Resp tract/skin & soft tissue infection Adult 250 mg bid, may be increased to 500 mg bid in severe infections. Duration of treatment: 6-14 days.
Childn >12 yr Same w/ adult dose.
Eradication of H. pylori in patient w/ duodenal ulcers Adult Duration of treatment: 6-14 days. Triple therapy: Clarithromycin 500 mg bid & lansoprazole 30 mg bid w/ amoxicillin 1,000 mg bid; or clarithromycin 500 mg bid & lansoprazole 30 mg bid w/ metronidazole 400 mg bid; or clarithromycin 500 mg bid & omeprazole 40 mg daily w/ amoxicillin 1,000 mg bid or metronidazole 400 mg bid; or clarithromycin 500 mg bid & omeprazole 20 mg daily w/ amoxicillin 1,000 mg bid.
Elderly Same w/ adult dose.
Patient w/ renal impairment CrCl <30 mL/min Reduce dose by ½ ie, 250 mg once daily or 250 mg bid in more severe infections. Do not continue treatment beyond 14 days.