Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Linzess (linaclotide) and Trulance (plecanatide) are both medications used to treat irritable bowel syndrome with constipation (IBS-C) and chronic idiopathic constipation (CIC). They belong to the same drug class, guanylate cyclase-C (GC-C) agonists, and work by increasing fluid in the intestines to help with bowel movements and relieve stomach pain. Both medications are available only as a brand medication. Linzess must be taken on an empty stomach at least 30 minutes before a meal, whereas Trulance can be taken with or without food at any time of the day. Both medications can cause diarrhea, but Linzess has a higher reported rate of this side effect. Additionally, Linzess is approved for use in children ages 6 to 17 for functional constipation, while Trulance is not recommended for anyone under 18 years old. Both medications have serious warnings about the risk of dehydration, especially in young children.
Linzess (linaclotide)
Trulance (plecanatide)
Linzess (linaclotide)
Trulance (plecanatide)
Summary of Linzess vs. Trulance
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.
Summary for GC-C agonist
Prescription only
Trulance (plecanatide) is used to treat adults with irritable bowel syndrome with constipation (IBS-C) or chronic idiopathic constipation (long-term constipation of an unknown cause). It belongs to a group of medications called guanylate cyclase-C (GC-C) agonists. The usual dosage is 1 tablet by mouth once a day. A possible side effect of the medication is diarrhea. This medication isn't available as a generic, but you can get it as the brand name Trulance.