Treatment of Helicobacter pylori infection with omeprazole-amoxicillin combination therapy versus ranitidine/sodium bicarbonate-amoxicillin
al-Assi, M.T.; Cole, R.A.; Karttunen, T.J.; el-Zimaity, H.; Genta, R.M.; Graham, D.Y.
American Journal of Gastroenterology 90(9): 1411-1414
1995
ISSN/ISBN: 0002-9270 PMID: 7661159 Document Number: 440088
Objectives: Simpler, effective therapies to treat Helicobacter pylori infection are greatly needed. Omeprazole co-therapy apparently enhances effectiveness of some antimicrobials. Our objective in this study was to determine whether the apparent additional benefit provided by omeprazole to amoxicillin therapy could be equaled by a high dose of ranitidine plus sodium bicarbonate. Methods: In a prospective randomized trial, we tested 1 g amoxicillin b.id. with either omeprazole 20 mg b.id, or high dose ranitidine (900 and 1800 mg) plus sodium bicarbonate tablets 650 tid. (with meals) for 14 day. Results: Fifty-two patients with documented H. pylori infection and peptic ulcer completed therapy. The cure rate with omeprazole and amoxicillin was poor (46%), with the 95% confidence interval (CI) = 25-67%. Ranitidine plus sodium bicarbonate was also poor (39% cure) with the 95% CI = 21.5-59% (p gt 0.57). Average compliance was more than 92% for all three groups. Side effects were experienced in only two patients (stomatitis and mild diarrhea). Conclusion: Neither the omeprazole nor ranitidine plus bicarbonate plus amoxicillin therapies used here can be recommended for treatment of H. pylori infection.