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. 2022 Sep 7;14(1):2120747. doi: 10.1080/19490976.2022.2120747

Table 1.

The current regimens for H. pylori treatment.

Therapy Components (usual Doses and Frequencies) Days (n) Reference
Clarithromycin triple therapy Clarithromycin (500 mg bid)+amoxicillin (1 g bid) or metronidazole (500 mg bid)+PPI (standard dose bid) 14 47
Bismuth quadruple Bismuth (300 mg qid)+metronidazole (500 mg tid or qid)+tetracycline (500 mg qid)+PPI (standard dose bid) 10 or 14 47
Levofloxacin triple Levofloxacin (500 mg qd)+ amoxicillin (1 g bid)+ PPI (standard dose bid) 14 12
Levofloxacin quad Levofloxacin (500 mg qd)+ PPI (standard dose bid)+ 2 antibiotics (multiple variations exist) 10 or 14 2
Concomitant therapy Clarithromycin (500 mg bid)+ amoxicillin (1 g bid)+metronidazole or tinidazole (500 mg bid)+PPI (standard dose bid) 14 12
Sequential therapy PPI (high-dose* qd) + amoxicillin (1 g bid); then PPI (standard dose bid)+ clarithromycin (500 mg bid)+nitroimidazole (500 mg bid) 5–7 then 5–7 12
Rifabutin triple Rifabutin (150 or 300 mg qd), amoxicillin (1 g bid), PPI (standard dose bid) 10 or 14 47
High-dose dual Amoxicillin (2 − 3 g daily in 3–4 split doses) PPI (high-dose* bid) 14 47
Vonoprazan dual therapy Vonoprazan (20 mg bid)+amoxicillin (750 mg bid) 7 48
Vonoprazan triple therapy Vonoprazan (20 mg bid) + amoxicillin (750 mg bid) + clarithromycin (200 mg bid) 7 48

*PPI standard dose is as follows: pantoprazole 40 mg, esomeprazole 20 mg, omeprazole 20 mg, lansoprazole 30 mg, rabeprazole 20 mg.dexlansoprazole 30 mg, “High-dose” implies double the standard dose; qd: once daily; bid: twice daily; tid: thirce daily; qid: four times daily