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Targeted Ileal Bile Acid Transporter Inhibition as Rescue Therapy for Tirzepatide-Induced Severe Constipation: A Case
1Department of Critical Care Medicine, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh, UK.
Elobixibat effectively treated severe constipation caused by tirzepatide, a common incretin therapy side effect. This ileal bile acid transporter inhibitor allowed continued obesity treatment, improving patient adherence and metabolic benefits.
Area of Science:
- Pharmacology
- Gastroenterology
Background:
- Constipation is a frequent, dose-dependent adverse effect of incretin-based anti-obesity therapies.
- This side effect can reduce patient adherence and lead to treatment discontinuation, negating metabolic benefits and causing weight regain.
- Elobixibat, an ileal bile acid transporter (IBAT) inhibitor, presents a potential targeted treatment for refractory constipation.
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