Eradication of Helicobacter pylori

Active Ingredient: Esomeprazole

Indication for Esomeprazole

Population group: only adolescents (12 years - 18 years old) , adults (18 years old or older)
Therapeutic intent: Curative procedure

In combination with appropriate antibacterial therapeutic regimens for the eradication of Helicobacter pylori and healing of Helicobacter pylori associated duodenal ulcer.

For this indication, competent medicine agencies globally authorize below treatments:

20 mg twice daily in combination with two antibiotics for 7 days

For:

Dosage regimens

Oral, 20 milligrams esomeprazole, 2 times daily, over the duration of 7 days.

Detailed description

When selecting appropriate combination therapy, consideration should be given to official national, regional and local guidance regarding bacterial resistance, duration of treatment (most commonly 7 days but sometimes up to 14 days), and appropriate use of antibacterial agents. The treatment should be supervised by a specialist.

The posology recommendation is:

WeightPosology
30-40 kgCombination with two antibiotics: esomeprazole 20 mg, amoxicillin 750 mg and clarithromycin 7.5 mg/kg body weight are all administered together twice daily for one week.

| >40 kg|Combination with two antibiotics: esomeprazole 20 mg, amoxicillin 1 g and clarithromycin 500 mg are alladministered together twice daily for one week.

20 mg of esomeprazole with 1 g amoxicillin and 500 mg clarithromycin, all twice daily for 7 days

For:

Dosage regimens

Oral, 20 milligrams esomeprazole, 2 times daily, over the duration of 7 days.

10 or 20 mg twice daily based on body weight in combination with two antibiotics for 7 days

For:

Dosage regimens

Regimen A, in the case that patient age in years is > 4 and patient weight is < 30 kg :

Oral, 10 milligrams esomeprazole, 2 times daily, over the duration of 7 days.

Regimen B, in the case that patient age in years is > 4 and patient weight is ≥ 30 kg and patient weight is < 40 kg :

Oral, 20 milligrams esomeprazole, 2 times daily, over the duration of 7 days.

Regimen C, in the case that patient age in years is > 4 and patient weight is > 40 kg :

Oral, 20 milligrams esomeprazole, 2 times daily, over the duration of 7 days.

Detailed description

Children over 4 years of age

When selecting appropriate combination therapy, consideration should be given to official national, regional and local guidance regarding bacterial resistance, duration of treatment (most commonly 7 days but sometimes up to 14 days), and appropriate use of antibacterial agents. The treatment should be supervised by a specialist.

The posology recommendation is:

WeightPosology
<30 kgCombination with two antibiotics: esomeprazole 10 mg, amoxicillin 25 mg/kg body weight and clarithromycin 7.5 mg/kg body weight are all administered together twice daily for one week.
30-40 kgCombination with two antibiotics: esomeprazole 20 mg, amoxicillin 750 mg and clarithromycin 7.5 mg/kg body weight are all administered together twice daily for one week.
>40 kgCombination with two antibiotics: esomeprazole 20 mg, amoxicillin 1 g and clarithromycin 500 mg are all administered together twice daily for one week.

Active ingredient

Esomeprazole

Esomeprazole is a weak base and is concentrated and converted to the active form in the highly acidic environment of the secretory canaliculi of the parietal cell, where it inhibits the enzyme H+K+-ATPase – the acid pump and inhibits both basal and stimulated acid secretion.

Read more about Esomeprazole

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