Plecanatide
Also known as: Trulance
Key Facts: Plecanatide
- Category
- Hormonal
- FDA Status
- FDA Approved
- Clinical Status
- FDA Approved - CIC and IBS-C
- Banned in Sport (WADA)
- Not on the WADA Prohibited List (2026).
- Administration
- Oral tablet with or without food
- Typical Dose
- Limited community data available
- Frequency
- See research protocols
- Duration
- Long-term / chronic use
How does Plecanatide work?
Plecanatide is built as an analog of uroguanylin, a natural peptide your intestine already makes to manage fluid balance. It activates guanylate cyclase-C receptors on the gut lining, which raises cyclic GMP inside those cells. That triggers chloride and bicarbonate secretion into the intestine and blocks sodium reabsorption, so water is drawn into the bowel, softening stool and speeding transit. One proposed difference from linaclotide is that its activity is more strongly switched on in the slightly acidic environment of the upper small intestine, which the manufacturer argues may shape where it acts, though this is a positioning claim more than a proven clinical advantage. Like other GC-C agonists it is minimally absorbed and works locally.
What does the research show?
Plecanatide has real, published phase 3 human data behind its approval. Randomized, double-blind, placebo-controlled trials in chronic idiopathic constipation showed that 3 mg once daily significantly improved stool frequency and consistency, straining, and abdominal symptoms versus placebo, and an integrated analysis of two phase 3 IBS-C trials reported similar benefits on the combined pain-plus-bowel-movement endpoint. It is generally well tolerated, and as with linaclotide the most common adverse event is diarrhea, which is the on-target effect taken too far. Head-to-head trials proving it is meaningfully better than linaclotide are limited, so the two are best thought of as broadly comparable GC-C agonists rather than one being clearly superior. The honest summary is an approved, evidence-backed drug whose main selling point over its predecessor is incremental rather than dramatic.
What doses have been studied?
Typical Dosingⓘ
Community experience
Limited community data available
See research dosing
See research protocols
Research Dosingⓘ
Scientific studies
FDA-approved dosing
Doses from Studies
3 mg once daily
Duration
Long-term / chronic use
Administration
Oral tablet with or without food
When and how is Plecanatide taken?
Best Time to Take
Morning or as directed
Follow recommended protocol
Food Recommendation
With or without food
Why This Timing?
Timing may vary based on individual response and goals. Consistency is generally more important than specific timing.
What are the side effects of Plecanatide?
Not everyone experiences these effects. Individual responses vary based on dosage, duration, and personal factors.
- ●Diarrhea (4-5%)
- ●Nausea
- ●CONTRAINDICATED in children <6 years
References
- https://pubmed.ncbi.nlm.nih.gov/30550753/
- https://pmc.ncbi.nlm.nih.gov/articles/PMC10464888/
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5368960/
- https://link.springer.com/article/10.1007/s40267-018-0579-y
Research This Peptide Further
Frequently Asked Questions
What does Plecanatide do?
Plecanatide (brand name Trulance) is a 16-amino-acid peptide and a guanylate cyclase-C agonist, FDA-approved in January 2017 for chronic idiopathic constipation and later for IBS-C. It is essentially a close cousin of linaclotide, designed to mimic the body's own gut hormone uroguanylin, and it is taken as a 3 mg tablet once a day. Think of it as a second-generation version of the same idea, engineered to be a touch more pH-selective in the gut.
How does Plecanatide work?
Plecanatide is built as an analog of uroguanylin, a natural peptide your intestine already makes to manage fluid balance. It activates guanylate cyclase-C receptors on the gut lining, which raises cyclic GMP inside those cells. That triggers chloride and bicarbonate secretion into the intestine and blocks sodium reabsorption, so water is drawn into the bowel, softening stool and speeding transit. One proposed difference from linaclotide is that its activity is more strongly switched on in the slightly acidic environment of the upper small intestine, which the manufacturer argues may shape where it acts, though this is a positioning claim more than a proven clinical advantage. Like other GC-C agonists it is minimally absorbed and works locally.
Is Plecanatide FDA approved?
Yes, Plecanatide is FDA approved. FDA Approved - CIC and IBS-C
Is Plecanatide banned in sport?
Not on the WADA Prohibited List (2026).
What are the side effects of Plecanatide?
Reported side effects include: Diarrhea (4-5%), Nausea, CONTRAINDICATED in children <6 years. Individual responses vary based on dosage, duration, and personal health factors.
What is the typical dose of Plecanatide?
Community-reported common dose: Limited community data available (See research protocols). Range: See research dosing. Administration: Oral tablet with or without food. Prescription drug. Dose set by prescriber per label. Not medical advice.
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