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This drug regimen is the placebo-controlled comparator arm used in clinical trials (notably NCT04034641) evaluating the probiotic Si Lian Kang (Bifidobacterium tetrad live bacteria tablets). It consists of a standard bismuth-containing quadruple eradication therapy—comprising esomeprazole, amoxicillin, furazolidone, and bismuth potassium citrate—administered alongside a starch-based placebo. The regimen is designed to treat *Helicobacter pylori* infection by combining acid suppression, multiple antibiotic mechanisms, and the bactericidal properties of bismuth. The trial context focuses on whether adding live probiotics to this standard regimen can reduce common gastrointestinal side effects and improve overall eradication rates.
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