Paper II
2019 February (2010 Scheme)

Question

Lansoprazole, amoxicillin and clarithromycin in H. pylori infection

Q101 marksShort Answers

Answer

This is a standard triple therapy regimen for H. pylori eradication: Lansoprazole (a proton pump inhibitor) suppresses gastric acid secretion, creating a favourable environment for the antibiotics to act and promoting mucosal healing, while Amoxicillin and Clarithromycin act synergistically as antibiotics to eradicate H. pylori (targeting cell wall synthesis and protein synthesis respectively). The combination of acid suppression with dual antibiotic therapy achieves high eradication rates and reduces the likelihood of antibiotic resistance developing to either single agent.

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