Medications for irritable bowel syndrome
may work well when combined with natural remedies for IBS. Mnay times patients will enter a doctor's office with the question: "Is there an irritable bowel
syndrome cure?" Unfortunately a cure does not exist, but effective management does. It is important first of all to get and accurate diagnosis and distinguish
IBS from other bowel diseases such as colitis.
|Treatment||Initial Dose||Maintanence Dose||Comments|
|Loperamide (Immodium)||Follow over the counter dosing.||Do not exceed max OTC dosing.||Slows intestinal transit and water reabsorption. Slows diarrhea.|
|Dicyclomine (Bentyl)||20mg 4x/day.||20-40mg 4x/day||Anti-spasmotic. If not effective after 2 weeks, discontinue.|
|Hyocyamine (Levsin)||0.125-0.250mg every 4 hrs.||Same.||Anti-spasmotic. Maximum 1.5gms per day.|
|Amitriptyline||10-25 mg 2 hours before bed.||10-100mg 2 hours before bed.||Reduces pain and diarrhea. Start with a low dose and titrate up slowly.|
|Despiramine (Norpramin)||10-50mg at bedtime.||10-150mg at bedtime.||Reduces pain and diarrhea. Start with a low dose and titrate up slowly.|
|Alosteron (Lotronex)||1 mg per day x 4 weeks.||1mg once or twice a day.||For severe diarrhea prominent IBS in women. Used with caution, risk of ischmic colitis.|
Herbs For Irritable Bowel SyndromeIn addition to medications for irritable bowel syndrome, many symptoms have often responded to complementary therapies and many doctors now recommend using them with prescribed medications.
Oil of peppermint is a very good anti-spasmotic and has been associated with improved bowel function. Research studies have shown that there are also mild anti-nausea properties in addition to anesthetic properties. Here is more information about this mint herb.
Ginger in the form of ginger tea is also quite good for the nausea and irritable bowel syndrome. Ginger also promotes bowel function gently by increasing motility.
Aloe vera is good for constipation dominant IBS, and fennel helps with the gas and bloating associated with IBS.
Probiotics are microbes that are deemed to restore an imbalance in the normal flora of the intestines. Some studies have shown and improvement in irritable bowel syndrome symptoms.
Clearly, when it comes to medications for irritable bowel syndrome, a combination of drugs and alternative therapies seems to be the best approach to IBS. Exercise is important too, as this promotes bowel function, especially if constipated.
Here is a great cookbook for IBS!