Treatment of Helicobacter pylori infection with omeprazole-amoxicillin combination therapy versus ranitidine/sodium bicarbonate-amoxicillin

M. T. Al-Assi, R. A. Cole, T. J. Karttunen, H. El-Zimaity, R. M. Genta, D. Y. Graham

Research output: Contribution to journalArticle

22 Scopus citations

Abstract

Objectives: Simpler, effective therapies to treat Helicobacter pylori infection are greatly needed. Omeprazole co-therapy apparently enhances effectiveness of some antimicrobials. Our objective in this study was to determine whether the apparent additional benefit provided by omeprazole to amoxicillin therapy could by equaled by a high dose of ranitidine plus sodium bicarbonate. Methods: In a prospective randomized trial, we tested 1 g amoxicillin b.i.d. with either omeprazole 20 mg b.i.d., or high dose ranitidine (900 and 1800 mg) plus sodium bicarbonate tablets 650 t.i.d. (with meals) for 14 day. Results: Fifty-two patients with documented H. pylori infection and peptic ulcer completed therapy. The cure rate with omeprazole and amoxicillin was poor (46%), with the 95% confidence interval (CI) = 25- 67%. Ranitidine plus sodium bicarbonate was also poor (39% cure) with the 95% CI = 21.5-59% (p > 0.57). Average compliance was more than 92% for all three groups. Side effects were experienced in only two patients (stomatitis and mild diarrhea). Conclusion: Neither the omeprazole nor ranitidine plus bicarbonate plus amoxicillin therapies used here can be recommended for treatment of H. pylori infection.

Original languageEnglish (US)
Pages (from-to)1411-1414
Number of pages4
JournalAmerican Journal of Gastroenterology
Volume90
Issue number9
StatePublished - Jan 1 1995

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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    Al-Assi, M. T., Cole, R. A., Karttunen, T. J., El-Zimaity, H., Genta, R. M., & Graham, D. Y. (1995). Treatment of Helicobacter pylori infection with omeprazole-amoxicillin combination therapy versus ranitidine/sodium bicarbonate-amoxicillin. American Journal of Gastroenterology, 90(9), 1411-1414.