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a new drug for pain and constipation?
      #368761 - 12/07/12 04:14 PM
Cyndy

Reged: 03/05/05
Posts: 1301


Has anyone seen this article or heard of this drug? Linzess

Is this drug available for IBS yet? If so, I may have a bit of hope just ignited. Please respond. I want to try this, if available. I need to try it!

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Re: a new drug for pain and constipation? new
      #368762 - 12/08/12 04:00 AM
Syl

Reged: 03/13/05
Posts: 5499
Loc: SK, CANADA

The drug Linaclotide ( Linzess ) has been in clinical trials for a few years. It was approved for use with IBS-C in August of this year. You can read about it in Heather's Research Library It is the latest new drug approved for treating IBS-C. Tegaserod was approved for treating IBS-C a few years ago but it was removed from the market due to cardio-vascular side-effects.

Linaclotide is used for individuals with chronic C or IBS-C. IBS-C is defined as

Recurrent abdominal pain or discomfort at least 3 days per month in the last 3 months associated with 2 or more of the following:
– Improvement with defecation
– Onset associated with a change in stool frequency
– Onset associated with a change in stool form (appearance)

1 or more of the following symptoms on at least 25% of occasions for subgroup identification:

- Abnormal stool frequency (less than 3/week)
– Abnormal stool form (lumpy/hard)
– Abnormal stool passage (straining/incomplete evacuation)
– Bloating or feeling of abdominal distension
– Passage of mucous

It is unknown if this drug is more effective than a laxative such as Miralax. If your symptoms match the above criteria and you have fewer than 3 bowel movements a week then you should talk to you GI doctor about prescribing it.

Didn't you say in a previous posting that you were having many bowel movements a day?

Reference
Lacy, Levenick and Crowell (2012) Linaclotide: A Novel Therapy for Chronic Constipation and Constipation-Predominant Irritable Bowel Syndrome Gastroenterology & Hepatology Volume 8, Issue 10 October 2012

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Re: a new drug for pain and constipation? new
      #368768 - 12/08/12 05:25 PM
Cyndy

Reged: 03/05/05
Posts: 1301


My main complaint is pain. The article seemed to focus on that aspect of this drug. I would do anything to help the pain. I don't have fewer than 3 bms a week when I take mirialax, but the pain is horribly crippling.

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Re: a new drug for pain and constipation? new
      #368770 - 12/09/12 06:09 AM
Syl

Reged: 03/13/05
Posts: 5499
Loc: SK, CANADA

Look at the FDA's press release. This drug was approved for the treatment of IBS-C. It does say "In IBS-C, it may also help ease abdominal pain". It isn't a general treatment for IBS pain such as that associated with IBS-D.


--------------------
STABLE: ♂, IBS-D 50+ years - Science of IBS

The FODMAP Approach to Managing IBS Symptoms
Evidence-based Dietary Management of Functional GI Symptoms: The FODMAP Approach
FODMAP Chart & Cheatsheet
The Role of Food & Dietary Intervention in IBS

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