- |||||||||| loperamide / Generic mfg.
Journal: Loperamide Misuse Mimicking Symptoms of Severe Malnutrition. (Pubmed Central) - Oct 16, 2023 This case illustrates the non-specific symptoms associated with loperamide misuse and the potential overlap with other common adolescent conditions. Adolescent medicine clinicians must be aware of the signs and symptoms of loperamide misuse as well as familiar with recommendations for both the management of acute complications and the treatment of the substance misuse.
- |||||||||| loperamide / Generic mfg.
Journal: Colon-Targeted Delivery of Indole Acetic Acid Helps Regulate Gut Motility by Activating the AHR Signaling Pathway. (Pubmed Central) - Oct 14, 2023 In simulated intestinal fluid (pH 7.4) and colonic lumen, considerable amounts of IAA were released after approximately 4 h. Compared with free IAA, the nanoparticles exerted enhanced therapeutic effects on gut movement disorders induced by loperamide...Furthermore, the oral administration of IAA-loaded nanoparticles promoted serotonin secretion and maintained the intestinal barrier function. The experimental outcomes demonstrate the efficiency of the proposed colon-specific delivery system and highlight the role of IAA, produced by gut microbiota metabolism, in regulating gut peristalsis through AHR activation.
- |||||||||| loperamide / Generic mfg.
Preclinical, Journal: The Different Ways Multi-Strain Probiotics with Different Ratios of Bifidobacterium and Lactobacillus Relieve Constipation Induced by Loperamide in Mice. (Pubmed Central) - Oct 14, 2023 Finally, it promoted peristalsis of the gastrointestinal tract, increasing stool water content, and relieving constipation. While Lactobacillus-dominated formula PB2 mainly restored the levels of serum neurotransmitters (MTL, SP (substance P), VIP and PYY (Peptide YY)) and inflammatory factors (IL-1, IL-6 and IL-8), it significantly decreased the relative abundance of Tyzzerella, Enterorhabdus, Faecalibaculum, Gordonibacter and Mucispirillum in stool; it then increased acetic acid content, thereby reducing the level of inflammation and changing stool properties and gastrointestinal motility.
- |||||||||| Verzenio (abemaciclib) / Eli Lilly
Trial completion date: A Study of LY2835219 (Abemaciclib) in Combination With Therapies for Breast Cancer That Has Spread (clinicaltrials.gov) - Oct 12, 2023 P1b, N=198, Active, not recruiting, While Lactobacillus-dominated formula PB2 mainly restored the levels of serum neurotransmitters (MTL, SP (substance P), VIP and PYY (Peptide YY)) and inflammatory factors (IL-1, IL-6 and IL-8), it significantly decreased the relative abundance of Tyzzerella, Enterorhabdus, Faecalibaculum, Gordonibacter and Mucispirillum in stool; it then increased acetic acid content, thereby reducing the level of inflammation and changing stool properties and gastrointestinal motility. Trial completion date: Sep 2023 --> Dec 2024
- |||||||||| methoxyamine (TRC102) / Tracon Pharma
Trial completion, Enrollment change, Trial completion date, Trial primary completion date, Combination therapy: TRC102 and Temozolomide for Relapsed Solid Tumors and Lymphomas (clinicaltrials.gov) - Oct 6, 2023 P1/2, N=93, Completed, Trial completion date: Sep 2023 --> Dec 2024 Recruiting --> Completed | N=140 --> 93 | Trial completion date: Feb 2024 --> Aug 2023 | Trial primary completion date: Feb 2024 --> Aug 2023
- |||||||||| loperamide / Generic mfg.
THE DISEASE COURSE OF MICROSCOPIC COLITIS (A1) - Sep 22, 2023 - Abstract #UEGW2023UEGW_3603; Disease activity at 1 year after diagnosis was predictive of activity after 5 years. Budesonide was the most frequently applied treatment, while use of immunosuppressants and biologicals was rare.
- |||||||||| mirtazapine / Generic mfg.
Review, Journal: Mirtazapine: A One-Stop Strategy for Treatment of Opioid Withdrawal Symptoms. (Pubmed Central) - Sep 22, 2023 In clinical practice, multiple medications (polypharmacy) are prescribed to manage these withdrawal symptoms, including ondansetron and promethazine for vomiting and nausea, loperamide and Lomotil for diarrhea, hydroxyzine and doxepin for pruritus, benzodiazepines, the Z-drugs, and melatonin for insomnia, and benzos, tricyclic antidepressants (TCAs), and various serotonergic agents for anxiety...The current review presents evidence from extant literature supporting mirtazapine as a one-drug strategy to treat the variety of symptoms of opioid withdrawal. This one-drug strategy has much potential to decrease polypharmacy, adverse drug events, relapse, and healthcare cost and increase the likelihood of prolonged sobriety and better quality of life for people living with OUD.
- |||||||||| Emestop (ramosetron hydrochloride) / Samyang Group
Review, Journal: Low anterior resection syndrome. (Pubmed Central) - Sep 7, 2023 A randomized-controlled trial suggested the use of ramosetron could be safe and efficacious for patients who have major LARS after sphincter-saving rectal cancer surgery. Novel techniques or drugs for relieving the symptoms of LARS should be developed more and further studies are necessary.
- |||||||||| Herceptin (trastuzumab) / Roche, Nerlynx (neratinib) / Puma, Knight Therap, Pierre Fabre
Biomarker, Journal, Metastases: Neratinib + fulvestrant + trastuzumab for HR-positive, HER2-negative, HER2-mutant metastatic breast cancer: outcomes and biomarker analysis from the SUMMIT trial. (Pubmed Central) - Aug 19, 2023 The benefit of N+F+T for HR+ HER2-mutant MBC after progression on CDK4/6 inhibitors is clinically meaningful and, based on this study, N+F+T has been included in National Comprehensive Cancer Network treatment guidelines. SUMMIT has improved our understanding of the translational implications of targeting HER2 mutations with neratinib-based therapy.
- |||||||||| loperamide / Generic mfg.
High Output Ileostomy: A Survey (Exhibit Hall) - Jul 29, 2023 - Abstract #ACG2023ACG_4055; The majority of HOI were created due to complications of IBD. (n=64, 74.4%), and 60 (69.8%) were end-ileostomies.
- |||||||||| ondansetron / Generic mfg., loperamide / Generic mfg.
Persistent Gastrointestinal Symptoms in Human Mpox (Exhibit Hall) - Jul 29, 2023 - Abstract #ACG2023ACG_3610; Figure: Ileum Biopsy Showing Active Ileitis, 26 Days After Positive Polymerase Chain Reaction for MPXV. H&E 400X Magnification Neutrophilic infiltrate within the surface epithelium and lamina propria
- |||||||||| loperamide / Generic mfg., cholestyramine / Generic mfg., azathioprine / Generic mfg.
Battlefield of Polyps: Challenges of the Rare CronkhiteCanada Syndrome (Exhibit Hall) - Jul 29, 2023 - Abstract #ACG2023ACG_3593; Patient continued to have diarrhea despite a bowel regimen including loperamide, diphenoxylate/atropine, and cholestyramine along with fibers and tincture of opium resulting in further weight loss...Although evidence-based effective therapies are lacking, we treated our patient symptomatically based on case studies with steroids and azathioprine, with resultant improvement in diarrhea...Close surveillance is integral to managing patient's symptoms and therapies due to the high morbidity of this syndrome. Figure: Endoscopy
- |||||||||| irinotecan / Generic mfg.
Irinotecan Toxicity With UGT1A Polymorphism in a Patient With Metastatic Rectal Adenocarcinoma (Exhibit Hall) - Jul 29, 2023 - Abstract #ACG2023ACG_2203; Most recently he received treatment with FOLFIRI and Cetuximab, with a FUDR hepatic arterial infusion pump...Broad spectrum antibiotics, scheduled diphenoxylate and loperamide were initiated with no improvement...Bowel movements improved with intravenous steroids which were transitioned to oral prednisone outpatient...Our case emphasizes standardized pre-therapeutic UGT1A1 testing due to the increased morbidity and mortality associated with IRI toxicity in these patients. It also highlights the need for closer monitoring for adverse drug events to reduce the overall healthcare burden and complications.
- |||||||||| Ocrevus (ocrelizumab) / Roche, Biogen
Ocrelizumab Induced Colitis: A Rare Clinical Entity Mimicking Cytomegalovirus Colitis (Exhibit Hall) - Jul 29, 2023 - Abstract #ACG2023ACG_791; Ganciclovir was started while awaiting biopsy results, without improvement...Her diarrhea improved and she was discharged on 2-week course of prednisone, along with as needed loperamide...It also predisposes to CMV colitis; therefore, endoscopic assessment with biopsies should be encouraged in patients with new onset gastrointestinal symptoms while on treatment, to provide an accurate and timely diagnosis. Figure: Punched out ulcers in colon
- |||||||||| Xifaxan (rifaximin) / Alfa Wassermann, Bausch Health
Trial completion date, Trial primary completion date: TrEAT_TD2: Single Dose Antibiotic Treatment of Acute Watery Diarrhea, Rifaximin Versus Azithromycin, With Loperamide Adjunct (clinicaltrials.gov) - Jul 10, 2023 P4, N=150, Recruiting, Probiotic Bifidobacterium or the combination of probiotic Bifidobacterium with TM did not decrease the incidence of grade 2 or greater diarrhea compared with historical control, although the grade 3 or greater diarrhea was reduced. Trial completion date: Dec 2023 --> Dec 2024 | Trial primary completion date: Sep 2023 --> Sep 2024
- |||||||||| budesonide / Generic mfg.
Clinical, Retrospective data, Review: Effectiveness of Non-Budesonide Therapies in Management of Microscopic Colitis: A Systematic Review and Meta-analysis. (Pubmed Central) - Jul 7, 2023 Trial completion date: Dec 2023 --> Dec 2024 | Trial primary completion date: Sep 2023 --> Sep 2024 We performed a systematic review and meta-analysis to determine the effectiveness of non-budesonide therapies (thiopurines, bismuth subsalicylate [BSS], bile acid sequestrants [BAS], loperamide and biologics) for MC suggested by international guidelines...Treatment with tumor necrosis factor (TNF) inhibitors (infliximab and adalimumab) demonstrated a response rate of 73% (95% CI 0.63-0.83; I
- |||||||||| loperamide / Generic mfg.
Preclinical, Journal: Analysis of Network Pharmacological Efficacy and Therapeutic Effectiveness in Animal Models for Functional Dyspepsia of Foeniculi fructus. (Pubmed Central) - Jul 2, 2023 The efficacy of F. fructus on functional dyspepsia was confirmed by treatment with its extract in a mouse model of loperamide-induced functional dyspepsia...The results of our animal studies indicated a close association between the mechanism of action of F. fructus and gastrointestinal motility. Based on animal experimental results, the results showed that F. fructus provided a potential means to treat functional dyspepsia, suggesting that its medical mechanism for functional dyspepsia could be described by the relationship between seven key compounds of F. fructus, including oleic acid, ?-sitosterol, and 12 functional dyspepsia-related genes.
- |||||||||| Journal: Rilmazafone: A designer benzodiazepine pro-drug involved in fatal intoxications. (Pubmed Central) - Jun 22, 2023
Rilmazafone metabolizes into active compounds by a ring closure resulting in a triazolo benzodiazepine structure similar to alprazolam...Additional toxicological findings included the medications haloperidol, alimemazine, fluoxetine, olanzapine, and acetaminophen...Additional toxicological findings included loperamide, alimemazine, and pregabalin. The intake of rilmazafone was determined as the cause of death in Case 1 and contributed in the Case 2.
- |||||||||| loperamide / Generic mfg., omeprazole / Generic mfg.
Retrospective data, Review, Journal: Clinical management of high-output stoma: a systematic literature review and meta-analysis. (Pubmed Central) - Jun 18, 2023 Evidence, however, is weak due to inconsistent definitions, risk of bias and poor methodology in the existing studies. We recommend the development of validated core descriptor and outcomes sets, as well as patient-reported outcome measures.
- |||||||||| loperamide / Generic mfg., naltrexone / Generic mfg., methadone / Generic mfg.
Journal: Ventricular Arrhythmias Associated With (Pubmed Central) - Jun 11, 2023 We recommend the development of validated core descriptor and outcomes sets, as well as patient-reported outcome measures. The nonprescription drugs loperamide and mitragynine are associated with disproportionate reports of life-threatening ventricular arrhythmia in North America.
- |||||||||| loperamide / Generic mfg.
Preclinical, Journal: In vivo antidiarrheal activity of the crude extract and solvent fractions of Rhamnus prinoides (Rhamnaceae) leaves. (Pubmed Central) - Jun 9, 2023 The nonprescription drugs loperamide and mitragynine are associated with disproportionate reports of life-threatening ventricular arrhythmia in North America. The standard and negative control groups were treated with loperamide and 2% tween 80 respectively...Furthermore, the maximum percentage inhibition of intestinal fluid accumulation was observed in mice treated with 400
- |||||||||| loperamide / Generic mfg.
Enrollment change: Multi-System Analysis of Opioid Receptor Binding (clinicaltrials.gov) - Jun 1, 2023 P1, N=60, Recruiting, Our results suggest that gut microbe intervention with indigenous strains such as R. gnavus is a potential and promising alternative for the treatment of constipation, especially for refractory constipation. N=20 --> 60
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