Comparative efficacy of racecadotril versus loperamide and probiotics in acute diarrheal illness of adults.

  • Amar Nazir Sargodha Medical College.
  • Muhammad Mustafa Qamar Sargodha Medical College.
  • Fida Muhammad Sheikh Sargodha Medical College.
  • Nighat Faima Sargodha Medical College
  • Shahzad Aslam Niazi Medical & Dental College, Sargodha
  • Sheraz Saleem Sargodha Medical College.
Keywords: Adults Acute Diarrhea, Loperamide, Probiotics, Racecadotril


Objective: Main aim of this research is to evaluate and differentiate the safety, effectiveness and acceptability of racecadotril versus probiotics and loperamide in the out/ inpatient management of adults with acute diarrheal illness. Study Design: Mainly a multicentre, heterogenous, double‐blind, comparable‐ assemblage analysis. Setting: Department of Medicine District Head Quarter Hospital Sargodha. Period: May 2019 to October 2019. Material & Methods: Patients over eighteen years of age (Males/females) having acute diarrheal illness were entitled for this study. Patients who have symptoms of at the minimum three watery stools per 24 hours with less than two weeks duration were considered having acute diarrhea. Acetorphan (100 mg 3 times/ 24hrs), probiotics and loperamide (2 mg succeeding every loose motion) were given orally in 100 adults with moderate severe diarrhea in three different groups of patients. Treatment plus oral rehydration therapy was continued for five days or uptill recuperation, if this sprung up prior. The patients were briefed (at the day one visit) to report during the succeding visit about symptoms control. Patients were not clued-up that normal stool frequency was the main seek of the study, so there was no chance for Pygmalion effect. Results: Towards the end of study it was observed that the quantifiable accomplishment rates for loperamide, racecadotril and probiotics were 89.0%, 94.28% and 33.33% respectively. Denote diarrhea span was (16 +/-1.9h) with racecadotril, (15+/-1.1h) for loperamide and 26 +/- 4.5h) for patients using probiotics. Conclusion: In adult patients having acute diarrheal illness loperamide and racecadotril are expeditious, about equivalently effectual therapies. Probiotics are not as effective as other two drugs but have least side effects. Treatment relevant constipation was more in loperamide group as compare to two others.

Author Biographies

Amar Nazir, Sargodha Medical College.


Associate Professor of Medicine

Muhammad Mustafa Qamar, Sargodha Medical College.

MS (Special Medicine)
Assistant Professor


Fida Muhammad Sheikh, Sargodha Medical College.


Assistant Professor of Cardiology

Nighat Faima, Sargodha Medical College

RMO Medicine


Shahzad Aslam, Niazi Medical & Dental College, Sargodha

Professor of Cardiology


Sheraz Saleem, Sargodha Medical College.


Assistant Professor of Medicine