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 | 1 | 80 | H. pylori–positive patients with dyspepsia | 95 | Bismuth 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 | 7 | 80 | H. pylori–positive patients with dyspepsia | 90 | Clarithromycin: $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 | 5 | 83 | H. pylori–positive patients with dyspepsia for three months or endoscopically confirmed ulcers | 89 | Amoxicillin: $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 | 5 | 80 | H. pylori–positive patients with dyspepsia for three months or endoscopically confirmed ulcers | 89 | Amoxicillin: $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 | 5 | 80 | H. pylori–positive patients with dyspepsia for three months or endoscopically confirmed ulcers | 81 | Lansoprazole (pretreatment): $10 |
Amoxicillin: $2 (2 to 3) |
Metronidazole: $9 (1 to 4) for 500-mg strength |
Clarithromycin: $10 (9) |
Lansoprazole: $10 |