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. 2021 Jun 16;13(6):2056. doi: 10.3390/nu13062056

Table 1.

Trials in functional abdominal pain disorder patients utilizing medications with reported benefits in allergic conditions.

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.