Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Dicyclomine (Bentyl) and linaclotide (Linzess) are both medications used to treat irritable bowel syndrome (IBS), but they belong to different drug classes and have different uses. Dicyclomine is an anticholinergic medication that helps relieve muscle spasms in the stomach and intestines and is primarily for IBS with diarrhea. It is available in generic form and can be taken orally or as an injection. Common side effects include dizziness, dry mouth, and blurred vision. Linaclotide, on the other hand, is a guanylate cyclase-C (GC-C) agonist used for IBS with constipation (IBS-C), chronic idiopathic constipation (CIC), and functional constipation (FC). It is taken as a capsule once daily on an empty stomach and is only available as a brand-name medication. Diarrhea is a common side effect of linaclotide, and it can lead to dehydration if severe.
Dicyclomine
Linzess (linaclotide)
Dicyclomine
Linzess (linaclotide)
Summary of Dicyclomine vs. Linzess
Summary for Anticholinergic
Prescription only
Dicyclomine, also known by its brand name Bentyl, is an anticholinergic medication that's used to treat spasms of the muscles in the stomach and intestines in adults with irritable bowel syndrome (IBS). This medication is available as generic tablets, capsules, and liquid that are taken by mouth four times daily. There's also an injection form of dicyclomine that's available as brand name and generic; it's injected into the muscle for people who can't take pills by mouth. Common side effects include dizziness, dry mouth, and blurry vision.
Summary for GC-C agonist
Prescription only
Linzess (linaclotide) is approved for people 7 years and older with constipation from irritable bowel syndrome (IBS-C). It's also for adults with long-lasting or chronic constipation from unknown reasons. Children 6 years and older with functional constipation can take this medication as well. Linzess (linaclotide) belongs to a drug class called guanylate cyclase-C agonists. It's a capsule that's taken by mouth once a day. But diarrhea is a common side effect. This medication is currently brand name only; there's no generic version yet.