Which of the following would be the most appropriate treatment regimen?
Which of the following would be the most appropriate treatment regimen?
A 42 yo Caucasian male who presents with 2-month history of intermittent epigastric pain. The pain sometimes wakes him up at night and seems to get better after he eats a meal. He has been taking over-the-counter Zantac for 2 weeks without relief but the pain is continuing. After evaluation and physical examination at the doctor’s office, the nurse calls to inform him that his urea breath test was positive and that she has phoned in a prescription for him. He is allergic to penicillin (hives). Which of the following would be the most appropriate treatment regimen?
Metronidazole + clarithromycin [Biaxin] + ranitidine [Zantac]
Metronidazole [Flagyl] + omeprazole [Prilosec] + clarithromycin [Biaxin]
Amoxicillin + tetracycline + lansoprazole [Prevacid]
Tetracycline + bismuth subsalicylate + clarithromycin [Biaxin]
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