A new look at past research suggests that certain drugs used to treat irritable bowel syndrome (IBS) may come with fewer side effects as a price for providing relief. The new findings are based on 26 studies that compared benefits and "harms" of five different drugs used to treat IBS, a condition in which patients experience stomach pain with either diarrhea or constipation. "We do know that a lot of these drugs have side effects," said Dr. Mark Pimentel, the study's lead author and director of the Cedars-Sinai Medical Center's Gastrointestinal Motility Program in Los Angeles. "They've been reported, but we didn't realize how bad it actually was -- specifically in the IBS population." For their study, Pimentel's team looked at the number of patients who need to take a drug before one shows an improvement, and compared that to the number of patients who need to take it before one experiences a side effect. For IBS with diarrhea, Pimentel and his colleagues analyzed past clinical trials of tricyclic antidepressants, a stool slower called alosetron and the antibiotic rifaximin. From 19 studies, the researchers determined that about two people would benefit from tricyclic antidepressants before one patient was harmed, on … Continue reading
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