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Editorial
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Volume 358:2402-2403 May 29, 2008 Number 22
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The Long and Short of a Constipation-Reducing Medication
Arthur J. Moss, M.D.

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-Related Article
 by Camilleri, M.
-PubMed Citation
In this issue of the Journal, Camilleri et al.1 report on their 12-week randomized, double-blind, placebo-controlled trial to evaluate the safety and efficacy of prucalopride in the treatment of chronic constipation (ClinicalTrials.gov number, NCT00483886 [ClinicalTrials.gov] ). The authors clearly document the efficacy of prucalopride in improving bowel function and quality of life in the 411 patients who received the drug, as compared with 209 patients who received placebo.

However, there is concern about a potential cardiac risk associated with this constipation-reducing drug. Prucalopride is a prokinetic 5-hydroxytryptamine4 (5-HT4) receptor agonist similar in function to cisapride and tegaserod, two constipation-reducing drugs . . . [Full Text of this Article]


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From the Heart Research Follow-up Program of the Cardiology Division, Department of Medicine, University of Rochester School of Medicine & Dentistry, Rochester, NY.




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