1st April 2022

A patient started on triple therapy (omeprazole, clarithromycin and metronidazole) 3 days earlier for an H. pylori-positive gastric ulcer

A patient started on triple therapy (omeprazole, clarithromycin and metronidazole) 3 days earlier for an H. pylori-positive gastric ulcer returns to see you as they are experiencing new symptoms of nausea/vomiting and a metallic taste in mouth. The patient has no known drug allergies.

Select the SINGLE most appropriate management option from the list below in response to the new symptoms. Select ONE option only.