Talk:Helicobacter pylori eradication protocols

Re: acid reflux drugs to treat H. pylori instead of antibiotic plus calcium tablets

This assertion in the top section needs not only a citation but should be challenged with citations from peer-reviewed journal articles that do not insist on acid reflux drugs, as the current wording reads all too much like a drug manufacturer's advertising pitch to physicians. The acid reflux drugs were prescription drugs that lost tons of money the moment physicians realized that H. pylori needed to be treated with antibiotics, not with acid-limiting drugs and bland diets -- which is why those drugs were then renamed and repurposed as over-the-counter drugs for common acid reflux (i.e., so that drug makers could recapture some of that lost market). One can fairly argue that the incidence stomach and esophageal cancer due to acid reflux isn't anywhere near great enough to justify the massive marketing campaign, direct to consumers this time, that drug makers have undertaken now that these drugs are over the counter. Moreover, there is medical evidence that acid-reflux drugs also lower the immune system, which is an undesirable side effect (in which case, simple calcium tablets with the antibiotics are a better choice). So: that paragraph really needs to be rewritten, with more peer-reviewed journal citations. Mrtraska (talk) 19:48, 30 June 2014 (UTC)

Add bismuth - it helps

doi:10.1136/gutjnl-2015-311019 JFW | T@lk 12:04, 8 April 2016 (UTC)

Biofilm Demolition and Antibiotic Treatment to Eradicate Resistant Helicobacter pylori: A Clinical Trial

http://www.cghjournal.org/article/S1542-3565(10)00454-4/fulltext

Please do not delete my edit because it is valid and backed up by a solid, positive, clinical trial. The reason I am adding this is because I had a H Pylori infection and it took me time to find this. It is very useful info when it comes to eradication... Please attach the link that I posted as a citation as I had no idea on your citation method nor could I find my way around it in an editor provided by wiki. DO NOT DELETE, please! 77.77.254.64 (talk) 09:19, 10 March 2017 (UTC)

References

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Which bismuth? Reply Comment

This article refers to a drug "bismuth" and links to Ranitidine bismuth citrate (or just Ranitidine/"Zyrtec"). However, there is another bismuth drug, bismuth subsalicylate ("Pepto Bismol"). Are we sure the link is pointing to the correct drug? Myoglobin (talk) 22:19, 22 October 2017 (UTC)

The sources given above the table mention the subcitrate, and in one instance ranitidine bismuth citrate. It's a bit weird that ranitidine bismuth citrate redirects to ranitidine. I'll create a stub for bismuth subsalicylate. Thanks for catching this. --ἀνυπόδητος (talk) 09:33, 24 October 2017 (UTC)

I wasn't saying that the "bismuth" originally described was NOT Ranitidine, but that it may be the subsalicylate. Perhaps a request should be sent out for someone that knows more about H. pylori treatment (I'm just a first-year student for now). Anyone know of a template to ask for a medical expert to take a look at this?

The therapies in the sources, as well as the ones I know, are all with the subcitrate. I didn't think about the possibility that there could ALSO be therapies with the subsalicylate. Good places to ask questions of that sort are Wikipedia talk:WikiProject Pharmacology and Wikipedia talk:WikiProject Medicine. So feel free to ask there, and happy editing! --ἀνυπόδητος (talk) 05:57, 25 October 2017 (UTC)