HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Treatment For H. Pylori

default
Posted on Tue, 26 Aug 2014
Question: I have been taking 150 mg of trazadone for 25 years. Trazadone is the only anti-depressant that works for me. I have now been diagnosed with h-pylori. What regimen of antibiotics can I take concurrent with my continued use of trazodone . Note: I have had severe reactions to alternatives to trazadone such as Cymbalta and lyrica.
doctor
Answered by Dr. Jonas Sundarakumar (1 hour later)
Brief Answer:
BMT regine is safe...

Detailed Answer:
Hello and welcome to Healthcare Magic. Thanks for your query.

The commonly recommended regimes for treatment of H. pylori are the triple therapy regimes - omeprazole, amoxicillin, and clarithromycin (OAC) regime, lansoprazole, amoxicillin, and clarithromycin (LAC) regime and bismuth subsalicylate, metronidazole, and tetracycline (BMT) regime.

Among these medication Clarithromycin which is found in the OAC and LAC regimes has an interaction with Trazadone (Clarithromycin can cause an increase in the blood levels of Trazadone). The bismuth subsalicylate, metronidazole, and tetracycline (BMT) regime does not have any significant reactions with Trazadone.

Please consult your doctor before starting any medication and keep him well informed about your past history of severe reactions to several medication.

Best wishes,
Dr. Jonas Sundarakumar MBBS., DPM., MRCPsych.(U.K.)
Consultant Psychiatrist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Jonas Sundarakumar (17 minutes later)
I have shown strong reactions to most salicylates in the past--aspirin, peptobismo,
salicylate fruits etc. I do have fibromyalgia. The salicylates amplified burning sensations in my body and/or caused vomiting.
doctor
Answered by Dr. Jonas Sundarakumar (25 hours later)
Brief Answer:
Alternative suggested

Detailed Answer:
Hi,

As you have had a previous allergic reaction to salicylates, it would be advisable to avoid bismuth subsalicylate. In this case, the other recommended option would be a combination of Metronidazole, Tetracycline and Bismuth subcitrate potassium. None of these drugs have any known significant interaction with Trazodone.

Best wishes,
Dr. Jonas Sundarakumar MBBS., DPM., MRCPsych.(U.K.)
Consultant Psychiatrist
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Jonas Sundarakumar

Psychiatrist

Practicing since :2003

Answered : 2190 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Treatment For H. Pylori

Brief Answer: BMT regine is safe... Detailed Answer: Hello and welcome to Healthcare Magic. Thanks for your query. The commonly recommended regimes for treatment of H. pylori are the triple therapy regimes - omeprazole, amoxicillin, and clarithromycin (OAC) regime, lansoprazole, amoxicillin, and clarithromycin (LAC) regime and bismuth subsalicylate, metronidazole, and tetracycline (BMT) regime. Among these medication Clarithromycin which is found in the OAC and LAC regimes has an interaction with Trazadone (Clarithromycin can cause an increase in the blood levels of Trazadone). The bismuth subsalicylate, metronidazole, and tetracycline (BMT) regime does not have any significant reactions with Trazadone. Please consult your doctor before starting any medication and keep him well informed about your past history of severe reactions to several medication. Best wishes, Dr. Jonas Sundarakumar MBBS., DPM., MRCPsych.(U.K.) Consultant Psychiatrist