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Anti-diarrheal approved for HIV patients

WASHINGTON, Dec. 31 (UPI) -- The U.S. Food and Drug Administration approved Fulyzaq to relieve symptoms of diarrhea in HIV/AIDS patients taking anti-retroviral therapy, officials say.

Diarrhea is experienced by many HIV/AIDS patients and is a common reason why patients discontinue or switch their anti-retroviral therapies.

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Dr. Julie Beitz, director of the Office of Drug Evaluation III in FDA's Center for Drug Evaluation and Research, said Fulyzaq, or crofelemr, is intended to be used in HIV/AIDS patients whose diarrhea is not caused by an infection from a virus, bacteria or parasite.

Patients take Fulyzaq two times a day to manage watery diarrhea due to the secretion of electrolytes and water in the gastrointestinal tract.

"Currently, there are no FDA-approved therapies for HIV-associated diarrhea," Beitz said in a statement. "Fulyzaq may be helpful to HIV/AIDS patients with this troublesome condition."

The safety and efficacy of Fulyzaq were established in a clinical trial of 374 HIV-positive patients on stable anti-retroviral therapy with a history of diarrhea lasting one month or longer. The median number of daily watery bowel movements was 2.5 per day. Patients who had diarrhea caused by an infection or a gastrointestinal disease were excluded from participating in the trials. Patients were randomly assigned to take Fulyzaq or a placebo twice daily.

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