1. Ibsrela (tenapanor) The USFDA approved Ibsrela (tenapanor), a 50 mg, twice daily oral pill for the treatment of irritable bowel syndrome with constipation (IBS-C) in adults. Ibsrela is a minimally-absorbed small molecule that acts locally in the gastrointestinal (GI) tract to inhibit the sodium-hydrogen exchanger NHE3, resulting in an increase in bowel movements and a decrease in abdominal pain for IBS-C patients. Warning: In young juvenile rats, tenapanor caused death presumed to be due to dehydration and hence, Ibsrela is contraindicated in patients less than 12 years of age.
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