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This drug is a synbiotic combination product developed by the Italian company Nathura Srl, specifically designed for the treatment of functional and chronic constipation. It integrates a prebiotic component, ispaghula husk (psyllium), with a multi-strain probiotic consortium comprising *Lactobacillus acidophilus*, *Lactobacillus plantarum*, *Lactobacillus rhamnosus*, *Bifidobacterium breve*, and *Bifidobacterium longum*. The ispaghula husk acts as a bulk-forming agent that absorbs water, increasing stool volume and promoting peristalsis, while the probiotic strains work to restore and modulate the gut microbiota. Clinical evaluation, including Phase 4 randomized controlled trials, has demonstrated its efficacy in reducing intestinal transit time and improving stool consistency and frequency in adults meeting Rome III criteria for constipation.
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