Session
Speaker
Current Therapies in Irritable Bowel Syndrome
Susan Jacob
USA
IBS is one of the most common and particularly challenging gastrointestinal
disorders in Western civilization. Current treatment options for IBS
include serotonergic agents that are comprised of 5HT3/5HT4
antagonists/agonists, TCAs, SSRIs, SNRIs, and chloride channel activators
are the most current FDA approved agents for IBS. Antibiotics such
as rifaximin, probiotics, melatonin, tachykinin receptor antagonists,
opioid receptor ligands, autonomic modulators are all currently under
investigation for the treatment of IBS. Popular non-pharmacological
treatments include acupuncture and peppermint oil. Several studies
have evaluated the use of these agents in the treatment of IBS. They
include 37 clinical trials consisting of both randomized controlled
and pilot study trials and various reviews. The outcomes commonly
used in most of these studies were symptomatic relief of IBS. Most
clinical trials have limitations of having a small patient population
and further investigation of pharmacological agents is necessary to
determine the efficacy and safety for patients suffering from such
a complex condition.
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