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Focus on Pharmacotherapy for Irritable Bowel Syndrome with Constipation
1Division of Gastroenterology/Hepatology, Department of Medicine, Northwestern University, 676 North St Clair Street, Suite 1400, Chicago, IL 60611, USA.
New treatments for irritable bowel syndrome with constipation (IBS-C) offer relief for abdominal and bowel symptoms. A patient-specific approach considering efficacy, safety, and cost is recommended for optimal outcomes.
Area of Science:
- Gastroenterology
- Pharmacology
Background:
- Irritable bowel syndrome with constipation (IBS-C) is a prevalent condition impacting patient quality of life.
- Effective therapeutic options are available for managing IBS-C symptoms.
Purpose of the Study:
- To review pivotal evidence for IBS-C therapeutics.
- To present recent treatment guidance from North American gastroenterological societies.
Main Methods:
- Review of clinical trial data for secretagogues (lubiprostone, linaclotide, plecanatide, tenapenor) and prokinetic agent tegaserod.
- Analysis of treatment guidelines from major North American gastroenterological societies.
Main Results:
- Secretagogues and tegaserod have demonstrated efficacy in improving IBS-C symptoms.
- Patient-specific treatment selection based on efficacy, safety, tolerability, access, and affordability is advised.
Conclusions:
- Multiple pharmaceutical classes effectively treat IBS-C.
- Personalized treatment strategies are crucial for managing IBS-C.
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