Proton pump inhibitors suppress acid production by halting the mechanism that pumps the acid into the stomach. H 2 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.