html} <table style="width: 100%; border-collapse: collapse; font-family: Arial, Helvetica, sans-serif; font-size: 14px"> <thead> <tr> <th style="border: 1px solid #ddd; padding: 8px; background: #f6f8fa; text-align: left">Day(s)</th> <th style="border: 1px solid #ddd; padding: 8px; background: #f6f8fa; text-align: left">Drug</th> <th style="border: 1px solid #ddd; padding: 8px; background: #f6f8fa; text-align: left">Dose</th> <th style="border: 1px solid #ddd; padding: 8px; background: #f6f8fa; text-align: left">Time(s) to take</th> <th style="border: 1px solid #ddd; padding: 8px; background: #f6f8fa; text-align: left">Primary targets</th> <th style="border: 1px solid #ddd; padding: 8px; background: #f6f8fa; text-align: left">Notes / next steps</th> </tr> </thead> <tbody> <tr> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Days 1–14</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Proton Pump Inhibitor (PPI)<br><em>e.g., Esomeprazole</em></td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">40 mg PO twice daily</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">08:00 &amp; 20:00 — before meals</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top"><em>H. pylori</em> (acid suppression enhances antibiotic activity)</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Foundation of all regimens; maintain for full 14 days. Avoid skipping doses. Can substitute with omeprazole, lansoprazole, or pantoprazole if needed.</td> </tr> <tr> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Days 1–14</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Bismuth subsalicylate (or subcitrate)</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">525 mg PO four times daily</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">07:00, 12:00, 18:00, 22:00 — with or after meals</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Synergistic anti–<em>H. pylori</em> effect, protects mucosa</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">May darken stool or tongue (harmless). Avoid concurrent aspirin. Do not use in aspirin allergy or severe renal impairment.</td> </tr> <tr> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Days 1–14</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Tetracycline</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">500 mg PO four times daily</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">07:00, 12:00, 18:00, 22:00 — on empty stomach</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top"><em>H. pylori</em> (broad-spectrum bacteriostatic antibiotic)</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Do not take with dairy or antacids. Avoid in pregnancy or children <8 yrs. Excellent resistance profile in Vietnam (0%).</td> </tr> <tr> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Days 1–14</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Metronidazole</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">500 mg PO three to four times daily</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">08:00, 14:00, 20:00 (± midnight if QID)</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top"><em>H. pylori</em> (anaerobic coverage; synergistic with bismuth/tetracycline)</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Avoid alcohol during therapy and for 48 h after last dose. Mild metallic taste and nausea possible; take with food. Resistance can be overcome with bismuth combination.</td> </tr> <tr> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Days 1–14 (supportive)</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Probiotic support (e.g., <em>S. boulardii</em>)</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">250 mg PO twice daily</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">08:00 &amp; 20:00 — with or after meals</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Gut flora balance, reduces antibiotic side effects</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Optional but recommended to reduce diarrhea and dysbiosis during therapy. Continue up to 1 week after antibiotics finish.</td> </tr> <tr> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Post-therapy (4+ weeks after completion)</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Follow-up testing</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Urea breath test or stool antigen</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">—</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Confirm eradication</td> <td style="border: 1px solid #ddd; padding: 8px; vertical-align: top">Perform ≥4 weeks post-therapy, off PPI for 2 weeks prior. If positive, consider salvage therapy (rifabutin-based triple or furazolidone-based regimen per susceptibility).</td> </tr> </tbody> </table> {/html} * Pylera: is a poly pill formula that simplifies pill burden for bismuth quadruple; retains high eradication rates. − You still need to supply a PPI separately. It has the essential anti-biotics and the bismuth in the one package. The PPI options must be added below... '''PPI options''' * Esomeprazole 40 mg tablets (ask: brand names, how many tablets per blister) * Omeprazole 20 mg or 40 mg tablets (ask brand names) * Pantoprazole 40 mg tablets (ask availability) {html} <table style="width:100%;border-collapse:collapse;font-family:Arial,Helvetica,sans-serif;border:1px solid #ddd;"> <caption style="caption-side:top;text-align:left;font-weight:700;font-size:1.05em;padding:8px 0;">Pylera-based Bismuth Quadruple Therapy (14 days) — Medications</caption> <thead> <tr> <th style="text-align:left;padding:8px;border-bottom:2px solid #ccc;background:#f7f7f7;">Component</th> <th style="text-align:left;padding:8px;border-bottom:2px solid #ccc;background:#f7f7f7;">Drug &amp; Dose</th> <th style="text-align:left;padding:8px;border-bottom:2px solid #ccc;background:#f7f7f7;">Frequency</th> <th style="text-align:left;padding:8px;border-bottom:2px solid #ccc;background:#f7f7f7;">Duration</th> <th style="text-align:left;padding:8px;border-bottom:2px solid #ccc;background:#f7f7f7;">Notes</th> </tr> </thead> <tbody> <tr> <td style="padding:8px;border-bottom:1px solid #eee;vertical-align:top;">Pylera®</td> <td style="padding:8px;border-bottom:1px solid #eee;vertical-align:top;"> 3 capsules (each capsule contains <strong>bismuth subcitrate potassium 140 mg</strong>,<br> <strong>metronidazole 125 mg</strong>, <strong>tetracycline 125 mg</strong>) </td> <td style="padding:8px;border-bottom:1px solid #eee;vertical-align:top;"> 4 times daily after meals and at bedtime<br> (e.g. 07:00, 12:00, 18:00, 22:00) </td> <td style="padding:8px;border-bottom:1px solid #eee;vertical-align:top;">10–14 days</td> <td style="padding:8px;border-bottom:1px solid #eee;vertical-align:top;"> Take after meals and at bedtime with a full glass of water.<br> Avoid alcohol during treatment and for 48&nbsp;hours after (metronidazole). </td> </tr><tr> <td style="padding:8px;border-bottom:1px solid #eee;vertical-align:top;">Proton Pump Inhibitor (PPI)</td> <td style="padding:8px;border-bottom:1px solid #eee;vertical-align:top;"> e.g. <strong>Omeprazole 20–40 mg</strong>, <strong>Esomeprazole 20–40 mg</strong>,<br> <strong>Pantoprazole 40 mg</strong>, or <strong>Lansoprazole 30 mg</strong> </td> <td style="padding:8px;border-bottom:1px solid #eee;vertical-align:top;"> Twice daily (e.g. 08:00 &amp; 20:00 — before meals) </td> <td style="padding:8px;border-bottom:1px solid #eee;vertical-align:top;">10–14 days (complete full course)</td> <td style="padding:8px;border-bottom:1px solid #eee;vertical-align:top;"> Acid suppression increases antibiotic activity and promotes mucosal healing.<br> Take consistently and avoid skipping doses. </td> </tr> </tbody> </table> {/html}
Password  Summary of changes

 📜 ⏱️ ⬆️