[log in to unmask],Net wrote at 23:27 on 17/02/98
about "Re: Gastric ulcers":
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>At the sharp end, Nick, I tend to deal with severe dyspepsia in a
rather
>pragmatic way in the under 50's.
Concur with all that stuff.
>inevitably) PPI's. Cheapest at full dose is pantoprazole; market
leader
>(and most expensive) is Astra's cash-cow omeprazole.
Astra just reduced the price. Matches Lansoprazole now. (for
whatever dose they did the sums on)
Efforts by the NHS financialadmindroids to persuade companies to do
that are useful, it then leaves us to consider effects.
Efforts to persuade us to make wholesale changes from one drug to
another int he same class because of a difference in price are not
only silly but inefficient.
> A leading mix at the moment is (I
>believe) omeprazole 20mg bd + amoxycillin 500mg bd + clarithromycin
500mg bd
>for a fortnight.
We are getting good effects with one week regimes.
>It really is quite striking how many severe dyspeptics relapse after
triple
>therapy in my practice.
They are quite likely suffering GORD.
Practical question: what test would you use to determine the cause
of dyspepsia in a heavily tattooed aichmophobe, the latter
declared to render it impossible for a blood sample to be taken?
--- OffRoad 1.9r registered to Adrian Midgley
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