Doctor insights on:
Donnatal Therapy Ibs
What is donnatal (phenobarbital atropine hyoscyamine and scopolamine)? I heard it's an optional therapy for ibs.
Adjunctive use only: Dicyclomine(Bentyl) Is an anticholinergic antispasmodic medication. It reduces smooth muscle spasm in treatment of irritable bowel syndrome. It can used as an adjunctive treatment for conditions like peptic ulcer, diverticulitis, colitis, regional enteritis, etc. ...Read moreSee 1 more doctor answer
Diagnosed with IBS - cramping and constipation. Was prescribed nortrypline-no relief. Alternatives?
How much can donnatal (phenobarbital atropine hyoscyamine and scopolamine) effect gastric emptying?
Have ibs-c and continuous intestinal and colon pain, anxiety.Celexa (citalopram) and antispasmodics don't help with pain.Suggestions/alternatives?
See your doctor: I'd go back to my doctor until he/she finds the right potion for my symptoms. You may want to consider a second opinion. ...Read more
Dear Doctors, do you give PPI drugs with IBS drugs like Trimebutine maleate or Mebeverine for IBS related gas and bloating ? Please respond...
Linzess (linaclotide: Was approved by fda at end of august 2012 to treat chronic idiopathic (= cause unknown) constipation & irritable bowel syndrome with constipation it's approved is for adult patients only. Increases cgmp in intestine, which stimulates secretion of chloride & bicarbonate (sodium bicarbonate) resulting in increased intestinal fluid & accelerated transit. ...Read more
How do donnatal (phenobarbital atropine hyoscyamine and scopolamine) and elavil interact with each other?
Caution Advised: The combination of these two medicines can increase the anticholinergic (antagonizes the action of acetylcholine) adverse effects which include: central nervous system depression with confusion and somnolence (sleepiness) blurred vision increased thirst constipation hyperpyrexia (increased temperature) the combo can also decrease the efficacy of the elavil (amitriptyline). Please talk with your doc. ...Read moreSee 1 more doctor answer
Dx of IBS and early stage autoimmune disorder taking omeprazole, bupropion, plaquenil (hydroxychloroquine) and bentyl as needed. I have period cramps. Best OTC pain meds?
Gastroparesis: Have you already been diagnosed with gastroparesis? Documentation of delayed emptying of gastric contents is required before treatment. All patients with symptoms of gastroparesis which include nausea, vomiting, early satiety &fullness/bloating need to be screened for diabetes mellitus,hypothyroidism, neurological disease, autoimmune disease, past surgery. Please see your MD for a full exam. ...Read more
Yes - off label.: It is used off- label according to http://www.Emedexpert.Com/facts/citalopram-facts.Shtml : "selective serotonin reuptake inhibitors (ssris) are frequently used in the treatment of irritable bowel syndrome (ibs) although evidence of their efficacy is scarce. Results of the study suggest that citalopram (20-40 mg/day) can significantly improve ibs symptoms. It can improve abdominal pain, bloating, . ...Read more
Chronic impactions and constipation bc of long term opioid use, tried miralax, (polyethylene glycol) lactulose, no help. How's methylnaltrexone?
Preparation H...: ...will neither fix rectal prolapse nor protect you against the injury caused by anti-inflammatory medications. There are several formulations of Prep H: a water-based gel, a petroleum jelly-based, or suppositories that use a base of cocoa butter. Active ingredients range from simple moisturizers with witch-hazel astringent to compounds containing phenylephrine, pramoxine, & hydrocortisone. ...Read more