Evidence map›Paper›PMID 40415979›Full record

ReviewHealth science reports2025

Racecadotril Versus Loperamide for Acute Diarrhea of Infectious Origin in Adults: A Systematic Review and Meta-Analysis.

Maryam Aziz, Laiba Urooj Malik, Erum Javed, Syeda Zuha Sami, Muhammad Maaz, Muhammad Arham Khan, Muhammad Farmaan, Omer Farooq, Umer Iqbal, Aashish Kumar and 3 more

Abstract readReview
In one paragraph

Review in Health science reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Maryam AzizDepartment of Medicine Dow University of Health Sciences Karachi Pakistan.
Laiba Urooj MalikDepartment of Medicine Shaheed Mohtarma Benazir Bhutto Medical College Karachi Pakistan.
Erum JavedDepartment of Medicine Karachi Medical and Dental College Karachi Pakistan.
Syeda Zuha SamiDepartment of Medicine Shaheed Mohtarma Benazir Bhutto Medical College Karachi Pakistan.
Muhammad MaazDepartment of Medicine Shaheed Mohtarma Benazir Bhutto Medical College Karachi Pakistan.
Muhammad Arham KhanDepartment of Medicine Shaheed Mohtarma Benazir Bhutto Medical College Karachi Pakistan.
Muhammad FarmaanDepartment of Medicine Shaheed Mohtarma Benazir Bhutto Medical College Karachi Pakistan.
Omer FarooqDepartment of Medicine, Khyber Medical College University of Peshawar Peshawar Pakistan.ORCID https://orcid.org/0000-0002-9604-1792
Umer IqbalDepartment of Medicine Shaheed Mohtarma Benazir Bhutto Medical College Karachi Pakistan.
Aashish KumarDepartment of Medicine Shaheed Mohtarma Benazir Bhutto Medical College Karachi Pakistan.
Syed Ali ArsalDepartment of Medicine Shaheed Mohtarma Benazir Bhutto Medical College Karachi Pakistan.
Shafin Bin AminDepartment of Medicine Jinnah Sindh Medical University Karachi Pakistan.
Inibehe Ime OkonDepartment of Research Medical Research Circle (MedReC) Bukavu DR Congo.ORCID https://orcid.org/0009-0003-8275-5713

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Loperamide and racecadotril are two antidiarrheal medications with different mechanisms of action that are highly important for the treatment of diarrhea as a result of infectious pathology. Acute infectious diarrhea has a profound impact on our surroundings because of its detrimental effects on individual health. Medication such as racecadotril, among various other drug classes, plays a pivotal role in treating these diseases via the management of symptoms through its antisecretory, proabsorptive effects on the intestinal tract. The main objective of this analysis was to evaluate and contrast the usefulness and safety profiles of these drugs by combining information from randomized controlled trials and highlighting important side effects reported, such as constipation and stomach discomfort. Method: A total of 117 records were found after a thorough literature search was carried out across several databases, including PubMed, Google Scholar, and the Cochrane Library. The Cochrane Collaboration technique was utilized to evaluate the potential for bias. RevMan 5.2 data analysis was performed via a random effects model. The results are displayed as the mean difference (MD) with 95% CI for continuous data and relative risk (RR) with 95% confidence intervals (CIs) for dichotomous data. Statistical significance was established at Results: Compared with loperamide, racecadotril significantly improved the clinical response (relative risk [RR] and 95% confidence interval [CI]). Additionally, the analysis of secondary outcomes revealed varying effects on abdominal pain, constipation, and abdominal enlargement, with moderate heterogeneity observed ( Conclusion: Compared with loperamide, racecadotril is a better therapeutic option for adult diarrhea caused by infection.

Indexed as

diarrheainfectious originloperamidemeta‐analysisracecadotrilrandomized controlled trials

Identifiers

PMID40415979
PMCPMC12098968

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.