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At a glance

Linaclotide is a guanylate cyclase-C agonist indicated in adults for the treatment of irritable bowel syndrome with constipation (IBS-C) and chronic idiopathic constipation (CIC).

Indications
  • Irritable bowel syndrome with constipation (IBS-C) - adults
  • Chronic idiopathic constipation (CIC) - adults
Pharmacology

Linaclotide activates guanylate cyclase-C receptors, increasing intestinal fluid secretion and reducing intestinal transit time, relieving constipation.

Dosage

IBS-C (Adults): 290 mcg PO once daily

CIC (Adults): 145 mcg PO once daily; 72 mcg once daily (based on individual presentation or tolerability)

Side effects

Common Side Effects:

  • Diarrhea (most common)
  • Abdominal pain/discomfort
  • Flatulence
  • Abdominal distension
  • Headache
  • Upper respiratory tract infection
  • Sinusitis
  • Nausea
  • Vomiting
  • Heartburn
  • Fecal incontinence
Use in pregnancy

Use in Pregnancy: Linaclotide use in pregnancy has limited data (Category C); use only if potential benefit justifies potential risk to the fetus.

Pregnancy Category: C — always consult a doctor before taking during pregnancy.

Precautions & warnings
  • Contraindicated in patients less than 6 years of age (risk of serious dehydration)
  • Avoid use in pediatric patients 6 to less than 18 years of age (safety data not established)
  • If severe diarrhea occurs, suspend dosing and rehydrate the patient
  • Do not use in patients with known or suspected mechanical gastrointestinal obstruction
Overdose effects

Overdose: diarrhea is the most common adverse reaction.

Storage conditions

Store between 2-8°C in a frost-free place; keep away from light; keep out of reach of children.

Linaclotide — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.