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Study aim
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Comparison of the therapeutic effects of Fluoxetine with Duloxetine in patients with IBS type of constipation
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Design
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Randomized clinical trial, single central, parallel with three groups
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Settings and conduct
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Patients with Irritable bowel syndrome in the age range of 18-45 years who have predominant constipation symptoms and in accordance with Rome2 criteria are diagnosed by gastroenterologist and general specialist from among the referrals to the gastroenterology clinic and general, and all patients Must lack warning signs including diarrhea, weight loss, gastrointestinal bleeding, and the use of drugs, alcohol and drugs. In some cases, patients in any biopsy or physical examination have any symptoms of organic disease, they are excluded from the study
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Participants/Inclusion and exclusion criteria
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Patients are newly diagnosed with irritable bowel syndrome. People are between the ages of 18-45 who have predominant constipation symptoms and are in accordance with Rome2 criteria. All patients should have no warning signs including diarrhea, weight loss, gastrointestinal bleeding, and the use of drugs, alcohol and drugs. In some cases, patients in any biopsy or physical examination have any signs or symptoms of organic disease, are excluded
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Intervention groups
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Then, in the first group, dicyclomine is given with fluoxetine 20 mg and the second group is dicyclomine and duloxetine 20 mg and the third group is given only the dicyclomine. Then the questionnaire will be filled by the researcher for them and the patients will be followed up monthly in person and by the phone for two consistent months. The symptoms will be divided by severity into 4 groups, which gives 25 grades to each group.
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Main outcome variables
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Constipation, abdominal pain , life quality, Flatulence