Hello, the gastroenterologist prescribed me pylere capsules, they are big enough, I am not able to swallow them, I will suffocate, I have this problem since forever, the doctor said that I should spill it and then swallow it if I can't do it.. I was diagnosed with helicobacter.
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Which doctor recommends to get the powder out of the capsule ? It's really too irritating, I've tried. The voice went away with a sore throat ect. In addition, the bitterness is too intense.
for me a switch to 2 liquid solutions was necessary, they taste like the juice in childhood. Now the drug stays in and is not immediately broken out again.
Yes, these capsules were also too big for me, I had to stop the therapy after 2 days and change it because I developed panic attacks. This pylera has caused very strong irritation, no one should take this powder out of the capsule. Alternatively, if health insurance company agrees:
Take Amoxi, metronidazole, clazit, and PPi separately. 2 of the antibiotics are available as solutions, only the Metro is not! However, these are much smaller compared to pylera. And easier to take than film-coated tablets. This therapy is then called concomitant quadruple therapy with up to 90-95% chances of getting rid of this germ.
Has anyone finished the treatment with opened Pylera capsules? It worked?
I found an option, my rapid test was negative, you won't know 100% until 6 weeks from now.
Omeprazole (capsule can be opened and taken only the balls)
Amoxicillin Juice
Clarithromycin tablets (dissolve in 10ml of water)
It is best to mix the amoxicillin and clarithromycin together, as the clarithromycin is impossible to drink. I always drank with peppermint tea, which masked the bitter taste a bit.
I’m in the same situation, my doctor said there is no alternative but how is this impossible?
I forgot to add that there are different sizes of these capsules.
At the pharmacy, you can buy empty starch capsules and pour the contents of KreoActiv Plus.
Anna Lewandowska Pharmacist, Editor
1 year ago
To @Anas:
If you have difficulty swallowing Pylera capsules, it is important to consult your doctor to find an alternative. Opening capsules is not recommended, especially if they contain extra tablets.
You can ask your doctor about the possibility of using alternative therapy. We wrote more about this in the thread below:
Hi, I am in the same situation and I can't swallow Pylera capsules. I have looked for an alternative everywhere between doctors, pharmacists and the internet but I can't find it. My general practitioner, knowing me, told me to open it only that inside in addition to the powder there is another tablet :(
Hello
How did you do it? I'm in the same situation... I don't know how to do it!! 🥲
Thank you in advance for your answer, I'm very anxious...
Hello How did you do it? I'm in the same situation... 😟
Anna Lewandowska Pharmacist, Editor
2 years ago
According to the manufacturer's information: "do not open the capsules, swallow them whole".
The capsule is designed to reach the stomach and then to the intestines and release the substances that are to be absorbed there. By opening the capsules and swallowing only their contents, we lead to a situation where some of the active substance settles in the throat and esophagus for some time. It is also exposed to hydrochloric acid from the stomach and digestive enzymes for longer. It follows that such a procedure may affect the absorption and effective action of the preparation.
I am attaching materials that may be of interest and information about the possibility of using teleconsultations:
https://www.gdziepolek.pl/telekonsultacja/z-gastrologiem
https://www.gdziepolek.pl/artykuly/jak-stosowac-tabletki-i-kapsulki
https://www.gdziepolek.pl/artykuly/jak-leczyc-wrzody-zoladka-i-dwunastnicy