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. 2015 Apr 8;20(4):6068–6092. doi: 10.3390/molecules20046068

Table 2.

Treatment regimens for H. pylori eradication in Asia [63,64,65,66].

Guidelines First-Line Treatment Second-Line Treatment
Second Asia Pasific Consensus 2009 Standard PPI-based triple therapy: 7–14 days
  • PPI, AMX 1 g, CAM 500 mg twice daily

  • PPI, MNZ 400 mg, CAM 500 mg twice daily

  • PPI, AMX 1 g, MNZ 400 mg twice daily

Quadruple therapy: 7–14 days
  • PPI twice daily, BIS 240 mg twice daily, MNZ 400 mg, twice daily or three times daily, TCN 500 mg four times daily

Quadruple therapy: 7–14 days
  • PPI twice daily, BIS 240 mg twice daily, MNZ 400 mg, twice daily or three times daily, TCN 500 mg four times daily

  • LVX-based triple therapy: 10 daysPPI, LVX 250 mg (or 500 mg), AMX 1 g twice daily

  • Rifabutin-based triple therapy: 7–10 daysPPI, rifabutin 150 mg, AMX 1 g twice daily

Global Guidelines for developing countries Triple therapy: 7 days
  • PPI + AMX + CAM/Furazolidone, twice daily

Quadruple therapy(CAM resistance > 20%): 7–10 days
  • PPI twice daily +BIS + TCN +MNZ all four times daily

Quadruple therapy(no known CAMresistance, BIS unavailable): 14 days
  • PPI + CAM + MNZ +AMX

Sequential therapy: 10 days
  • PPI + AMX for 5 days followed by PPI + CAM and a nitroimidazole (tinidazole) for 5 day

Quadruple therapy
  • PPI + BIS + TCN + MNZ for 10–14 days

  • PPI + furazolidone + TCN + BIS for 10 days

Triple therapy
  • PPI + furazolidone + LVX for 10 days

  • PPI + AMX + CAM for 7 days

  • PPI + AMX + LVX for 10 days

Japan 2013 Triple therapy: 7 days
  • AMX 750 mg, CAM 200mg (or 400 mg), and PPI twice daily

Triple therapy: 7 days
  • AMX 750 mg, MNZ 250mg, and PPI twice daily

China 2013 Triple therapy: 7–14 days
  • AMX 1 g (or MNZ 400 mg),CAM 500 mg, and PPI twice daily

Quadruple therapy: 10–14 days
  • BIS 220 mg, TCN 750 mg,MNZ 400 mg twice, and PPI twice daily for 10 or 14 days

Korea 2013 Triple therapy: 7–14 days
  • AMX 1 g, CAM 500 mg, and PPI twice daily

Quadruple therapy: 7–14 days
  • BIS 120 mg four times, TCN 500mg four times, MNZ 500 mg thrice, PPI twice daily for 7–14 days

Abbreviations: CAM: clarithomycin, MNZ: metronidazole, LVX: levofloxacin, AMX: amoxicillin, CIP: ciprofloxacin, TCN: tetracycline.