Hpylori Associated Ulcers

1. Recommend an appropriate drug regimen that will eradicate the organism.

2. Identify the patient's drug allergies and avoid drug classes a patient is allergic to.

3. Educate patients on specific adverse drug effects, particularly with metronidazole (avoidance of alcohol), bismuth (change in stool color), and clarithromycin (taste disturbance).

4. Assess the potential for drug interactions, particularly in patients taking regimens containing metronidazole, clarithromycin, and/or cimetidine.

5. Recommend different antibiotics if this treatment regimen is a result of failure of a prior H. pylori regimen.

6. Educate the patient on the importance of adherence to eradication therapy.

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