A 55 yo woman with a history of dyslipidemia and an MI 9 months ago has been taking ibuprofen [Advil] for the past 6 months for inflammation around the heart [recommended by cardiologist]. She recently began experiencing epigastric pain and dyspepsia and an ulcer was identified in the duodenum. The urea breath test was negative. She is allergic to penicillin (hives and difficulty breathing) and her SCr is 1.1 mg/dL.
Which of the following regimens would be most appropriate to treat her?
Amoxicillin + Clarithromycin [Biaxin] + Lansoprazole [Prevacid]
Metronidazole [Flagyl] + Omeprazole [Prilosec] + Clarithromycin [Biaxin]
After completion of the above regimen, it remains necessary that she must continue her ibuprofen [Motrin] as recommended by her cardiologist. Which of the following is the most appropriate medication to be used to prevent NSAID-induced ulcer recurrence?