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Pylera Cap 120 Pieces(Original Prescription Is Mandatory Upon Delivery) Accessories With automatic sensor for individualProduct Description. Pylera is a combination medication containing bismuth subcitrate, metronidazole and tetracycline. It is used to treat peptic ulcers caused by Helicobacter pylori (H. pylori) infection. It is usually given together with an stomach acid reducing drug like omeprazole (Prilosec) Dosage.. Take 3 capsules by mouth four times a day (after meals and at bedtime) for 10 days. Also, one omeprazole 20 mg capsule should be taken by mouth twice