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Hycosamine Butylbromide

Anticholincergic


Antispasmotic reduces bloating and pain




20mg qid

mebeverine

muscle relaxant


for


Pain ibs




135mg tds

Peppermint oil

2caps tds

AMitriplyine

12.5-25 mg n


slowly increase



may also reduces d

loperamide

4-8mg tds (max 16mg d)



ibs d

diphenoxylate 2.5mg/ atropine

2 tds