Objectives: the objective of this trial is to compare the effects of Sertraline and Nortriptyline on irritable bowel syndrome patients for relief of abdominal pain.
Design: a triple blind, randomized clinical trail.
Setting and conduct: in this stuy, 30 patients with irritable bowels syndrome are randomly assigned to receive Sertraline or Nortriptyline. Before allocation, all patients were completed Beck questionnaire for screening of depression.
Major Inclusion and Exclusion criteria: the main exclusion criteria were the use of analgesic drugs; pregnant women; breast feeding; patients with major depressive disorder (MDD) according to DSM-IV-TR; gastrointestinal bleeding; presence of any finding in favor of organic disorders in the lab tests; or organic disorder in colonoscopy of high risk patients.
Intervention: Sertraline (tablet 25mg oral for 7 days and then 50 mg oral) as intervention and Nortriptyline (tablet 10 mg oral) for control group once daily for 8 weeks.
Main outcome measures variables: abdominal pain, the IBS,Symptom Severity Scoring measure (IBS,SSS), which contains five 100 point scales, that assess the severity of abdominal pain, the frequency of abdominal pain, the severity of abdominal distention, dissatisfaction with bowel habits, and interference with quality of life, incomplete evacuation, and bloating are measured and compared between groups at the baseline and 8 weeks after the intervention.