{"id":3565,"count":7,"description":"Irritable bowel syndrome (IBS) is a functional gastrointestinal disorder affecting 5\u201310% of adults, characterised by abdominal pain associated with altered bowel habit. Inflammatory bowel disease (IBD \u2014 ulcerative colitis and Crohn's disease) is a distinct group of immune-mediated chronic inflammatory conditions affecting younger adults disproportionately. The MedsBase IBS Treatment catalogue groups medications for both. Obs:<\/strong> the category name historically said \"IBS\" but most products are IBD-specific (mesalamine, sulfasalazine) \u2014 we are reorganising. All products are supplied by WHO-GMP certifierade tillverkare<\/strong>.\n\n5-ASA \/ mesalamin \u2014 f\u00f6r underh\u00e5llsbehandling och milda till m\u00e5ttliga skov av ulcer\u00f6s kolit.<\/strong> Oralt mesalamin (5-aminosalicylsyra) \u00e4r f\u00f6rstahandsval f\u00f6r underh\u00e5llsbehandling av ulcer\u00f6s kolit och effektivt vid milda till m\u00e5ttliga skov. De olika varum\u00e4rkena skiljer sig i fris\u00e4ttningsm\u00f6nster (pH-beroende kontrollerad fris\u00e4ttning, tidsberoende, multi-matrix) vilket best\u00e4mmer var i tarmen den aktiva substansen frig\u00f6rs \u2014 v\u00e4lj varum\u00e4rke utifr\u00e5n sjukdomens utbredning. Vi har i lager Mesacol<\/a>, Mesacol OD<\/a> (en g\u00e5ng daglig kontrollerad fris\u00e4ttning f\u00f6r distala sjukdomar), och Asacol<\/a> (n\u00e4r det finns i lager). Topikalt mesalamin (suppositorier, skum) f\u00f6r distal proktit finns listade i v\u00e5r Gastroh\u00e4lsa-kategori som Pentasa Suppositorier.\n\nSulfasalazin \u2014 f\u00f6r IBD och reumatoid artrit.<\/strong> Sulfasalazin kombinerar 5-ASA med sulfapyridin (en azo-bindningsb\u00e4rare som frig\u00f6r 5-ASA i tjocktarmen). Standarddos f\u00f6r ulcer\u00f6s kolit \u00e4r 2\u20134 g dagligen i delade doser. Vi har i lager som Sazo<\/a> och Salazar<\/a>. Mesalamin med renare biverkningsprofil f\u00f6redras vanligtvis f\u00f6r IBD; sulfasalazin \u00e4r fortfarande anv\u00e4ndbart n\u00e4r IBD-associerad artropati eller reumatoid artrit f\u00f6rekommer (sulfapyridin-delen har DMARD-aktivitet).\n\nMebeverin \u2014 antispasmodikum f\u00f6r IBS.<\/strong> Mebeverin (ett glattmuskel-antispasmodikum) \u00e4r f\u00f6rstahandsval f\u00f6r kramp- och spasmpredominerande IBS \u2014 tas 20 minuter f\u00f6re m\u00e5ltider. Vi har i lager som Colospa<\/a>. Biverkningsprofilen \u00e4r gynnsam; blygsam evidensbas fr\u00e5n \u00e4ldre studier.\n\nRifaximin \u2014 f\u00f6r IBS-D och SIBO.<\/strong> Rifaximin \u00e4r ett icke-absorberat luminalt antibiotikum med FDA-godk\u00e4nnande f\u00f6r IBS-D och bredare anv\u00e4ndning vid bakteriell \u00f6verv\u00e4xt i tunntarmen (SIBO) och hepatisk encefalopati. Behandlingskursen \u00e4r 550 mg tre g\u00e5nger dagligen i 2 veckor; symtomf\u00f6rb\u00e4ttring varar i m\u00e5nader f\u00f6r m\u00e5nga respondenter. Vi har i lager som Rifagut<\/a>.\n\nWhat's NOT here.<\/strong> Biologic therapy (infliximab, adalimumab, vedolizumab, ustekinumab, tofacitinib) for moderate-severe IBD requires specialist initiation and monitoring \u2014 not stocked. Corticosteroids for IBD flares: oral budesonide for ileal Crohn's and right-sided UC is in our Gastro Health category as Budez CR; systemic prednisolone is in Pain Relief Medication.\n\nHur man v\u00e4ljer.<\/strong> Mild-moderate ulcerative colitis \u2192 oral mesalamine first-line + topical 5-ASA for distal disease + check adherence. Mild-moderate Crohn's \u2192 mesalamine has limited evidence (works in colonic disease only); budesonide for ileal disease. IBS-C (constipation-predominant) \u2192 osmotic \/ stimulant laxatives (see Constipation Medicine category) \u00b1 linaclotide \/ lubiprostone where available. IBS-D (diarrhoea-predominant) \u2192 rifaximin 2-week course; consider eluxadoline. IBS-M (mixed) \u2192 antispasmodic (mebeverine) + lifestyle \/ FODMAP diet trial. Refractory or alarm features (weight loss, blood, anaemia, age > 50, family history of IBD or CRC) \u2192 urgent gastroenterology referral.\n\nViktigt.<\/strong> IBD flares require tighter management than IBS (significant disease can be silent on standard therapy, and untreated flares progress to complications including stricture, fistula, dysplasia, and need for colectomy). Annual review with calprotectin \/ endoscopy as appropriate. Pregnancy: most 5-ASAs and sulfasalazine are continued through pregnancy; folic acid supplementation needed for sulfasalazine. Methotrexate and many biologics carry pregnancy restrictions. New diarrhoea in IBD or worsening symptoms can be C. difficile \u2014 test before assuming flare.\n\nAll MedsBase IBS Treatment products ship from WHO-GMP certifierade tillverkare<\/strong> med diskret f\u00f6rpackning och omfattas av v\u00e5rt Reshipment Assurance Policy<\/a>.\n\n2026 k\u00f6parguide:<\/strong> Se v\u00e5r shortlist B\u00e4sta IBS & IBD-behandlingar 2026<\/a> f\u00f6r rankade val, j\u00e4mf\u00f6relsetabell, doseringsanvisningar och beslutsunderlag.","link":"https:\/\/medsbase.com\/sv\/irritable-bowel-syndrome-ibs-treatment\/","name":"Behandling av irritabel tarm (IBS)","slug":"irritable-bowel-syndrome-ibs-treatment","taxonomy":"product_cat","parent":3223,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/product_cat\/3565","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/product_cat"}],"about":[{"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/taxonomies\/product_cat"}],"up":[{"embeddable":true,"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/product_cat\/3223"}],"wp:post_type":[{"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/product?product_cat=3565"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}