Condition

Gastritis and duodenitis

Clinical trials and treatment information for Gastritis and duodenitis

38.3M
People Affected
50
Active Trials
5.7M
New Cases/Year
43K
Deaths/Year

Treatment Rankings

Ranked by evidence volume first. Medicine has spent centuries ranking things by vibes. This is an improvement.

1
H. pylori Eradication Therapy (e.g., Amoxicillin + Clarithromycin + Omeprazole)
90% Effectivenessβ€’ 90% Confidenceβ€’ 68% Safetyβ€’ 3000 trialsβ€’ 300K participants
HIGH EvidenceExcellent ValueDose: Omeprazole 20mg BID, Amoxicillin 1000mg BID, Clarithromycin 500mg BID
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Comparative Safety Scale(Higher is safer)

Cyanide☠️
MethπŸ’€
Cigarettes🚬
Chemo☒️
Alcohol🍺
MorphineπŸ’Š
AntibioticsπŸ’‰
TylenolπŸ’Š
ExerciseπŸƒ
WaterπŸ’§
68
DangerousModerateSafe

Time to Effect

1-2 weeks for eradication, 4-8 weeks for healing

Duration

7-14 days

Response Rate

85%

Remission Rate

75%

Number Needed to Treat (NNT)

3

Number Needed to Harm (NNH)

7

Common Side Effects:

Taste disturbance: 25%
Diarrhea: 15%
Nausea/Vomiting: 10%
Abdominal pain: 7%
Headache: 4%

Annual Cost of Care

Drug Cost

$150

Monitoring

$200

Side Effects

$30

Total Annual

$380

Cost-Effectiveness

EXCELLENT

QALYs Gained

0.4

ICER

$20,000/QALY

Cost per Remission

$506

Cost per Responder

$447

Treatment Outcomes
Efficacy Outcomes
Overall Effectiveness
+90%
Response Rate
+85%
Remission Rate
+75%
Common Side Effects
Taste disturbance
+25%
Diarrhea
+15%
Nausea/Vomiting
+10%

Clinical Trial Phases:

Phase 4
2
Omeprazole (Proton Pump Inhibitor)
85% Effectivenessβ€’ 95% Confidenceβ€’ 75% Safetyβ€’ 5000 trialsβ€’ 500K participants
HIGH EvidenceExcellent ValueDose: 20-40mg once daily
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Comparative Safety Scale(Higher is safer)

Cyanide☠️
MethπŸ’€
Cigarettes🚬
Chemo☒️
Alcohol🍺
MorphineπŸ’Š
AntibioticsπŸ’‰
TylenolπŸ’Š
ExerciseπŸƒ
WaterπŸ’§
75
DangerousModerateSafe

Time to Effect

Days to 2 weeks for symptom relief, 4-8 weeks for healing

Duration

4-8 weeks, or longer for chronic conditions

Response Rate

90%

Remission Rate

80%

Number Needed to Treat (NNT)

4

Common Side Effects:

Headache: 8%
Nausea: 5%
Diarrhea: 4%
Abdominal pain: 3%

Annual Cost of Care

Drug Cost

$200

Monitoring

$50

Side Effects

$20

Total Annual

$270

Cost-Effectiveness

EXCELLENT

QALYs Gained

0.2

ICER

$15,000/QALY

Cost per Remission

$338

Cost per Responder

$300

Treatment Outcomes
Efficacy Outcomes
Overall Effectiveness
+85%
Response Rate
+90%
Remission Rate
+80%
Common Side Effects
Headache
+8%
Nausea
+5%
Diarrhea
+4%

Clinical Trial Phases:

Phase 4
3
Famotidine (H2 Receptor Blocker)
75% Effectivenessβ€’ 85% Confidenceβ€’ 78% Safetyβ€’ 500 trialsβ€’ 50K participants
HIGH EvidenceExcellent ValueDose: 20-40mg once or twice daily
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Comparative Safety Scale(Higher is safer)

Cyanide☠️
MethπŸ’€
Cigarettes🚬
Chemo☒️
Alcohol🍺
MorphineπŸ’Š
AntibioticsπŸ’‰
TylenolπŸ’Š
ExerciseπŸƒ
WaterπŸ’§
78
DangerousModerateSafe

Time to Effect

Hours for symptom relief, 6-12 weeks for healing

Duration

6-12 weeks, or longer for maintenance

Response Rate

75%

Remission Rate

65%

Number Needed to Treat (NNT)

6

Common Side Effects:

Headache: 3%
Dizziness: 2%
Diarrhea/Constipation: 2%

Annual Cost of Care

Drug Cost

$150

Monitoring

$50

Side Effects

$10

Total Annual

$210

Cost-Effectiveness

EXCELLENT

QALYs Gained

0.15

ICER

$10,000/QALY

Cost per Remission

$323

Cost per Responder

$280

Treatment Outcomes
Efficacy Outcomes
Overall Effectiveness
+75%
Response Rate
+75%
Remission Rate
+65%
Common Side Effects
Headache
+3%
Dizziness
+2%
Diarrhea/Constipation
+2%

Clinical Trial Phases:

Phase 4
4
Sucralfate
68% Effectivenessβ€’ 80% Confidenceβ€’ 83% Safetyβ€’ 400 trialsβ€’ 40K participants
MODERATE EvidenceExcellent ValueDose: 1g four times daily (before meals and at bedtime)
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Comparative Safety Scale(Higher is safer)

Cyanide☠️
MethπŸ’€
Cigarettes🚬
Chemo☒️
Alcohol🍺
MorphineπŸ’Š
AntibioticsπŸ’‰
TylenolπŸ’Š
ExerciseπŸƒ
WaterπŸ’§
83
DangerousModerateSafe

Time to Effect

Days for symptom relief, 4-8 weeks for healing

Duration

4-8 weeks

Response Rate

70%

Remission Rate

60%

Number Needed to Treat (NNT)

5

Common Side Effects:

Constipation: 6%
Dry mouth: 3%
Nausea: 1%

Annual Cost of Care

Drug Cost

$600

Monitoring

$50

Side Effects

$10

Total Annual

$660

Cost-Effectiveness

EXCELLENT

QALYs Gained

0.1

ICER

$25,000/QALY

Cost per Remission

$1,100

Cost per Responder

$943

Treatment Outcomes
Efficacy Outcomes
Overall Effectiveness
+68%
Response Rate
+70%
Remission Rate
+60%
Common Side Effects
Constipation
+6%
Dry mouth
+3%
Nausea
+1%

Clinical Trial Phases:

Phase 4
5
Antacids (e.g., Aluminum Hydroxide/Magnesium Hydroxide)
65% Effectivenessβ€’ 70% Confidenceβ€’ 82% Safetyβ€’ 300 trialsβ€’ 30K participants
MODERATE EvidenceGood ValueDose: 10-20 mL as needed
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Comparative Safety Scale(Higher is safer)

Cyanide☠️
MethπŸ’€
Cigarettes🚬
Chemo☒️
Alcohol🍺
MorphineπŸ’Š
AntibioticsπŸ’‰
TylenolπŸ’Š
ExerciseπŸƒ
WaterπŸ’§
82
DangerousModerateSafe

Time to Effect

Immediate (minutes)

Duration

As needed for symptoms

Response Rate

65%

Remission Rate

0%

Number Needed to Treat (NNT)

3

Common Side Effects:

Constipation (Aluminum-based): 15%
Diarrhea (Magnesium-based): 15%
Chalky taste: 5%

Annual Cost of Care

Drug Cost

$120

Monitoring

$800

Side Effects

$5

Total Annual

$925

Cost-Effectiveness

GOOD

QALYs Gained

0.05

Cost per Responder

$192

Treatment Outcomes
Efficacy Outcomes
Overall Effectiveness
+65%
Response Rate
+65%
Common Side Effects
Constipation (Aluminum-based)
+15%
Diarrhea (Magnesium-based)
+15%
Chalky taste
+5%

Clinical Trial Phases:

Phase 4
6
Misoprostol
65% Effectivenessβ€’ 75% Confidenceβ€’ 58% Safetyβ€’ 200 trialsβ€’ 20K participants
MODERATE EvidenceGood ValueDose: 100-200 mcg two to four times daily
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Comparative Safety Scale(Higher is safer)

Cyanide☠️
MethπŸ’€
Cigarettes🚬
Chemo☒️
Alcohol🍺
MorphineπŸ’Š
AntibioticsπŸ’‰
TylenolπŸ’Š
ExerciseπŸƒ
WaterπŸ’§
58
DangerousModerateSafe

Time to Effect

Days for symptom relief, continuous for prevention

Duration

As long as NSAIDs are used, or for specific indications

Response Rate

70%

Remission Rate

55%

Number Needed to Treat (NNT)

12

Number Needed to Harm (NNH)

4

Common Side Effects:

Diarrhea: 25%
Abdominal pain: 15%
Nausea: 5%
Uterine contractions (contraindicated in pregnancy): 1%

Annual Cost of Care

Drug Cost

$480

Monitoring

$50

Side Effects

$50

Total Annual

$580

Cost-Effectiveness

GOOD

QALYs Gained

0.15

ICER

$50,000/QALY

Cost per Remission

$1,055

Cost per Responder

$828

Treatment Outcomes
Efficacy Outcomes
Overall Effectiveness
+65%
Response Rate
+70%
Remission Rate
+55%
Common Side Effects
Diarrhea
+25%
Abdominal pain
+15%
Nausea
+5%

Clinical Trial Phases:

Phase 4