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Peptide library / Digestive & weight / Plecanatide

FDA-approvedDigestive & weight

Plecanatide

A 16 amino acid guanylate cyclase-C agonist for constipation and irritable bowel syndrome.

Body system
Digestive & weight
Status
FDA-approved
Strongest evidence
FDA approved
Also known as
Trulance

Effects studied or claimed

What it is used or promoted for, and where each effect has actually been seen

  • Chronic idiopathic constipationFDA approved
  • Irritable bowel syndrome with constipationFDA approved

How it is thought to work

Plecanatide is a copy of uroguanylin, a natural gut hormone, and raises fluid secretion and transit in the intestine.

What the evidence shows

Phase 3 trials showed improvement in the number of complete spontaneous bowel movements compared with placebo.

Safety and unknowns

Diarrhea is the main side effect. It carries a boxed warning against use in young children.

Regulatory status

FDA-approved as Trulance in 2017.

Regulatory status changes quickly. This entry was last reviewed on 27 October 2026. Confirm current status with the FDA before relying on it.

More in Digestive & weight

General information, not medical advice. Do not buy or inject unregulated peptides.