How To Overcome Painful Bouts Of IBS Due To Stress?

Posted on Thu, 6 Jun 2024

Question: Hi, doctor. I have very painful bouts of IBS due to stress - not IBSC or D, just really bad cramping, shooting pains in the stomach. I've tried a few of the meds - Bentyl, etc that did nothing. My doctor just prescribed I guess an older med, Librax that I have not taken yet since I noticed it includes a benzo in it. I really do want to try it for the IBS pain but I also take 1mg of Klonopin daily for some time now and wondering if taking Librax will adversely interact and/or create some really bad side effects such as dizziness, nausea, etc. Thank u so much.

Answered by Dr. Ramesh Kumar (33 hours later)

Brief Answer:
Two medicines of same group would result in side-effects.

Detailed Answer:
Hello and sorry to hear about your problem,
Have seen your details.
Actually you are already taking high dose of clonazepam 1mg which is a benzodiazepene, Librax also contains benzodiazepene.
So taking two medicines of same group at same time would result in overdose.
I would recommend
Rifaximin 550 mg two times a day for 14 days( standard therapy for IBS).
Plus keep taking clonazepam.
Or else stop clonazepam and start librax two times a day with Rifaximin.
Follow up after 2 weeks.
Regards!

Above answer was peer-reviewed by : Dr. Dr.Raju.A.T

Follow up: Dr. Ramesh Kumar (14 hours later)

Hi, doctor and thank u for your answer. Just one last question. Rifaximin is not yet generic here in US and the cost is $3000 so unaffordable for me. Going to give Bentyl another try at a lower dose but my question to u is about Levbid. I know there are a few variations. Could u tell me which one u would recommend and the dosage per day? Not the sublingual, prefer the tablets.
Thank u so much.

Answered by Dr. Ramesh Kumar (40 hours later)

Brief Answer:
Follow up.

Detailed Answer:
Hi thanks for follow up-
Measure your body weight.
Doses are-
0.125-0.25 mg orally every 6 to 8 hourly and total drug taken should not be more than 1.5 mg/day.
Please feel free to follow up and regards!

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Above answer was peer-reviewed by : Dr. Vaishalee Punj