Treatment for H. pylori
If you have ulcers caused by H. pylori, you’ll need treatment to kill the germs, heal your stomach lining, and keep the sores from coming back. It usually takes 1 to 2 weeks of treatment to get better.
Your doctor will probably tell you to take a few different types of drugs. The options include:
- Antibiotics to kill the bacteria in your body, such as amoxicillin, clarithromycin (Biaxin), metronidazole (Flagyl), tetracycline (Sumycin), or tinidazole (Tindamax). You’ll most likely take at least two from this group.
- Drugs that reduce the amount of acid in your stomach by blocking the tiny pumps that produce it. They include dexlansoprazole (Dexilant), esomeprazole (Nexium), lansoprazole (Prevacid), omeprazole (Prilosec), pantoprazole (Protonix), or rabeprazole (Aciphex).
- Bismuth subsalicylate, which may also help kill H. pylori along with your antibiotics
- Medicines that block the chemical histamine, which prompts your stomach to make more acid. These are cimetidine (Tagamet), famotidine (Fluxid, Pepcid), nizatidine (Axid), or ranitidine (Zantac).
- Your treatment could mean you’ll take 14 or more pills per day for a few weeks, which seems like a lot of medicine. But it’s really important to take everything that your doctor prescribes and to follow her instructions. If you don’t take antibiotics the right way, bacteria in your body can become resistant to them, which makes infections harder to treat. If your medicationsbother you, talk to your doctor about your treatment options and how you can handle side effects.
- About 1-2 weeks after you finish your treatment, your doctor may test your breath or stool again to make sure the infection is gone.