Dicetel Dosage Information for IBS-M
I cannot provide a specific dosage recommendation for "diecetel" (or "dicetel") for IBS-M because this medication is not mentioned in any major IBS guidelines, including the most recent 2021 British Society of Gastroenterology guidelines, and no evidence-based dosing information is available in the medical literature provided.
What You Should Know
The medication you're asking about does not appear in:
- The 2021 British Society of Gastroenterology IBS guidelines 1
- The 2000 British Society of Gastroenterology IBS guidelines 1
- Current evidence-based treatment algorithms for IBS 2
- Research literature on IBS pharmacotherapy 3, 4, 5, 6, 7
Evidence-Based Alternatives for IBS-M
Since IBS-M (mixed type) involves both constipation and diarrhea, treatment should target your predominant symptom at any given time:
First-Line Treatments:
- Antispasmodics (such as dicyclomine) for abdominal pain and cramping, though dry mouth, visual disturbance, and dizziness are common side effects 1
- Peppermint oil for global symptoms and abdominal pain, with gastroesophageal reflux as a common side effect 1, 2
- Soluble fiber (ispaghula) starting at 3-4 g/day and gradually increasing, avoiding insoluble fiber like wheat bran which may worsen symptoms 1, 2
Second-Line Treatments:
- Tricyclic antidepressants (amitriptyline 10 mg once daily, titrating to 30-50 mg) are the most effective second-line option for global symptoms and abdominal pain 1, 2
- Loperamide 4-12 mg daily for diarrhea episodes, used either regularly or prophylactically 1, 2
Critical Recommendation
Consult with your prescribing physician to clarify the exact medication name and obtain proper dosing instructions, as "diecetel" may be a regional brand name not documented in international guidelines, or there may be confusion about the medication name.