Table 1.
Medication | Mode of Action | Population | Study Type | Result |
---|---|---|---|---|
Diphenhydramine [129] | H1 antagonist | Adults with FD and mucosal mast cell density elevation | Open-label trial | Symptomatic improvement in 79% |
Ebastine [128] | H1 antagonist | Adults with IBS | Randomized, double-blind placebo-controlled trial | Symptomatic improvement and reduced visceral sensitivity |
Hydroxyzine/Ranitidine [130] | H1/H2 antagonists | Children with FD and mucosal eosinophilia | Retrospective case series | Symptomatic improvement in 50% |
Loratidine/Ranitidine [131] | H1/H2 antagonists | Adults with FD | Retrospective case series | Symptomatic improvement in 71% |
Montelukast [132] | Cys-Leukotriene antagonist | Children with FD and mucosal eosinophilia | Randomized, double-blind placebo-controlled cross-over trial | Superior to placebo in pain relief |
Montelukast [133] | Cys-Leukotriene antagonist | Children with FD and mucosal eosinophilia | Open-label trial | Symptomatic improvement unrelated to changes in mucosal eosinophilia or mast cell density |
Budesonide [137] | Steroid | Adults with FD and mucosal eosinophilia | Randomized, double-blind placebo-controlled trial | Symptomatic response not different from placebo |
Unspecified PPI [135] | Proton pump inhibitor | Adults with FD and mucosal eosinophilia | Case-control study | Lower eosinophil density without symptomatic improvement |
Pantoprazole [136] | Proton pump inhibitor | Adults with FD | Open-label trial | Symptomatic improvement and decreased mucosal eosinophil and mast cell densities |
FD = functional dyspepsia; IBS = irritable bowel syndrome; PPI = proton pump inhibitor.