Selective Serotonin Reuptake Inhibitors
SSRIs have been found to be better for treating constipation-predominant IBS . SSRIs help to reduce rectal hypersensitivity symptoms . Some commonly prescribed SSRIs are:
Generally, SSRIs have fewer side effects such as nausea, diarrhea, anxiety, headaches, and loss of sex drive. However, SSRIs are known to cause weight gain. The risk of side effects and SSRI effectiveness are linked to specific liver enzymes that metabolize these medications. Slower drug clearance increases side effects, while faster drug metabolism reduces medication effectiveness.
Serotonin And Norepinephrine Reuptake Inhibitors
SNRIs are better for diarrhea-predominant IBS . SNRIs also have an analgesic effect they are known to be effective for treating chronic pain, including rectal pain and hypersensitivity. In addition, SNRIs have a lower impact on sex drive. However, these drugs can increase blood pressure, blurred vision and have a higher risk of glaucoma. Some commonly prescribed SNRIs are:
How Do I Calm My Intestines
Its best if you have water. The effects of alcohol and beverages with caffeine can be worse, and the effects of carbonated drinks can be worse. Its a good idea to exercise frequently. Exercise can help you feel better about yourself, it can relieve stress, and it can make you feel better about yourself.
Read Also: Does Baking Soda Take Away Heartburn
Tricylic Antidepressants For Ibs Treatment
Tricyclic antidepressants work by affecting the naturally occurring chemical messengers, called neurotransmitters, in the brain and body. TCAs block the absorption of the neurotransmitters serotonin and norepinephrine. In clinical trials, patients with IBS-D who took a low-dose TCA experienced a significant reduction in the number of loose stool and the feeling of incomplete bowel movements compared to patients who were taking a placebo . TCAs also have an effect on the neurotransmitter acetylcholine, which is involved in muscle spasms of smooth muscle, like those found in the intestines. Because of this effect, they may cause constipation and are better suited for patients with IBS-D. However, they can be effective without significant side effects at lower doses in patients with IBS-C.1,3,4
TCAs have been available and on the market for many years and are relatively inexpensive. Some TCAs used in the treatment of IBS include:
- Nortriptyline , as well as others.3
Patients taking TCAs may experience the following side effects: dry mouth, difficulty sleeping at times, difficulty urinating, sexual difficulties, constipation, dizziness and/or drowsiness.3 These are not all the possible side effects of TCAs. Talk to your doctor about what to expect or if you experience any changes that concern you during treatment with TCAs.
Selective Serotonin Reuptake Inhibitors For Ibs Treatment
Selective serotonin reuptake inhibitors target the neurotransmitter serotonin and have been shown to promote global well being in some patients with IBS as well as improve some of the abdominal pain and bowel symptoms. Some SSRIs have proven effective in treating pain in a number of conditions, but the effectiveness of SSRIs on the gut have not been clearly proven in research. The exact ways SSRIs work in IBS are not completely understood by the scientific and medical community.5SSRIs include:
Don’t Miss: How To Tell If Your Fat Or Bloated
Sertraline And Microscopic Colitis
Health professionals are advised that the Product Information documents for sertraline have been updated to include microscopic colitis as a potential adverse effect of unknown frequency based on post-marketing experience.
Sertraline is a selective serotonin reuptake inhibitor marketed in Australia under the brand name Zoloft and multiple generic brands. It is indicated for:
- children and adolescents
- treatment of obsessive compulsive disorder
Microscopic colitis is now included in the list of ‘Gastrointestinal disorders’ in the ‘Adverse effects ‘ section in Australian sertraline PI documents.
Microscopic colitis is a type of inflammatory bowel disease. It is characterised by non-bloody, watery diarrhoea. Other symptoms may include faecal urgency, incontinence and nocturnal episodes.
There are two different types of microscopic colitis – lymphocytic colitis and collagenous colitis. They present with the same symptoms but differences are found on histological examination. Diagnosis requires a biopsy.
Similar information about microscopic colitis has been added to product information in Europe based on a recommendation from the European Medicines Agency after reviewing pharmacovigilance data and the medical literature.
Bladder And Bowel Problems After Antidepressants
In addition to sexual problems such as post-SSRI sexual dysfunction and persistent genital arousal disorder , a range of other urological problems linked to antidepressants are increasingly coming into view, and can sometimes be long-lasting after the drugs are stopped. They are likely to be significantly more common than is generally thought, and its definitely worth shining a spotlight on the issue.
As with sexual side effects, some of these problems may be difficult to discuss with your doctor, but in doing so, it may help to increase awareness and recognition that these things are happening.
Which Antidepressants Can Treat My Irritable Bowel Symptoms
You might be wondering why a doctor would prescribe an antidepressant to treat your irritable bowel syndrome and inflammatory bowel disease . Sometimes low doses of antidepressants are prescribed for IBS, even if the IBS sufferer is not depressed. Antidepressants can reduce pain sensations, rectal hypersensitivity and other symptoms in IBS sufferers. Research has shown that two main types of antidepressants help IBS symptoms. Therefore, medical associations such as the American College of Gastroenterology, have concluded that there is enough evidence to support using certain types of antidepressants to treat IBS symptoms.
Gut-blood-brain barrier dysregulation is linked to stress and inflammation, affecting both mental and gastrointestinal function. Stress at the time of gastrointestinal infection has been shown to increase the risk of IBS and IBD. Both IBD and IBS are affected by the gut-brain axis.
Anxiety and depression are associated with a more aggressive presentation in IBD and are associated with higher rates of hospital readmissions and even increased incidence of surgery. Depression has also been linked with the risk of treatment failure even with the most potent biologic drugs, primarily because of lower adherence to anti-TNF therapy in individuals with severe depression. Medicines that reduce inflammation, such as NSAIDs and TNF inhibitors, have been shown to improve both depression and GI symptoms.
What Is Anxiety Ibs
Its not anxiety that causes Irritable Bowel Syndrome. If you worry about money, your career, relationships, and your health, you will be more likely to experience the disease. It can make you feel like youre going to get sick. Its possible that youre more sensitive to emotional troubles if you have Irritable Bowel Syndrome.
Read Also: Does Peanut Butter Help Heartburn
Why Antidepressants Are Used For Ibs
Antidepressants are a common treatment for irritable bowel syndrome .
You might be wondering why your doctor would prescribe an antidepressant for a gastrointestinal issue if you’re not depressed. Or if you do have depression or anxiety alongside IBS, it can still be perplexing that an antidepressant could ease your IBS symptoms.
Rest assured, the physiology behind it is sound. In their 2021 guidelines, the American College of Gastroenterology strongly recommended one type of antidepressanttricyclicsfor treating IBS.
This article discusses how antidepressants help treat IBS and which ones are effective.
How Can Antidepressants Treat Irritable Bowel Symptoms Dont Antidepressants Normally Work In The Brain
Traditionally, antidepressants are used to treat chemical imbalances in the brain. Antidepressants boost mood-related chemicals by targeting special cells called neurons. Some neurons, for example, secrete serotonin and control gut motility.
The gut and the brain are in constant communication. What happens in the gut affects the brain and vice versa. Getting butterflies in your stomach when you are anxious is one good example of your brain and gut talking to one another!
Like the brain, the gut also has neurons. The gut has so many neurons that it has been called our second brain. Some neurons in the gut produce serotonin, like the serotonin-producing neurons in the brain. In fact, the gut produces over 90% of the serotonin in the body.
Scientists speculate that the impact of antidepressants on the serotonin-producing gut neurons is the reason antidepressants can alleviate IBS symptoms.
Antidepressants also alleviate rectal pain, hypersensitivity and improve sleep quality. Patients with IBD have insomnia due to GI symptoms flares of active disease.
Also Check: What’s The Difference Between Ibs And Ibd
Ibs Suffered For Years Tried Everything Sertraline Helped Anyone
I have struggled with depression and anxiety for years. I also have ibs which doesn’t help as it makes it worse and have had it since I was 4. Last 4 years it has been pretty awful.
i have been on fluoxetine, however started to be ineffective so they put me on citalopram which did work for my depression and anxiety and is apparently the best for ibs however it did nothing for my ibs.
after seeing specialists, holistic therapists, trying the FODMAP diet and seeing soooooo many doctors for my ibs, my recent doctor has said basically “sertraline is something you haven’t tried for ibs that could work for your ibs as well as helping the d and a.” I was like yeh do it, let’s try everything.
I was on 40mg citalopram and he told me to reduce it by 10mg a week for a month. Done, however after 3rd day of no citalopram at all, I had all the side effects Iv read on this forum dizziness, head zaps, electric shocks, anger, extremely emotional etc.
I am a full time worker with quite a full on PA type offic manager job. I’m so scared about starting sertraline after all the side effects Iv read. The side effects Iv had from withdrawal of citalopram have made me pretty dysfunctional this week.
should I take sertraline? Has it helped any ibs suffereres?
Please can you recommend anything else that I haven’t tried that’s worked for you?
anything you can say I would be so grateful for. Thank you for reading xx
0 likes, 20 replies
Medications To Treat Specific Symptoms
Your healthcare provide may prescribe other medications to treat specific symptoms associated with your IBS. Examples could include diarrhea, constipation, cramping, and anxiety. Many of these medications are intended to be taken when your symptoms worsen, not taken daily.
Although some are available over the counter, you should talk to your healthcare provider before starting to take them. This way you can be sure they wont interact with other medications youre taking or negatively affect your health.
Ideally, lifestyle changes can help you control your IBS. However, if your symptoms worsen or affect your daily life, your healthcare provider may prescribe one or more of these medications.
You May Like: Can Constipation Cause Groin Pain
How Ibs And Depression Work Together
The symptoms of irritable bowel syndrome can cause a level of distress that looks like depression. Some people are so worried that their diarrhea, constipation, or other symptoms will flare up that they avoid going to work, school, or out with friends. They may focus less on their social lives and lose interest in activities they once enjoyed. They may feel restless or irritable. All of these are symptoms of depression.
On the other hand, the mood disorder may influence the way people handle IBS. They may feel too tired or hopeless to bother changing their diet to ease digestive symptoms or think they can’t treat their constipation or diarrhea well enough. Also, emotional stress makes bowel symptoms worse.
Rated 32/5based On 10 Reviews
Zoloft is a selective serotonin reuptake inhibitor which helps correct the imbalance of serotonin in the brain. Zoloft is commonly prescribed for depression, panic disorder, obsessive-compulsive disorder , and post-traumatic stress disorder . However, it can also be given to IBS patients, usually in lower doses than those given to depressed patients. Zoloft comes in tablet form.
Also Check: Does Pasta Make You Bloated
How Antidepressants Work With Ibs
Although medications in this class are called antidepressants, they have effects that go beyond stabilizing a depressed mood.
Antidepressants have been shown to reduce anxiety and pain sensations while having positive effects on the digestive system. It’s even becoming common for these drugs to be called neuromodulators, which target the nervous system, rather than antidepressants.
Specifically, antidepressants have been found to have a positive effect on:
- Visceral hypersensitivity
- GI transit speed
Experts believe these benefits are from the medications acting on neurotransmitters found in the brain and the gut. These neurotransmitters are chemical messengers that help nerve cells communicate with each other. They include acetylcholine, serotonin, norepinephrine, and dopamine.
Healthcare providers may prescribe an antidepressant to someone with IBS. This is considered an “off-label” use of the drug. No antidepressant has been approved by the U.S. Food and Drug Administration as an IBS treatment.
However, the ACG, after an extensive research review, concluded that research is strong enough for them to recommend tricyclic antidepressants for IBS. The organization no longer recommends the use of selective serotonin reuptake inhibitors , but these drugs are still commonly used for IBS.
Stress Management For Ibs
Studies have shown that reducing tension or worry can improve IBS symptoms.
You can reduce stress in many ways. Regular exercise effectively lowers stress. So do yoga and meditation. You can also ease pressure through simple activities such as getting a massage, listening to music, taking a bath, or even reading a good book.
Another stress-busting technique is behavioral therapy. This approach teaches you how to change the way your mind and body react to events. It can include cognitive behavioral therapy, psychotherapy, hypnosis, biofeedback, and relaxation therapy. Most of these therapies help people avoid overreacting to stressful situations and people. The American College of Gastroenterologists says behavioral therapy can work well for many IBS symptoms.
Also Check: Do Muscle Relaxers Cause Constipation
When To Be Concerned
Diarrhoea is listed as a very common adverse reaction associated with sertraline and occurs in at least 10% of people who start taking the medicine. If diarrhoea is severe or prolonged, microscopic colitis should be taken into consideration.
See the latest PI documents for sertraline products for further information.
Can Zoloft Help With Irritable Bowel Syndrome
Ask U.S. doctors your own question and get educational, text answers â it’s anonymous and free!
Ask U.S. doctors your own question and get educational, text answers â it’s anonymous and free!
HealthTap doctors are based in the U.S., board certified, and available by text or video.
Recommended Reading: What Foods Dont Bloat You
Common Side Effects Of Sertraline
With any medication, there is always a risk of experiencing potential adverse effects. To know when youre experiencing side effects, it helps to understand how the drug should make you feel when its working correctly. In the case of sertraline, patients can expect to feel improvements in mood, appetite, sleep quality, energy level, and interest in daily life. In other words, an easing of symptoms like depression and anxiety.
Sertraline, just as all other SSRIs, increases circulating serotonin levels in the human body, promoting a sense of well-being and allowing persons with depression and anxiety to cope better with their current situation or condition, says to Raul Perez-Vazquez, MD, a primary care physician of Tenet Florida Physician Services and West Boca Medical Center.
These are the most common sertraline side effects:
- Excessive sweating
What Does Research Suggest
A 2003 study concluded that sertraline can be used to help relieve symptoms of IBS, especially in patients which suffer from anxiety and depression. Zoloft can also make a positive impact on intestinal motility in patients with IBS.
A 2007 study concluded that the use of SSRIs was found to be effective in patients with IBS, as compared to those who were receiving placebo, but more research is required for better understanding.
Read Also: Is Pepto Bismol Good For Diarrhea
Can Pillcheck Help Me Find An Antidepressant To Treat My Ibs Symptoms
If you are considering antidepressant treatment, the Pillcheck PGx service can help. Not everyone metabolizes antidepressants the same way. Based on your genetics, you may have a more challenging time processing some types of antidepressants. This can increase unpleasant side effects and make your treatment less effective. Pillcheck tests your response to many of the antidepressants used to treat IBS symptoms. Pillcheck also covers commonly used anti-inflammatory drugs and immunosuppressants used to treat IBS, IBD and arthritis. One of our team of specialized pharmacists reviews your test results and provides you with an opinion letter to help you and your doctor find the most effective treatment.
How Can Zoloft Help With Irritable Bowel Syndrome
Zoloft Sertraline concentrate must be diluted before use. Immediately before taking it, use the provided dropper to remove the amount of concentrate your doctor has directed you to take. Mix the concentrate with 4 ounces of water, ginger ale, lemon or lime soda, lemonade, or orange juice. Do not mix the concentrate with any liquids other than the ones listed. Drink immediately.
Your doctor may start you on a low dose of Zoloft Sertraline and gradually increase your dose, not more than once a week.
It may take a few weeks or longer before you feel the full benefit of Zoloft Sertraline. Continue to take sertraline even if you feel well. Do not stop taking sertraline without talking to your doctor.
Zoloft Side Effects
Zoloft Side Effects show the following symptoms. Immediately check with your doctor if any of these symptoms are severe or do not go away:
Upset Stomach Pain, Burning, Or Tingling In The Hands Or Feet Excitement Shaking Hands That You Cannot Control Difficulty Falling Asleep Or Staying Asleep Sore Throat Changes In Sex Drive Or Ability Excessive Sweating
Some Zoloft side effects can be serious. The following symptoms are uncommon, but if you experience any of them, call your doctor immediately:
Blurred Vision Abnormal Bleeding or Bruising.
Seeing things or hearing voices that do not exist . Sertraline may cause other side effects. Call your doctor if you have any unusual problems while taking this medication.
Zoloft Medicine Overdose
Read Also: How To Reduce Bloating Quickly