Irritable bowel syndrome (IBS)

Prescribing Notes:

• Antispasmodics are of limited benefit but are occasionally used for acute exacerbations of irritable bowel syndrome. They should be used in conjunction with other measures such as reassurance, diet, fluid intake, exercise, bulking agents and lifestyle modifications.
• Antimuscarinics relax the oesophageal sphincter and should be used with caution in patients with symptoms of reflux.
• Peppermint oil capsules should not be chewed as they can cause irritation to mouth and/or oesophagus, causing symptoms of heartburn.