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Treatments for Peptic Ulcer

Treatments for Peptic Ulcer:

The first step in treating peptic ulcer is prevention. This includes not smoking. Nonsteroidal anti-inflammatory drugs (NSAIDS), such as ibuprofen (Advil, Motrin) or naproxen (Aleve) should be taken only as directed. Even when taken as directed, some people will develop peptic ulcer with the use of these drugs.

Treatment plans for peptic ulcer are individualized depending on the severity, the presence of coexisting diseases, the age and medical history of the patient, and other factors. Treatment generally involves a multifaceted plan that minimizes the discomfort of a peptic ulcer, allows the stomach and duodenum to heal without exposure to stomach acid, and decreases the risk of developing complications, such as a perforated peptic ulcer.

Treatment of a peptic ulcer involves reducing the amount of stomach acid so that the lining of the stomach or duodenum can heal. Medications may include antacids and a proton pump inhibitor, which decrease the production of stomach acid. Drugs called H2 blockers also reduce stomach acid.

Antibiotics may be prescribed when peptic ulcer is caused by a Helicobacter pylori infection.

Treatment of peptic ulcer that leads to bleeding (perforated peptic ulcer) involves hospitalization. Surgery may be required to stop the bleeding and/or to reduce stomach acid production.

Treatment List for Peptic Ulcer

The list of treatments mentioned in various sources for Peptic Ulcer includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.

Peptic Ulcer: Is the Diagnosis Correct?

The first step in getting correct treatment is to get a correct diagnosis. Differential diagnosis list for Peptic Ulcer may include:

Hidden causes of Peptic Ulcer may be incorrectly diagnosed:

Peptic Ulcer: Marketplace Products, Discounts & Offers

Products, offers and promotion categories available for Peptic Ulcer:

Peptic Ulcer: Research Doctors & Specialists

Research all specialists including ratings, affiliations, and sanctions.

Drugs and Medications used to treat Peptic Ulcer:

Note:You must always seek professional medical advice about any prescription drug, OTC drug, medication, treatment or change in treatment plans.

Some of the different medications used in the treatment of Peptic Ulcer include:

  • Histamine
  • Cimetidine
  • Apo-Ciimetidine
  • Enlon
  • Novo-Cimetine
  • Nu-Cimet
  • Peptol
  • Tagamet
  • Tagamet HB 200
  • Acid Reducer 200
  • Acid Reducer Cimetidine
  • Heartburn 200
  • Heartburn Relief 200
  • Famotidine
  • Pepcid
  • Pepcid AC
  • Pepcid Complete
  • Acid Control
  • Acid Controller
  • Alti-Famotidine
  • Nizatidine
  • Apo-Nizatidine
  • Axid
  • Novo-Nizatidine
  • Axid AR
  • Ranitidine
  • Alti-Ranitidine
  • Apo-Ranitidine
  • Novo-Ranidine
  • Nu-Ranit
  • Zantac
  • Zantac-C
  • Zantac 75
  • Zantac 75 EFFERdose
  • Acid Reducer
  • Lansoprazole
  • Prevacid
  • Prevacid delayed release oral suspension
  • Prevpac
  • Apo-Cimetidine
  • Clidinium and Chloridazepoxide
  • Librax
  • Apo-Chlorax
  • Glycopyrrolate
  • Robinul
  • Robinul Forte
  • Hyoscyanine
  • Anaspaz
  • Cystospaz
  • Hyosine
  • Levbid
  • Levsinex
  • Levsin/SL
  • NuLev
  • Symax SL
  • Symax SR
  • Magaldrate and Simethicone
  • Mepenzolate
  • Cantil
  • Methscopolamine
  • Pamine
  • Pamine Forte
  • Propantheline
  • Propanthel
  • Alu-Tab
  • Andrews Tums
  • Degas Extra
  • DeWitt's Antacid
  • Dexsal
  • Eno
  • Gastrogel Tablets
  • Gelusil
  • Mylanta Original
  • Mylanta Double Strength
  • Sigma Liquid Antacid
  • Gaviscon
  • Meracote
  • Gaviscon Double Strength
  • Infant Gaviscon
  • Mucaine
  • Mucaine 2 in 1
  • Mylanta Heartburn Relief
  • Mylanta Rolltabsa
  • Rennie
  • Salvital
  • Sodibic
  • Titralac
  • Titralac SIL
  • Acimax
  • Losec
  • Maxor
  • Probitor
  • Pariet
  • Rabeprazole
  • Somac
  • Zoton
  • Klacid

Unlabeled Drugs and Medications to treat Peptic Ulcer:

Unlabelled alternative drug treatments for Peptic Ulcer include:

  • Sucralfate
  • Apo-Sucralfate
  • Carafate
  • Dom-Sucralfate
  • Novo-Sucralfate
  • Sulcrate
  • Pantoprazole
  • Protonix
  • Panto IV
  • Pantoloc
  • Pantozol
  • Zurcal

Latest treatments for Peptic Ulcer:

The following are some of the latest treatments for Peptic Ulcer:

Hospital statistics for Peptic Ulcer:

These medical statistics relate to hospitals, hospitalization and Peptic Ulcer:

  • 0.19% (24,762) of hospital consultant episodes were for gastric ulcer in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
  • 64% of hospital consultant episodes for gastric ulcer required hospital admission in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
  • 48% of hospital consultant episodes for gastric ulcer were for men in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
  • 52% of hospital consultant episodes for gastric ulcer were for women in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
  • more hospital information...»

Hospitals & Medical Clinics: Peptic Ulcer

Research quality ratings and patient incidents/safety measures for hospitals and medical facilities in specialties related to Peptic Ulcer:

Hospital & Clinic quality ratings »

Choosing the Best Treatment Hospital: More general information, not necessarily in relation to Peptic Ulcer, on hospital and medical facility performance and surgical care quality:

Medical news summaries about treatments for Peptic Ulcer:

The following medical news items are relevant to treatment of Peptic Ulcer:

Discussion of treatments for Peptic Ulcer:

H_ pylori and Peptic Ulcer: NIDDK (Excerpt)

Drugs Used To Treat H. pylori Peptic Ulcers

Antibiotics: metronidazole, tetracycline, clarithromycin, amoxicillin

H2 blockers: cimetidine, ranitidine, famotidine, nizatidine

Proton pump inhibitors: omeprazole, lansoprazole, rabeprazole

Stomach-lining protector: bismuth subsalicylate
H. pylori peptic ulcers are treated with drugs that kill the bacteria, reduce stomach acid, and protect the stomach lining. Antibiotics are used to kill the bacteria. Two types of acid-suppressing drugs might be used: H2 blockers and proton pump inhibitors.

H2 blockers work by blocking histamine, which stimulates acid secretion. They help reduce ulcer pain after a few weeks. Proton pump inhibitors suppress acid production by halting the mechanism that pumps the acid into the stomach. H2 blockers and proton pump inhibitors have been prescribed alone for years as treatments for ulcers. But used alone, these drugs do not eradicate H. pylori and therefore do not cure H. pylori-related ulcers. Bismuth subsalicylate, a component of Pepto-Bismol, is used to protect the stomach lining from acid. It also kills H. pylori.

Treatment usually involves a combination of antibiotics, acid suppressors, and stomach protectors. Antibiotic regimens recommended for patients may differ across regions of the world because different areas have begun to show resistance to particular antibiotics.

The use of only one medication to treat H. pylori is not recommended. At this time, the most proven effective treatment is a 2-week course of treatment called triple therapy. It involves taking two antibiotics to kill the bacteria and either an acid suppressor or stomach-lining shield. Two-week triple therapy reduces ulcer symptoms, kills the bacteria, and prevents ulcer recurrence in more than 90 percent of patients.

Unfortunately, patients may find triple therapy complicated because it involves taking as many as 20 pills a day. Also, the antibiotics used in triple therapy may cause mild side effects such as nausea, vomiting, diarrhea, dark stools, metallic taste in the mouth, dizziness, headache, and yeast infections in women. (Most side effects can be treated with medication withdrawal.) Nevertheless, recent studies show that 2 weeks of triple therapy is ideal.

Early results of studies in other countries suggest that 1 week of triple therapy may be as effective as the 2-week therapy, with fewer side effects.

Another option is 2 weeks of dual therapy. Dual therapy involves two drugs: an antibiotic and an acid suppressor. It is not as effective as triple therapy.

Two weeks of quadruple therapy, which uses two antibiotics, an acid suppressor, and a stomach-lining shield, looks promising in research studies. It is also called bismuth triple therapy. (Source: excerpt from H_ pylori and Peptic Ulcer: NIDDK)

NSAIDs and Peptic Ulcers: NIDDK (Excerpt)

NSAID-induced ulcers usually heal once the person stops taking the medication. To help the healing process and relieve symptoms in the meantime, the doctor may recommend taking antacids to neutralize the acid and drugs called H2-blockers or proton-pump inhibitors to decrease the amount of acid the stomach produces.

Medicines that protect the stomach lining also help with healing. Examples are bismuth subsalicylate, which coats the entire stomach lining, and sucralfate, which sticks to and covers the ulcer.

If a person with an NSAID ulcer also tests positive for H. pylori, he or she will be treated with antibiotics to kill the bacteria. Surgery may be necessary if an ulcer recurs or fails to heal, or if complications like bleeding, perforation, or obstruction develop. (Source: excerpt from NSAIDs and Peptic Ulcers: NIDDK)

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