Page last updated: 2024-10-30

loperamide and Irritable Bowel Syndrome

loperamide has been researched along with Irritable Bowel Syndrome in 37 studies

Loperamide: One of the long-acting synthetic ANTIDIARRHEALS; it is not significantly absorbed from the gut, and has no effect on the adrenergic system or central nervous system, but may antagonize histamine and interfere with acetylcholine release locally.
loperamide : A synthetic piperidine derivative, effective against diarrhoea resulting from gastroenteritis or inflammatory bowel disease.

Irritable Bowel Syndrome: A disorder with chronic or recurrent colonic symptoms without a clearcut etiology. This condition is characterized by chronic or recurrent ABDOMINAL PAIN, bloating, MUCUS in FECES, and an erratic disturbance of DEFECATION.

Research Excerpts

ExcerptRelevanceReference
"We examined the pharmacological profile of ramosetron, a 5-HT(3)-receptor antagonist for irritable bowel syndrome with diarrhea, comparing it with those of other 5-HT(3)-receptor antagonists, alosetron and cilansetron, and the anti-diarrheal agent loperamide."7.74Evaluation of the pharmacological profile of ramosetron, a novel therapeutic agent for irritable bowel syndrome. ( Akuzawa, S; Funatsu, T; Hirata, T; Keto, Y; Sasamata, M, 2007)
"The aim of this study was to establish a pathophysiologic model of irritable bowel syndrome, and then to evaluate the pharmaceutical efficacy of ramosetron, a potent serotonin 3 (5-HT(3)) receptor antagonist, and other anti-irritable bowel syndrome agents in this model."7.74Effect of ramosetron on conditioned emotional stress-induced colonic dysfunction as a model of irritable bowel syndrome in rats. ( Akuzawa, S; Funatsu, T; Hirata, T; Keto, Y; Sasamata, M; Takeuchi, A, 2007)
" Rates of adverse events were comparable in both groups (37."6.90Efficacy and Safety of Eluxadoline in Patients With Irritable Bowel Syndrome With Diarrhea Who Report Inadequate Symptom Control With Loperamide: RELIEF Phase 4 Study. ( Brenner, DM; Cash, BD; Elmes, SJR; Gutman, CR; Jo, E; Liu, LWC; Sayuk, GS, 2019)
"Irritable bowel syndrome is categorized into one of three main categories: IBS with diarrhea, IBS with constipation, and IBS with mixed bowel habits."6.53Emerging treatments in neurogastroenterology: eluxadoline - a new therapeutic option for diarrhea-predominant IBS. ( Lacy, BE, 2016)
"Irritable bowel syndrome with diarrhea (IBS-D) is often managed with over-the-counter therapies such as loperamide, though with limited success."5.24Eluxadoline Efficacy in IBS-D Patients Who Report Prior Loperamide Use. ( Cash, BD; Chey, WD; Covington, PS; Dove, LS; Lacy, BE; Lembo, AJ, 2017)
"Loperamide is an effective therapy for a variety of diarrheal syndromes, including acute, nonspecific (infectious) diarrhea; traveler's diarrhea; and chemotherapy-related and protease inhibitor?associated diarrhea."4.84The role of loperamide in gastrointestinal disorders. ( Hanauer, SB, 2008)
"Fatty acid binding protein 4 inhibitor, BMS309403, was administered acutely or chronically for 6 and 13 consecutive days and its effect on GI transit was assessed in physiological conditions and in loperamide-induced constipation."3.88FABP4 blocker attenuates colonic hypomotility and modulates white adipose tissue-derived hormone levels in mouse models mimicking constipation-predominant IBS. ( Cygankiewicz, A; Fichna, J; Jacenik, D; Krajewska, WM; Małecka-Panas, E; Mokrowiecka, A; Mosińska, P; Pintelon, I; Sałaga, M; Sibaev, A; Storr, M; Timmermans, JP; Wasilewski, A, 2018)
" Nor has the efficacy of selective serotonin reuptake inhibitor antidepressants (SSRIs) been demonstrated; (5) Alosetron and tegaserod carry a risk of potentially life-threatening adverse effects and therefore have negative risk-benefit balances; (6) Seeds of plants such as psyllium and ispaghul, as well as raw apples and pears, have a limited impact on constipation and pain."3.75Irritable bowel syndrome: a mild disorder; purely symptomatic treatment. ( , 2009)
"We examined the pharmacological profile of ramosetron, a 5-HT(3)-receptor antagonist for irritable bowel syndrome with diarrhea, comparing it with those of other 5-HT(3)-receptor antagonists, alosetron and cilansetron, and the anti-diarrheal agent loperamide."3.74Evaluation of the pharmacological profile of ramosetron, a novel therapeutic agent for irritable bowel syndrome. ( Akuzawa, S; Funatsu, T; Hirata, T; Keto, Y; Sasamata, M, 2007)
"The aim of this study was to establish a pathophysiologic model of irritable bowel syndrome, and then to evaluate the pharmaceutical efficacy of ramosetron, a potent serotonin 3 (5-HT(3)) receptor antagonist, and other anti-irritable bowel syndrome agents in this model."3.74Effect of ramosetron on conditioned emotional stress-induced colonic dysfunction as a model of irritable bowel syndrome in rats. ( Akuzawa, S; Funatsu, T; Hirata, T; Keto, Y; Sasamata, M; Takeuchi, A, 2007)
"We examined the effect of ramosetron, a potent serotonin (5-HT)(3)-receptor antagonist for irritable bowel syndrome with diarrhea, on conditioned fear stress (CFS)-induced defecation and normal (non-stressed) defecation in rats and compared ramosetron with the antidiarrheal agent loperamide and the spasmolytic agents trimebutine and tiquizium."3.74Inhibitory effects of ramosetron, a potent and selective 5-HT3-receptor antagonist, on conditioned fear stress-induced abnormal defecation and normal defecation in rats: comparative studies with antidiarrheal and spasmolytic agents. ( Akuzawa, S; Funatsu, T; Hirata, T; Keto, Y; Miyata, K; Sasamata, M, 2008)
" Rates of adverse events were comparable in both groups (37."2.90Efficacy and Safety of Eluxadoline in Patients With Irritable Bowel Syndrome With Diarrhea Who Report Inadequate Symptom Control With Loperamide: RELIEF Phase 4 Study. ( Brenner, DM; Cash, BD; Elmes, SJR; Gutman, CR; Jo, E; Liu, LWC; Sayuk, GS, 2019)
"Irritable bowel syndrome is categorized into one of three main categories: IBS with diarrhea, IBS with constipation, and IBS with mixed bowel habits."2.53Emerging treatments in neurogastroenterology: eluxadoline - a new therapeutic option for diarrhea-predominant IBS. ( Lacy, BE, 2016)
"Loperamide is an option for treatment of moderately severe diarrhea."2.43Treatment of irritable bowel syndrome. ( Gaarder, SM; Hadley, SK, 2005)
"For roflumilast, ID(50)s were 24."1.35Inhibition of phosphodiesterase type 4 decreases stress-induced defecation in rats and mice. ( Barone, FC; Barton, ME; Kikkawa, H; Kinoshita, M; Kuratani, K; Legos, JJ; Shimamura, M; White, RF, 2008)

Research

Studies (37)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's15 (40.54)29.6817
2010's16 (43.24)24.3611
2020's6 (16.22)2.80

Authors

AuthorsStudies
Lembo, A1
Sultan, S1
Chang, L1
Heidelbaugh, JJ1
Smalley, W1
Verne, GN1
Selby, A1
Reichenbach, ZW1
Piech, G1
Friedenberg, FK1
Black, CJ1
Houghton, LA1
Ford, AC3
Brenner, DM3
Sayuk, GS3
Gutman, CR2
Jo, E2
Elmes, SJR2
Liu, LWC2
Cash, BD3
Twardowska, A1
Fichna, J2
Binienda, A1
Abel, JL1
Burslem, K1
Azad, AK1
Doolaanea, AA1
Al-Mahmood, SMA1
Kennedy, JF1
Chatterjee, B1
Bera, H1
Touw, K1
Ringus, DL1
Hubert, N1
Wang, Y1
Leone, VA1
Nadimpalli, A1
Theriault, BR1
Huang, YE1
Tune, JD1
Herring, PB1
Farrugia, G1
Kashyap, PC1
Antonopoulos, DA1
Chang, EB1
Lacy, BE2
Chey, WD1
Lembo, AJ2
Dove, LS1
Covington, PS1
Mosińska, P1
Jacenik, D1
Sałaga, M1
Wasilewski, A1
Cygankiewicz, A1
Sibaev, A1
Mokrowiecka, A1
Małecka-Panas, E1
Pintelon, I1
Storr, M1
Timmermans, JP1
Krajewska, WM1
Major, GAD1
Gunn, D1
Fashner, J1
Gitu, AC1
Besson, S1
Hookway, C1
Buckner, S1
Crosland, P1
Longson, D1
Nee, J1
Zakari, M1
Morgan, B1
Talley, NJ1
Sood, MR1
Vandvik, PO2
Wald, A1
Garrigues Gil, V1
Ortiz Bellver, V1
Mertz, HR1
Taneja, I1
Deepak, KK1
Poojary, G1
Acharya, IN1
Pandey, RM1
Sharma, MP1
Kimball, ES1
Palmer, JM1
D'Andrea, MR1
Hornby, PJ1
Wade, PR1
Hadley, SK1
Gaarder, SM1
Mearin, F1
Hirata, T3
Keto, Y3
Funatsu, T3
Akuzawa, S3
Sasamata, M3
Takeuchi, A1
Barone, FC1
Barton, ME1
White, RF1
Legos, JJ1
Kikkawa, H1
Shimamura, M1
Kuratani, K1
Kinoshita, M1
Hanauer, SB2
Miyata, K1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Double Blind, Placebo Controlled, Cross Over Study to Investigate the Effectiveness and Safety of Eluxadoline in the Treatment of Diabetic Diarrhea[NCT04313088]Phase 2/Phase 30 participants (Actual)Interventional2022-07-01Withdrawn (stopped due to This study did not enroll any subjects)
Effects of Rifaximin on Visceral Hypersensitivity in Irritable Bowel Syndrome[NCT03462966]Phase 24 participants (Actual)Interventional2018-07-01Terminated (stopped due to recruitment challenges)
Efficacy and Safety of Paroxetine Controlled Release for Major Depressive Disorder in Irritable Bowel Syndrome Patients: An Open-label, Randomized, add-on Study[NCT01916200]Phase 40 participants (Actual)Interventional2014-01-31Withdrawn (stopped due to This study was Cancelled Before Active)
The Efficacy of Hydrolyzed Guar Gum ( PHGG) in the Treatment of Patients With Irritable Bowel Syndrome- a Double Blind, Placebo - Controlled, Randomized Study[NCT01779765]Phase 4130 participants (Anticipated)Interventional2013-01-31Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Association of Urgency Symptom and Rectal Sensitivity Testing.

Association of urgency symptom and rectal sensitivity will be evaluated by the mean change in the balloon pressure (measured in mmHg) that leads to first urge sensation to defecate, evaluated based on the visual analogue scale defined in the primary outcome measure. (NCT03462966)
Timeframe: After completing 14-day course of rifaximin.

InterventionMillimetre of mercury (Mean)
Therapeutic106

Mean Change in the Balloon Volume (Measured in Cubic Centimeter) That Leads to First Urge to Defecate.

A 100-cubic centimeter visual analogue scale with verbal descriptors (0=no sensation, 20=first sensation, 40=first sense of urge, 60=normal urge to defecate, 80=severe urge to defecate, and 100=discomfort/pain) will be used to score evoked sensations. (NCT03462966)
Timeframe: After completing 14-day course of rifaximin.

Interventionvolume cubic centimeter (Mean)
Therapeutic37.5

Number of Participants With a Rise of Hydrogen <20 Parts Per Million Within 90 Minutes of Lactulose Ingestion.(Which is Considered Normal )

"Normalization of lactulose breath test as a potential predictor of improvement of rectal hypersensitivity will be evaluated by comparing lactulose breath test results pre- and post-treatment.~Normalization of lactulose breath test defined as rise of hydrogen <20 Parts per million within 90 minutes of lactulose ingestion.~patients with positive" (NCT03462966)
Timeframe: After completing 14-day course of rifaximin

InterventionParticipants (Count of Participants)
Therapeutic2

Reviews

14 reviews available for loperamide and Irritable Bowel Syndrome

ArticleYear
Pathophysiology, Differential Diagnosis, and Treatment of Diabetic Diarrhea.
    Digestive diseases and sciences, 2019, Volume: 64, Issue:12

    Topics: Antidiarrheals; Autonomic Nervous System Diseases; Blind Loop Syndrome; Celiac Disease; Diabetes Mel

2019
Enkephalinases as a new pharmacological target in the treatment of gastrointestinal tract disorders
    Postepy biochemii, 2020, 09-30, Volume: 66, Issue:3

    Topics: Antidiarrheals; Diarrhea; Gastrointestinal Diseases; Humans; Inflammatory Bowel Diseases; Irritable

2020
Chronic diarrhoea in adults: what not to miss.
    Current opinion in gastroenterology, 2019, Volume: 35, Issue:3

    Topics: Adenocarcinoma; Adenoma; Antidiarrheals; Bile Acids and Salts; Celiac Disease; Chronic Disease; Colo

2019
Common gastrointestinal symptoms: irritable bowel syndrome.
    FP essentials, 2013, Volume: 413

    Topics: Antidepressive Agents; Cognitive Behavioral Therapy; Diagnosis, Differential; Diet; Exercise Therapy

2013
Irritable bowel syndrome in adults in primary care: summary of updated NICE guidance.
    BMJ (Clinical research ed.), 2015, Feb-25, Volume: 350

    Topics: Antidepressive Agents, Tricyclic; Antidiarrheals; Constipation; Diarrhea; Diet Therapy; Humans; Irri

2015
Current and emerging drug options in the treatment of diarrhea predominant irritable bowel syndrome.
    Expert opinion on pharmacotherapy, 2015, Volume: 16, Issue:18

    Topics: Antidepressive Agents, Tricyclic; Antidiarrheals; Carbolines; Diarrhea; Gastrointestinal Agents; Hum

2015
Emerging treatments in neurogastroenterology: eluxadoline - a new therapeutic option for diarrhea-predominant IBS.
    Neurogastroenterology and motility, 2016, Volume: 28, Issue:1

    Topics: Antidiarrheals; Carbolines; Diarrhea; Gastrointestinal Agents; Humans; Imidazoles; Irritable Bowel S

2016
Irritable bowel syndrome.
    BMJ clinical evidence, 2010, Jan-05, Volume: 2010

    Topics: Antidepressive Agents, Tricyclic; Colonic Diseases, Functional; Humans; Hypnosis; Irritable Bowel Sy

2010
Irritable bowel syndrome.
    BMJ clinical evidence, 2012, Jan-06, Volume: 2012

    Topics: Humans; Irritable Bowel Syndrome; Loperamide; Parasympatholytics

2012
Irritable bowel syndrome--diarrhoea.
    Best practice & research. Clinical gastroenterology, 2012, Volume: 26, Issue:5

    Topics: Anti-Bacterial Agents; Antidepressive Agents, Tricyclic; Antidiarrheals; Constipation; Defecation; D

2012
Irritable bowel syndrome.
    The New England journal of medicine, 2003, Nov-27, Volume: 349, Issue:22

    Topics: Antidepressive Agents, Tricyclic; Antidiarrheals; Dietary Fiber; Female; Humans; Irritable Bowel Syn

2003
Irritable bowel syndrome.
    The New England journal of medicine, 2003, Nov-27, Volume: 349, Issue:22

    Topics: Antidepressive Agents, Tricyclic; Antidiarrheals; Dietary Fiber; Female; Humans; Irritable Bowel Syn

2003
Irritable bowel syndrome.
    The New England journal of medicine, 2003, Nov-27, Volume: 349, Issue:22

    Topics: Antidepressive Agents, Tricyclic; Antidiarrheals; Dietary Fiber; Female; Humans; Irritable Bowel Syn

2003
Irritable bowel syndrome.
    The New England journal of medicine, 2003, Nov-27, Volume: 349, Issue:22

    Topics: Antidepressive Agents, Tricyclic; Antidiarrheals; Dietary Fiber; Female; Humans; Irritable Bowel Syn

2003
Treatment of irritable bowel syndrome.
    American family physician, 2005, Dec-15, Volume: 72, Issue:12

    Topics: Adult; Antidiarrheals; Diagnosis, Differential; Female; Humans; Irritable Bowel Syndrome; Loperamide

2005
[Drug treatment of irritable bowel syndrome: an unmet need].
    Gastroenterologia y hepatologia, 2007, Volume: 30, Issue:3

    Topics: Abdominal Pain; Analgesics; Antidepressive Agents, Tricyclic; Antidiarrheals; Carbolines; Controlled

2007
The role of loperamide in gastrointestinal disorders.
    Reviews in gastroenterological disorders, 2008,Winter, Volume: 8, Issue:1

    Topics: Antidiarrheals; Diarrhea; Fecal Incontinence; Humans; Irritable Bowel Syndrome; Loperamide

2008

Trials

3 trials available for loperamide and Irritable Bowel Syndrome

ArticleYear
Eluxadoline Efficacy in IBS-D Patients Who Report Prior Loperamide Use.
    The American journal of gastroenterology, 2017, Volume: 112, Issue:6

    Topics: Abdominal Pain; Adult; Antidiarrheals; Diarrhea; Double-Blind Method; Female; Gastrointestinal Agent

2017
Efficacy and Safety of Eluxadoline in Patients With Irritable Bowel Syndrome With Diarrhea Who Report Inadequate Symptom Control With Loperamide: RELIEF Phase 4 Study.
    The American journal of gastroenterology, 2019, Volume: 114, Issue:9

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Diarrhea; Double-Blind Method; Female; Gastrointestinal

2019
Yogic versus conventional treatment in diarrhea-predominant irritable bowel syndrome: a randomized control study.
    Applied psychophysiology and biofeedback, 2004, Volume: 29, Issue:1

    Topics: Adult; Antidiarrheals; Diarrhea; Digestive System; Electrophysiology; Heart Rate; Humans; Irritable

2004

Other Studies

20 other studies available for loperamide and Irritable Bowel Syndrome

ArticleYear
AGA Clinical Practice Guideline on the Pharmacological Management of Irritable Bowel Syndrome With Diarrhea.
    Gastroenterology, 2022, Volume: 163, Issue:1

    Topics: Antidepressive Agents, Tricyclic; Diarrhea; Gastrointestinal Agents; Humans; Irritable Bowel Syndrom

2022
Efficacy of Eluxadoline in Irritable Bowel Syndrome With Diarrhea.
    The American journal of gastroenterology, 2020, Volume: 115, Issue:3

    Topics: Diarrhea; Humans; Imidazoles; Irritable Bowel Syndrome; Loperamide; Phenylalanine

2020
Response to Black et al.
    The American journal of gastroenterology, 2020, Volume: 115, Issue:3

    Topics: Diarrhea; Humans; Imidazoles; Irritable Bowel Syndrome; Loperamide; Phenylalanine

2020
Improved work productivity and health-related quality of life in patients with irritable bowel syndrome with diarrhea receiving eluxadoline following inadequate response to loperamide.
    Journal of managed care & specialty pharmacy, 2021, Volume: 27, Issue:4

    Topics: Absenteeism; Adolescent; Adult; Aged; Aged, 80 and over; Diarrhea; Female; Gastrointestinal Agents;

2021
Electro-hydrodynamic assisted synthesis of lecithin-stabilized peppermint oil-loaded alginate microbeads for intestinal drug delivery.
    International journal of biological macromolecules, 2021, Aug-31, Volume: 185

    Topics: Administration, Oral; Alginates; Animals; Anti-Inflammatory Agents; Disease Models, Animal; Drug Com

2021
Mutual reinforcement of pathophysiological host-microbe interactions in intestinal stasis models.
    Physiological reports, 2017, Volume: 5, Issue:6

    Topics: Animals; Constipation; Fecal Microbiota Transplantation; Female; Gastrointestinal Microbiome; Host-P

2017
FABP4 blocker attenuates colonic hypomotility and modulates white adipose tissue-derived hormone levels in mouse models mimicking constipation-predominant IBS.
    Neurogastroenterology and motility, 2018, Volume: 30, Issue:5

    Topics: Adipose Tissue, White; Animals; Behavior, Animal; Biphenyl Compounds; Colon; Constipation; Disease M

2018
[Cognitive behavioral therapy of somatoform autonomic disorders].
    Praxis der Kinderpsychologie und Kinderpsychiatrie, 2013, Volume: 62, Issue:9

    Topics: Adaptation, Psychological; Adolescent; Arousal; Cognitive Behavioral Therapy; Diagnosis, Differentia

2013
Drug development: A healthy pipeline.
    Nature, 2016, 05-19, Volume: 533, Issue:7603

    Topics: Animals; Benzimidazoles; Benzofurans; Bile Acids and Salts; Carbolines; Colesevelam Hydrochloride; C

2016
Board Review Vignette: Irritable Bowel Syndrome.
    The American journal of gastroenterology, 2016, Volume: 111, Issue:9

    Topics: Abdominal Pain; Adult; Anion Exchange Resins; Antidiarrheals; Carbolines; Cholestyramine Resin; Cons

2016
Treatment approaches to irritable bowel syndrome.
    Pediatric annals, 2009, Volume: 38, Issue:5

    Topics: Alprostadil; Anti-Bacterial Agents; Antidepressive Agents, Tricyclic; Behavior Therapy; Child; Child

2009
Irritable bowel syndrome: a mild disorder; purely symptomatic treatment.
    Prescrire international, 2009, Volume: 18, Issue:100

    Topics: Acupuncture Therapy; Antidepressive Agents, Tricyclic; Carbolines; Clinical Trials as Topic; Constip

2009
[Current and future prospects of the treatment of the irritable bowel syndrome].
    Revista clinica espanola, 2003, Volume: 203, Issue:9

    Topics: Antidepressive Agents; Antidiarrheals; Forecasting; Health Services; Humans; Irritable Bowel Syndrom

2003
Acute colitis induction by oil of mustard results in later development of an IBS-like accelerated upper GI transit in mice.
    American journal of physiology. Gastrointestinal and liver physiology, 2005, Volume: 288, Issue:6

    Topics: Acute Disease; Animals; Antidiarrheals; Colitis; Colon; Diarrhea; Disease Models, Animal; Gastrointe

2005
Evaluation of the pharmacological profile of ramosetron, a novel therapeutic agent for irritable bowel syndrome.
    Journal of pharmacological sciences, 2007, Volume: 104, Issue:3

    Topics: Animals; Benzimidazoles; Carbazoles; Carbolines; Carrier Proteins; Colon; Defecation; Gastrointestin

2007
Effect of ramosetron on conditioned emotional stress-induced colonic dysfunction as a model of irritable bowel syndrome in rats.
    European journal of pharmacology, 2007, Nov-14, Volume: 573, Issue:1-3

    Topics: Animals; Behavior, Animal; Benzimidazoles; Carbazoles; Carbolines; Colon; Colonic Diseases, Function

2007
Inhibition of phosphodiesterase type 4 decreases stress-induced defecation in rats and mice.
    Pharmacology, 2008, Volume: 81, Issue:1

    Topics: Aminopyridines; Animals; Antidiarrheals; Benzamides; Cold Temperature; Cyclopropanes; Defecation; Ga

2008
The benefits of loperamide in the treatment of patients with IBS or IBD. Introduction.
    Reviews in gastroenterological disorders, 2007, Volume: 7 Suppl 3

    Topics: Antidiarrheals; Humans; Inflammatory Bowel Diseases; Irritable Bowel Syndrome; Loperamide

2007
Inhibitory effects of ramosetron, a potent and selective 5-HT3-receptor antagonist, on conditioned fear stress-induced abnormal defecation and normal defecation in rats: comparative studies with antidiarrheal and spasmolytic agents.
    Journal of pharmacological sciences, 2008, Volume: 106, Issue:2

    Topics: Animals; Antidiarrheals; Benzimidazoles; Conditioning, Classical; Defecation; Fear; Irritable Bowel

2008
[Time and again digestion problems. What really helps in irritable bowel syndrome?].
    MMW Fortschritte der Medizin, 2005, Feb-24, Volume: 147, Issue:8

    Topics: Antidiarrheals; Antifoaming Agents; Carum; Cholestyramine Resin; Dietary Fiber; Flatulence; Humans;

2005