What is Plecanatide?

The short answer

Plecanatide is a peptide, a short chain of amino acids. In the US, you need a prescription to get Plecanatide.

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What it is

Type
Guanylate cyclase-C agonist (oral peptide)
Also known as
trulance
How it works
Draws fluid into the gut to relieve constipation.

Regulatory status

FDA-approved (Rx) How we label status

As of October 4, 2026, Plecanatide is an FDA-approved prescription drug for chronic idiopathic constipation; IBS with constipation.

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Federal (FDA)
Approved Rx (Trulance NDA208745, 2017)
503A compounding
Approved-drug component (not in any 503A category) (as of May 14, 2026)

References

Sources as of October 4, 2026

  1. DailyMed: dailymed.nlm.nih.gov/dailymed/drugInfo.cfm