Irritable bowel drugs


Since the exact causes of irritable bowel syndrome or irritable bowel syndrome are not yet sufficiently known, there is still no causal therapy. Rather, the initiated therapy aims to alleviate discomfort and combat symptoms.

The Treatment of irritable bowel syndrome can be roughly in three pillars be divided: On the one hand, general measures such as Diet changes, one Lifestyle change and a reduction in stress already significantly alleviate the symptoms of irritable bowel syndrome.

Furthermore, a basic psychosomatic care and one carried out psychotherapy also lead to success in the fight against irritable bowel syndrome.

The third pillar consists of the specific treatment the main complaints (diarrhea or constipation, stomach pain, Flatulence and psychological complaints) With Irritable bowel drugsthat are targeted.

There are usually no standard therapy or no means of 1st choice. Rather, at different patients different drugs are used, depending on which complaints are in the foreground in which intensity.

Of the individualized treatment approach is considered successful if the symptoms become permanently better and the administered drugs are well tolerated throughout. It applies here, however, that the Administration of drugs against irritable bowel syndrome does not take place in the long term, only for a short time (approx. 3 months) should be used.

Abdominal pain medication

The abdominal pain that occurs in the context of irritable bowel syndrome is usually of a convulsive character, which is why so-called antispasmodic agents are primarily used.

Effective applications that can be performed independently are the use of hot water bottles or warm compresses to counteract abdominal cramps.

In addition to the herbal remedies or common home remedies such as peppermint or caraway oils or caraway, fennel or anise teas, prescription drugs such as Buscopan (N-butyl scopalamine), Duspatal (Mebeverine) or trospium chloride can be used.

While the herbal remedies mainly have a puffing and calming effect on the intestines, the prescription drugs are aimed specifically at relaxing the intestinal muscles.

Furthermore, for example, soluble fiber (Plantago ovata / Mukofalk), agents for the treatment of depression (tricyclic antidepressants, Serotonin reuptake inhibitors) or probiotics (E. coli Missl / Mutaflor) can be used.

Read more on the topic: Kijimea®

The antidepressants act on the serotonin metabolism in the body, which can play an important role both in depression and in irritable bowel syndrome.

Medication for diarrhea

First and foremost belongs to a correct one Diarrhea therapy a sufficient one Fluid intake (preferably water and teas) to get through the diarrhea to return lost water to the body.

In addition, go with the fluid loss also at the same time Electrolytes (Minerals) are lost, which can be balanced again with the water supply (in cases with severe diarrhea and water loss, a Electrolyte substitution be necessary as well as a Hydration through the vein).

The drug of choice for existing diarrhea is the drug Loperamide (Imodium® acute; freely available in the pharmacy).

This is an opioid-like substance that has a selective effect on the intestine, which calms the intestinal muscles, which are overexcited during diarrhea, and weakens the intestinal peristalsis, so that the stool can stay longer in the intestine and the body is given more time to thicken and remove fluids.

However, care should be taken to ensure that Loperamide is not taken over a long period of time, otherwise the diarrhea can turn into constipation.

Furthermore, as with abdominal pain relief, water-soluble fiber (Locust bean gum, pectin), Probiotics (Yeasts, lactic acid bacteria), antispasmodics (Antispasmodics), herbal medicines (Iberogast) or the bile acid binder cholestyramine (Quantalan®) can be used.

The latter bind bile acids in the intestine and enable their increased excretion. They are used because in irritable bowel syndrome they are not produced by the liver as usual and absorbed in the small intestine, but can reach the large intestine and cause diarrhea there.

The use of tannins can also be considered if you have symptoms of diarrhea.

Read more too: Drugs for diarrhea

Anti-flatulence drugs

The cause of Flatulence as part of a Irritable bowel syndrome is often the disturbed one Bowel motility and the faulty food utilization, making it excessive Gas formation and gas accumulation can come in the intestine.

The first remedy can be the tried and tested herbal remedies how chamomile, fennel, anise and Caraway seed (e.g. in the form of teas).

Furthermore, so-called defoaming drugs (Dimethicone, simethicone; freely available in the pharmacy) another way to get the excessive gas accumulation to counteract.

Medication for constipation

Occurs as part of a Irritable bowel syndrome no diarrhea rather constipation on, can get enough exercise and one sufficient, increased fluid intake (Water, teas) ensure that the Bowel movement something is stimulated again.

Also mild, herbal remedies can help with a blocked bowel. These include, for example, Indian Flea seeds or flax seeds.

So-called saline agents, such as Lactulose, Lactose or macrogol (Movicol) make the stool more pliable and stimulate bowel movements by drawing water from the body into the intestines.

In addition, the Improve bowel movement that can be stimulated by herbal or chemical agents. One of the best-known representatives of the herbal remedies Iberogast, to the chemical Metoclopramide (MCP).

So-called real laxatives or laxatives can also of vegetable origin be (e.g. buckthorn, aloe, rhubarb, buckthorn). However, more common are chemical ones, which are primarily Bisacodyl (Dulcolax®) or Sodium picosulfate (Laxoberal®) belong.

Homeopathic Medicines

To the typical homeopathic medicinesthat at a Irritable bowel syndrome can be used include:

  • Cina artemisia (Zitwerblüte; medicinal plant; prescribed by Gastrointestinal cramps)

  • Cyclamen (Cyclamen; medicinal plant; prescribed at weakness and irritability)

  • Bismutum subnitricum (Bismuth oxide nitrate; mineral salt; prescribed by diarrhea and gastritis)

  • ginseng (Medicinal plant; prescribed by exhaustion and weakness)

  • Cerium oxalicum (Salt; prescribed by nausea / Vomit and gastritis)

  • The Schüsslersalz No. 6 (Kalium sulfuricum; prescribed for weakness and fatigue)

All the remedies listed here are usually in the Potencies D6 or D12 administered.

Medicines for an irritable stomach

Step within the Irritable bowel syndrome also complaints in the form of a Irritable stomach on (e.g. heartburn, stomach pain, nausea, Vomit), should also include a medical therapy against these complaints.

Are the symptoms of the Heartburn in the foreground, means can be given to the one Overacidification of the stomach counteract: Either this can through Binding of gastric acids can be achieved (so-called Acid binders or antacids like magnesium, calcium, aluminum salts) or by a Inhibition of acid production in the stomach (so-called Proton pump inhibitors how Pantoprazole, Omeprazole).

On the other hand, they tend to stand Nausea, vomiting, or feeling full In the foreground of the irritable stomach symptoms, remedies can be useful - similar to the therapy of constipation - which the Gastrointestinal emptying accelerate. This includes, among other things Metoclopramide (MCP) and herbal remedies how anise, fennel, Caraway seed, chamomile, Lemon balm, licorice, Wormwood Etc.

More information

  • Irritable bowel syndrome
  • constipation
  • nausea
  • Vomit
  • diarrhea
  • Inflammation of the stomach lining

Exclusion of liability / disclaimer

We would like to point out that medication must never be discontinued, applied or changed independently without consulting your doctor.
Please note that we cannot claim that our texts are complete or correct. The information may be out of date due to current developments.