Racecadotril in the management of diarrhea: an underestimated therapeutic option?

Acute infectious diarrhea (AID) represents an important clinical entity both regarding morbidity and mortality rates, even in industrialized countries, and it leads to one of the major public health burdens, among gastroenterological diseases, with significant healthcare costs. Oral rehydration solu...

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Main Authors: Marco Manfredi, Gianmarco Marcianò, Silvia Iuliano, Francesco Leo, Luca Gallelli
Format: Article
Language:English
Published: SAGE Publishing 2025-01-01
Series:Therapeutic Advances in Gastroenterology
Online Access:https://doi.org/10.1177/17562848241310423
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author Marco Manfredi
Gianmarco Marcianò
Silvia Iuliano
Francesco Leo
Luca Gallelli
author_facet Marco Manfredi
Gianmarco Marcianò
Silvia Iuliano
Francesco Leo
Luca Gallelli
author_sort Marco Manfredi
collection DOAJ
description Acute infectious diarrhea (AID) represents an important clinical entity both regarding morbidity and mortality rates, even in industrialized countries, and it leads to one of the major public health burdens, among gastroenterological diseases, with significant healthcare costs. Oral rehydration solution is the cornerstone of the therapy, but despite its proven efficacy in avoiding dehydration, it is still underused as it does not reduce the duration of diarrhea; hence, it is perceived as ineffective by caregivers. In this narrative review, we collected literature regarding the use of racecadotril, deeply discussing its role in the treatment of AID in both adults and children. Racecadotril has been studied in wide populations of patients, in many countries, and in different clinical settings. Its effectiveness in reducing the stool output and the duration of diarrhea has been proven, not only in the early phase of the disease. Racecadotril has been shown to increase the likelihood of home management of AID, to reduce hospitalizations and parenteral rehydration needs resulting in healthcare costs reduction. The current new formulations require only two-daily doses for adults and the pediatric syrup should simplify its use.
format Article
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institution Kabale University
issn 1756-2848
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publishDate 2025-01-01
publisher SAGE Publishing
record_format Article
series Therapeutic Advances in Gastroenterology
spelling doaj-art-a41637186a774298b153406aecb114812025-01-06T14:03:54ZengSAGE PublishingTherapeutic Advances in Gastroenterology1756-28482025-01-011810.1177/17562848241310423Racecadotril in the management of diarrhea: an underestimated therapeutic option?Marco ManfrediGianmarco MarcianòSilvia IulianoFrancesco LeoLuca GallelliAcute infectious diarrhea (AID) represents an important clinical entity both regarding morbidity and mortality rates, even in industrialized countries, and it leads to one of the major public health burdens, among gastroenterological diseases, with significant healthcare costs. Oral rehydration solution is the cornerstone of the therapy, but despite its proven efficacy in avoiding dehydration, it is still underused as it does not reduce the duration of diarrhea; hence, it is perceived as ineffective by caregivers. In this narrative review, we collected literature regarding the use of racecadotril, deeply discussing its role in the treatment of AID in both adults and children. Racecadotril has been studied in wide populations of patients, in many countries, and in different clinical settings. Its effectiveness in reducing the stool output and the duration of diarrhea has been proven, not only in the early phase of the disease. Racecadotril has been shown to increase the likelihood of home management of AID, to reduce hospitalizations and parenteral rehydration needs resulting in healthcare costs reduction. The current new formulations require only two-daily doses for adults and the pediatric syrup should simplify its use.https://doi.org/10.1177/17562848241310423
spellingShingle Marco Manfredi
Gianmarco Marcianò
Silvia Iuliano
Francesco Leo
Luca Gallelli
Racecadotril in the management of diarrhea: an underestimated therapeutic option?
Therapeutic Advances in Gastroenterology
title Racecadotril in the management of diarrhea: an underestimated therapeutic option?
title_full Racecadotril in the management of diarrhea: an underestimated therapeutic option?
title_fullStr Racecadotril in the management of diarrhea: an underestimated therapeutic option?
title_full_unstemmed Racecadotril in the management of diarrhea: an underestimated therapeutic option?
title_short Racecadotril in the management of diarrhea: an underestimated therapeutic option?
title_sort racecadotril in the management of diarrhea an underestimated therapeutic option
url https://doi.org/10.1177/17562848241310423
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