Combined alverine citrate and simeticonein preparation in the treatment of irritable bowel syndrome

Aim of investigation. To assess the effect of combined drug meteospasmyl on intensity of clinical symptoms of irritable bowel syndrome (IBS).Material and methods. Retrospective analysis of efficacy and safety of meteospasmyl in 30 patients with IBS diagnosis, confirmed by conformity of complaints to...

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Main Authors: Ye. A. Poluektova, S. Yu. Kuchumova, V. T. Ivashkin
Format: Article
Language:Russian
Published: Gastro LLC 2012-07-01
Series:Российский журнал гастроэнтерологии, гепатологии, колопроктологии
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Online Access:https://www.gastro-j.ru/jour/article/view/1309
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author Ye. A. Poluektova
S. Yu. Kuchumova
V. T. Ivashkin
author_facet Ye. A. Poluektova
S. Yu. Kuchumova
V. T. Ivashkin
author_sort Ye. A. Poluektova
collection DOAJ
description Aim of investigation. To assess the effect of combined drug meteospasmyl on intensity of clinical symptoms of irritable bowel syndrome (IBS).Material and methods. Retrospective analysis of efficacy and safety of meteospasmyl in 30 patients with IBS diagnosis, confirmed by conformity of complaints to Rome-III criteria and absence of pathological changes at laboratory and instrumental investigations was carried out. Thirteen patients had clinical pattern of diarrhea predominance (IBS-D), 17 – predominance of constipation (IBS-С). The group IBS-D included 7 men (53,8%) and 6 women (46,2) with mean age of 39,2±3,0 years. The group IBS-С included 9 men (52,9 %) and 8 women (47,1%), mean age was 39,7±3,0 years. Meteospasmyl was prescribed in a dose of 1 capsule tid before meal for 28 days. Intensity of IBS symptoms as well as presence of side effects was estimated on 7, 14, 21 and 28-th day of treatment by 4-mark scale of symptoms degree, visual analog scales (VAS), verbal and nonverbal pain rating scale (PRS).Results. In IBS-D group of the patients, after 4-week course of meteospasmyl treatment stool frequency significantly decreased, consistency of feces became less loose. Intensity of abdominal pain by VAS data significantly decreased at the end of 4-week treatment course. Besides that, the drug appeared more effective in relieving symptoms of functional dyspepsia, such as nausea, belching and early satiety. Similar data have been obtained in IBS-С group. To the end of 4-week meteospasmyl treatment course remission has been achieved in 10 of 17 patients in IBS-D group (58,8%) and in 8 of 13 in group IBS-С (61,5%). According to analysis of patients’ diaries, examinations at physician’s visits no adverse effects in the majority of investigated patients has been marked, that confirmed good tolerability of meteospasmyl in all patients.Conclusions. The 4-week course of treatment by meteospasmyl significantly reduces severity of basic symptoms of IBS (abdominal pain, disorder of frequency and consistence of stool, meteorism). Moreover, the drug is effective for relief of symptoms of functional dyspepsia, concomitant to IBS, such as belching, nausea and early satiety. Its good tolerability in all investigated patients was revealed.
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spelling doaj-art-0ce715861ee84911b3b2042f8f5c78e42025-02-10T16:14:32ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732012-07-012243846881Combined alverine citrate and simeticonein preparation in the treatment of irritable bowel syndromeYe. A. Poluektova0S. Yu. Kuchumova1V. T. Ivashkin2State educational state-funded institution of higher professional education «Sechenov First Moscow state medical university Ministry of Health and Social Development of the Russian federation»State educational state-funded institution of higher professional education «Sechenov First Moscow state medical university Ministry of Health and Social Development of the Russian federation»State educational state-funded institution of higher professional education «Sechenov First Moscow state medical university Ministry of Health and Social Development of the Russian federation»Aim of investigation. To assess the effect of combined drug meteospasmyl on intensity of clinical symptoms of irritable bowel syndrome (IBS).Material and methods. Retrospective analysis of efficacy and safety of meteospasmyl in 30 patients with IBS diagnosis, confirmed by conformity of complaints to Rome-III criteria and absence of pathological changes at laboratory and instrumental investigations was carried out. Thirteen patients had clinical pattern of diarrhea predominance (IBS-D), 17 – predominance of constipation (IBS-С). The group IBS-D included 7 men (53,8%) and 6 women (46,2) with mean age of 39,2±3,0 years. The group IBS-С included 9 men (52,9 %) and 8 women (47,1%), mean age was 39,7±3,0 years. Meteospasmyl was prescribed in a dose of 1 capsule tid before meal for 28 days. Intensity of IBS symptoms as well as presence of side effects was estimated on 7, 14, 21 and 28-th day of treatment by 4-mark scale of symptoms degree, visual analog scales (VAS), verbal and nonverbal pain rating scale (PRS).Results. In IBS-D group of the patients, after 4-week course of meteospasmyl treatment stool frequency significantly decreased, consistency of feces became less loose. Intensity of abdominal pain by VAS data significantly decreased at the end of 4-week treatment course. Besides that, the drug appeared more effective in relieving symptoms of functional dyspepsia, such as nausea, belching and early satiety. Similar data have been obtained in IBS-С group. To the end of 4-week meteospasmyl treatment course remission has been achieved in 10 of 17 patients in IBS-D group (58,8%) and in 8 of 13 in group IBS-С (61,5%). According to analysis of patients’ diaries, examinations at physician’s visits no adverse effects in the majority of investigated patients has been marked, that confirmed good tolerability of meteospasmyl in all patients.Conclusions. The 4-week course of treatment by meteospasmyl significantly reduces severity of basic symptoms of IBS (abdominal pain, disorder of frequency and consistence of stool, meteorism). Moreover, the drug is effective for relief of symptoms of functional dyspepsia, concomitant to IBS, such as belching, nausea and early satiety. Its good tolerability in all investigated patients was revealed.https://www.gastro-j.ru/jour/article/view/1309irritable bowel syndromemeteorismabdominal paindisorders of frequency and consistence of stoolmeteospasmyl
spellingShingle Ye. A. Poluektova
S. Yu. Kuchumova
V. T. Ivashkin
Combined alverine citrate and simeticonein preparation in the treatment of irritable bowel syndrome
Российский журнал гастроэнтерологии, гепатологии, колопроктологии
irritable bowel syndrome
meteorism
abdominal pain
disorders of frequency and consistence of stool
meteospasmyl
title Combined alverine citrate and simeticonein preparation in the treatment of irritable bowel syndrome
title_full Combined alverine citrate and simeticonein preparation in the treatment of irritable bowel syndrome
title_fullStr Combined alverine citrate and simeticonein preparation in the treatment of irritable bowel syndrome
title_full_unstemmed Combined alverine citrate and simeticonein preparation in the treatment of irritable bowel syndrome
title_short Combined alverine citrate and simeticonein preparation in the treatment of irritable bowel syndrome
title_sort combined alverine citrate and simeticonein preparation in the treatment of irritable bowel syndrome
topic irritable bowel syndrome
meteorism
abdominal pain
disorders of frequency and consistence of stool
meteospasmyl
url https://www.gastro-j.ru/jour/article/view/1309
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AT syukuchumova combinedalverinecitrateandsimeticoneinpreparationinthetreatmentofirritablebowelsyndrome
AT vtivashkin combinedalverinecitrateandsimeticoneinpreparationinthetreatmentofirritablebowelsyndrome