Treatment regimenDuration (days)Number of patients studiedPopulation studiedEradication rate (%)Cost (generic) per day*
Bismuth subsalicylate (Pepto-Bismol), 524 mg four times a day, plus amoxicillin, 2 g four times a day, plus metronidazole (Flagyl), 500 mg four times a day, plus lansoprazole (Prevacid), 60 mg once38 180H. pylori–positive patients with dyspepsia95Bismuth subsalicylate: $1
Amoxicillin: $9 (8 to 12)
Metronidazole: $18 (2 to 7)
Lansoprazole: $20
Clarithromycin (Biaxin), 500 mg twice daily, plus amoxicillin, 1 g twice daily, plus lansoprazole, 30 mg twice daily38 780H. pylori–positive patients with dyspepsia90Clarithromycin: $10 (9)
Amoxicillin: $2 (2 to 3)
Amoxicillin, 1 g twice daily, plus metronidazole, 400 mg twice daily, plus clarithromycin, 250 mg twice daily, plus lansoprazole, 30 mg twice daily39 583H. pylori–positive patients with dyspepsia for three months or endoscopically confirmed ulcers89Amoxicillin: $2 (2 to 3)
Metronidazole: $9 (1 to 4) for 500-mg strength
Clarithromycin: $10 (9)
Lansoprazole: $10
Amoxicillin, 1 g twice daily, plus metronidazole, 400 mg twice daily, plus clarithromycin, 250 mg twice daily, plus ranitidine (Zantac), 300 mg twice daily39 580H. pylori–positive patients with dyspepsia for three months or endoscopically confirmed ulcers89Amoxicillin: $2 (2 to 3)
Metronidazole: $9 (1 to 4) for 500-mg strength
Clarithromycin: $10 (9)
Ranitidine: $10 (6)
Lansoprazole, 30 mg twice daily for two days (pretreatment), plus amoxicillin, 1 g twice daily, plus metronidazole, 400 mg twice daily, plus clarithromycin, 250 mg twice daily, plus lansoprazole, 30 mg twice daily39 580H. pylori–positive patients with dyspepsia for three months or endoscopically confirmed ulcers81Lansoprazole (pretreatment): $10
Amoxicillin: $2 (2 to 3)
Metronidazole: $9 (1 to 4) for 500-mg strength
Clarithromycin: $10 (9)
Lansoprazole: $10