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Low-dose titrated amitriptyline as second-line treatment for adults with irritable bowel syndrome in primary care: the ATLANTIS RCT.
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Article Synopsis
- - The study aims to assess the effectiveness and cost-efficiency of low-dose amitriptyline as a second-line treatment for patients with irritable bowel syndrome (IBS) in primary care, especially when first-line treatments fail.
- - Conducted as a pragmatic, double-blind, placebo-controlled trial across 55 general practices in England, the design included both quantitative outcomes and qualitative experiences from participants and general practitioners regarding the treatment.
- - Participants included adults over 18 diagnosed with IBS who did not respond to initial therapies; they received either amitriptyline or a placebo for 6 months, with a focus on measuring the difference in IBS symptoms to see if the medication has a significant impact.
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