aprobado 2 medicamentos por la fda para el sii-d.

¿Cómo has mejorado tu Síndrome de Intestino Irritable? ¿Qué hipótesis manejas? Aumento de la permeabilidad intestinal, hipersensibilidad, alteraciones neurológicas, microbiota...
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j.checa
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Mensajes: 390
Registrado: Vie Jun 07, 2013 11:31 pm

#1

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jaumeb
Usuario Veterano
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Registrado: Mar Ago 19, 2014 2:38 pm

#2

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Precisamente macu preguntaba ayer sobre la rifaximina.

Me imagino que en los próximos meses podremos ver más tratamientos con rifaximina en los foros en inglés y hacernos una idea de su efectividad.
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skamada
Usuario Veterano
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Registrado: Mié Feb 02, 2011 1:48 am

#3

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Background & Aims

Simultaneous agonism of the μ-opioid receptor and antagonism of the δ-opioid receptor can reduce abdominal pain and diarrhea in patients with irritable bowel syndrome with diarrhea (IBS-D) without constipating side effects. We evaluated the efficacy and safety of a minimally absorbed, μ-opioid receptor agonist and δ-opioid receptor antagonist (eluxadoline) in a phase 2 study in patients with IBS-D.
Methods

We randomly assigned 807 patients to groups that received oral placebo twice daily or 5, 25, 100, or 200 mg oral eluxadoline for 12 weeks. The primary end point was clinical response at week 4, defined by a mean reduction in daily pain score from baseline of ≥30%, and of at least 2 points on 0−10 scale, as well as a stool consistency score of 3 or 4 on the Bristol Stool Scale (1–7) for at least 66% of daily diary entries during that week.
Results

Significantly more patients receiving 25 mg (12.0%) or 200 mg (13.8%) eluxadoline met the primary end point of clinical response than patients given placebo (5.7%; P < .05). Patients receiving eluxadoline at 100 mg and 200 mg also had greater improvements in bowel movement frequency and urgency, global symptoms, quality of life, and adequate relief assessments (P < .05). Additionally, patients receiving 100 mg (28.0%) or 200 mg (28.5%) eluxadoline were significantly more likely than those receiving placebo (13.8%; P < .005) to meet the US Food and Drug Administration response end point during the full 12 weeks of the study. Eluxadoline was well tolerated with a low incidence of constipation.
Conclusions

In a phase 2 study of the mixed μ-opioid receptor agonist/δ-opioid receptor antagonist eluxadoline vs placebo in patients with IBS-D, patients given eluxadoline were significantly more likely to be clinical responders, based on a composite of improvement in abdominal pain and stool consistency. Further study of eluxadoline is warranted to assess its potential as a treatment for IBS-D. ClinicalTrials.gov number, NCT01130272
Interesante, hoy no tengo mucho tiempo para ir investigando por principio activo, a ver si entre todos le echamos un ojo a ver de qué va este tratamiento
j.checa
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Registrado: Vie Jun 07, 2013 11:31 pm

#4

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el eluxadoline sale el primer trimeste de 2016 supongo que en estados unidos,aqui seguro que tarda 1 o 2 años como paso con el constella.
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