EFFICACY OF RACECADOTRIL COMPARED TO DIPHENOXYLATE IN ACUTE RADIATION ENTERITIS
Dr. Yashasvi Suvarna*, Dr. Janaki M. G. and Dr. M. C. Shivamurthy
ABSTRACT
Introduction: Radiation enteritis is one of the most common and
distressing complications of pelvic radiation. There are limited studies
that have assessed the efficacy of antidiarrhoeals in radiation enteritis.
This study was done to assess the efficacy of racecadotril versus
diphenoxylate in acute radiation enteritis. Methods: This was a
prospective open label randomized study.50 patients were recruited
into the study with 25 patients in each group. They received either Tab.
Racecadotril 100mg tid for 3 days or Tab. Diphenoxylate
Hydrochloride 2.5 mg(+ atropine 0.025 mg) tid for 3 days as an add on
to fluid supplementation. Results: The grade of radiation enteritis in
both the groups were similar after 3 days of treatment with the drug
(p=0.210).Only one patient in the racecadotril group required cessation of pelvic radiation
due to hypokalemia. Conclusion: Racecadotril and diphenoxylate are both effective in
treating radiation enteritis and are well tolerated. Further studies with racecadotril are
warranted.
Keywords: racecadotril, diphenoxylate, radiation enteritis, diarrhea.
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