H.pylori eradication (HP) is the most common chronic bacterial infection in humans. HP is a Gram-negative spiral Microaerophilic organism . This study will be done as clinical trial and the aim of this study was comparing the administration of NAC as a pre-treatment before starting eradication regimen HP with the control group in terms of success.The sample size given that the response to standard therapy in the treatment of Helicobacter pylori According to sources, was 115 samples for each group and a total of 230 samples were estimated. Groups of patients referred to the gastroenterology clinic and endoscopy will be selected. All patients with more than 20 years of participation in the plan who are positive for HP and has eradication indication and do not use the drugs effective on HP, were randomly divided into two treatment and control groups. The Patients will be evaluated who at the time of studying have an indication for eradication of H pylori eradication and has not previously received any eradication regimen., and they also have NAC consumption during the last month. Exclusion criteria included a history of gastrectomy, gastric cancer includes adenocarcinoma and lymphoma, previous allergic reaction to antibiotics (amoxicillin and clarithromycin), NAC and proton pump inhibitors For example (omeprazole), pregnant and lactating women, concurrent severe illness, phenyl ketoneuria, taking antibiotics or NAC now or in the past month and is patient's dissatisfaction. Patients will be randomly divided into two groups. the treatment group are pretreated with NAC for the 600 mg 2 times a day for a week and then standard triple therapy alone (amoxicillin 1000 mg 2 times a day, clarithromycin 500 mg two times daily and omeprazole 20 mg 2 times a day).The control group are treated with standard triple therapy . The level of response to treatment in each category are calculated and compared. Variables included age, gender, current smoking, alcohol consumption, eradication indication regimen and complications during and up to one week after treatment and response to treatment. Response to treatment (eradication of Helicobacter pylori) will be evaluated by stool antigen test for a month at the end of treatment and at least 2 weeks after discontinuation of proton pump inhibitors (PPI). The required data in both groups will be collected through interviews and tests.