Assignment task:
George Grayson is a 42 year old man with a highly stressful job at a large corporation. He has had recurrent episodes of abdominal pain, heartburn and occasional vomiting for the last two years. He describes the pain as a burning sensation. It is usually most severe just prior to meals and subsides on ingestion of a meal. George smokes two packs of cigarettes and drinks eight cups of coffee each day.
Each case study submission should be 500 words (+/- 10%), students can choose how they distribute the word count across question One and Two in each case study. This word count does not include the summary of evidence.
His GP orders a variety of tests, including the urea breath test, which tests positive for the presence of Helicobacter pylori. Mr Grayson is diagnosed as having a duodenal ulcer cause by H.Pylori. His GP prescribes:
Omeprazole 20mg, to be taken 30 minutes before food.
Amoxicillin 1g and Clarithromycin 500mg to be taken BD for 7 days.
Question: Given your knowledge of this medication (Omeprazole), could George take antacids as well, and if so, when should they be taken?
(Note: Your answer should take into consider George's medical history and all medication received. Remember to incorporate latest evidence-based practice in your answer)