Pharmaceutical Care
Ankara University Faculty of Pharmacy
Risk factors
• Some examples:
• Alcohol intake
• Smoking
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Treatment
• Quadruple Therapy:
• Bismuth
• PPI
• Tetracycline
• Metronidazole
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Eradication Rates
Local study in Turkey
• LAC: 53%
• LACB: 60%
• PL (levofloxacin) A: 61%
• PBMT: 72%
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Erdogan et al. Akademik Gastroenteroloji Dergisi 2009; 8 (2): 59-62.
Reasons
• Drug induced
• Helicobacter pylori induced
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Diet
• Recommendations:
• Apple, banana
• Egg
• Broccoli
• Green tea
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Medication Contains Alcohol
• Some examples:
• Sulfamethoxazole/trimethoprim injection 12.2%
• Diclofenac sodium solution 12%
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Drug Interactions
• Disulfiram-Like Reaction with Metronidazole
• The symptom can be mild or severe, even causing death.
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