Effects of 5-hydroxytryptamine (serotonin) type 3 antagonists on symptom relief and constipation in nonconstipated irritable bowel syndrome: a systematic review and meta-analysis of randomized controlled trials.

Author: AndresenViola, CamilleriMichael, KellerJutta, LayerPeter, MontoriVictor M, WestColin P

Paper Details 
Original Abstract of the Article :
BACKGROUND & AIMS: We performed a systematic review and meta-analyses to estimate treatment efficacy and constipation rate of 5-hydroxytryptamine (serotonin) (5-HT(3)) antagonists in patients with nonconstipated (NC) or diarrhea-predominant (D)-irritable bowel syndrome (IBS). METHODS: Two reviewers...See full text at original site
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引用元:
https://pubmed.ncbi.nlm.nih.gov/18242143

データ提供:米国国立医学図書館(NLM)

5-HT3 Antagonists: Exploring New Horizons in Irritable Bowel Syndrome (IBS) Treatment

Irritable bowel syndrome (IBS) is a common and often debilitating condition affecting the digestive system. This study explores the potential of 5-HT3 antagonists, a class of medications that block the action of serotonin, for treating IBS. The research focuses on nonconstipated (NC) or diarrhea-predominant (D)-IBS, seeking to determine the efficacy of these agents in managing symptoms and assessing their impact on constipation.

5-HT3 Antagonists Offer Promise for IBS Symptom Relief

The study found that 5-HT3 antagonists were more effective than placebo or comparator medications in achieving global improvement in IBS symptoms, particularly in reducing abdominal pain and discomfort. These findings suggest that 5-HT3 antagonists may offer a valuable treatment option for patients with NC-IBS or D-IBS.

Navigating the Complexities of IBS Treatment

The study also highlights a potential side effect of 5-HT3 antagonists: an increased risk of constipation, particularly in patients with mixed IBS populations. The research emphasizes the need for careful patient selection and monitoring to minimize this risk. It's like finding a hidden spring in the desert - there are benefits, but there are also potential downsides that need to be considered.

Dr.Camel's Conclusion

This research offers a valuable map for navigating the challenging terrain of IBS treatment. While 5-HT3 antagonists show promise in relieving symptoms, it is crucial to consider the potential risk of constipation and to tailor treatment strategies accordingly. Remember, like a camel searching for a hidden oasis in a vast desert, finding the right treatment approach for IBS requires a careful balance of potential benefits and risks.

Date :
  1. Date Completed 2008-07-16
  2. Date Revised 2022-03-11
Further Info :

Pubmed ID

18242143

DOI: Digital Object Identifier

NIHMS54362

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Languages

English

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