H. pylori positive dyspepsia in a patient on simvastatin
Write a prescription for helicobacter pylori positive dyspepsia and have every line marked: drug choice, dose, route, frequency and duration, checked against the patient's allergies, current medicines, renal function and the interaction database, with each error explained.
medium8 scoring rules
- Patient
- 58 years, male, 75 kg
- Diagnosis
- Helicobacter pylori positive dyspepsia
- Renal function
- eGFR 92 mL/min/1.73m²
- Allergies
- None known
- Current medicines
- simvastatin 40 mg once daily at night
The scenario
Patient B-217 is a 58-year-old man weighing 75 kg with a 3-month history of intermittent epigastric burning pain. The pain is worse when his stomach is empty and is partially relieved by over-the-counter antacids. He reports no weight loss, haematemesis, melaena, or dysphagia. He has hypercholesterolaemia and currently takes simvastatin 40 mg once daily at night. He has no known drug allergies. He does not smoke. On examination, his vital signs are normal. His abdomen is soft and non-tender, with no palpable masses or organomegaly. Baseline investigations include a full blood count, renal and liver function tests, all within normal limits. Serum creatinine is 0.9 mg/dL with an estimated glomerular filtration rate (eGFR) of 92 mL/min/1.73m². A C-urea breath test is positive for Helicobacter pylori. He is diagnosed with H. pylori positive dyspepsia. You are asked to prescribe a seven-day course of eradication therapy, taking into account his current medication.
Your task
Patient B-217, a 58-year-old man weighing 75 kg, presents with intermittent epigastric burning pain for 3 months. He is on simvastatin 40 mg nocte for hypercholesterolaemia. No known drug allergies. No weight loss, bleeding, or dysphagia. H. pylori breath test positive.
What gets marked
- Whether you chose an indicated drug, and whether you avoided the contraindicated ones.
- Dose, route, frequency and duration against the range for this patient.
- Renal and hepatic dose adjustment where this patient's numbers demand it.
- Allergy cross-reactivity and interactions with the medicines already on the chart.
- The instructions and monitoring you write, not only the drug you pick.
8 scoring rules apply to this scenario. A single critical error fails the attempt whatever the score.
Log in to prescribe for "H. pylori positive dyspepsia in a patient on simvastatin"
A free account opens the prescription pad: search the formulary, write the chart, and have it marked line by line by the safety engine.
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Educational content for students and clinicians in training. It does not replace professional judgement, local protocols or current prescribing information.