Antispasmodics including peppermint oil may be effective for IBS

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Goodfellow Gems

Antispasmodics including peppermint oil may be effective for IBS

A recent Alberta Tools for Practice1 notes that approximately 60% of patients report overall symptom or abdominal pain "improvement" on antispasmodics (including peppermint oil), compared to ~30-50% on placebo, with numbers needed to treat of 3-8.

Compared to placebo, adverse events occur for an additional 1 in 20 with antispasmodics and 1 in 11 on peppermint oil.

The antispasmodics are hyoscine (the only one available in NZ), pinaverium, trimebutine, dicycloverine, and peppermint oil.

Reference:

  1. Alberta Tools for Practice # 229 - Antispasmodics and peppermint oil: Old news or a breath of fresh air in managing Irritable Bowel Syndrome (2019) Click here

Gems are chosen by the Goodfellow director Dr. Bruce Arroll to be either practice changing or practice maintaining. The information is educational and not clinical advice.



As published in NZ Doctor 08/05/2019