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What are the recommended first-line treatments for dyspepsia in adults according to NICE guidelines?

Answer

Guideline-Aligned (High Confidence)
Generated by iatroX. Developer: Dr Kola Tytler MBBS CertHE MBA MRCGP (General Practitioner).
Last reviewed: 16 August 2025

Offer a full-dose proton pump inhibitor (PPI) for 4 weeks as initial empirical treatment for uninvestigated dyspepsia in adults 3.

Alternatively, test for Helicobacter pylori infection and treat a positive result with first-line eradication therapy, which includes a 7-day, twice-daily course of a PPI combined with amoxicillin and either clarithromycin or metronidazole 3.

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