Key to symbols
The medicine should be initiated by, or on the advice of a specialist, but is suitable for continuation by a GP
The medicine should only be used and prescribed by a specialist
Indicates the preferred choice within a class or group of medicines
1. Gastro-intestinal system
1.10. Helicobacter pylori infection
Total Formulary
BISMUTH, METRONIDAZOLE, TETRACYCLINE (PYLERA)
Restrictions:
Restricted to use in accordance with clinical guidelines in combination with omeprazole, for the eradication of Helicobacter pylori and prevention of relapse of peptic ulcers in patients with active or a history of Helicobacter pylori associated ulcers.
Prescribing Notes:
For use in patients with Helicobacter pylori who have:
- penicillin allergy and contra-indication to macrolides
or
- treatment resistant Helicobacter pylori (with specialist advice).