A 44-year-old woman with dyspepsia and positive H. pylori stool antigen asks why clarithromycin triple therapy isn't used. Best explanation?...

Question

A 44-year-old woman with dyspepsia and positive H. pylori stool antigen asks why clarithromycin triple therapy isn't used. Best explanation?

Accepted Answer

Clarithromycin resistance is common; avoid unless susceptibility documented

Answer

Clarithromycin triple is more effective than bismuth quadruple

Answer

It causes more diarrhoea than bismuth

Answer

It is not FDA approved

Answer

It is too expensive

us-abfm MCQ (SBA): H. pylori regimen selection