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What Is Linzess?

Linzess is a prescription guanylate cyclase-C agonist containing linaclotide. Current labeling includes irritable bowel syndrome with constipation in adults and pediatric patients age 7 and older, chronic idiopathic constipation in adults, and functional constipation in pediatric patients age 2 and older. Capsules contain 72 mcg, 145 mcg, or 290 mcg.

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What Is Linzess?

Linzess is a prescription guanylate cyclase-C agonist containing linaclotide. Current labeling includes irritable bowel syndrome with constipation in adults and pediatric patients age 7 and older, chronic idiopathic constipation in adults, and functional constipation in pediatric patients age 2 and older. Capsules contain 72 mcg, 145 mcg, or 290 mcg.

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How Does Linzess Work?

Linaclotide and its active metabolite bind guanylate cyclase-C receptors on the intestinal surface. This increases cyclic guanosine monophosphate, promotes chloride and bicarbonate secretion into the intestine, increases intestinal fluid, and speeds intestinal transit.

Who Is Treated With Linzess?

Linzess is used in adults with irritable bowel syndrome with constipation or chronic idiopathic constipation. It is also used from age 7 for irritable bowel syndrome with constipation and from age 2 for functional constipation. Known or suspected mechanical gastrointestinal obstruction is a contraindication.

How Is Linzess Dosed?

Adults with irritable bowel syndrome with constipation take 290 mcg once daily. Adults with chronic idiopathic constipation take 145 mcg once daily or 72 mcg once daily according to clinical presentation and tolerability. Patients age 7 and older with irritable bowel syndrome with constipation take 145 mcg once daily, while patients age 2 and older with functional constipation take 72 mcg once daily. Doses are taken on an empty stomach at least 30 minutes before a meal.

What Serious Risks Are Linked to Linzess?

Linzess carries a boxed warning for serious dehydration in pediatric patients younger than 2 and is contraindicated in this age group. Severe diarrhea can cause dizziness, fainting, low blood pressure, low potassium, or low sodium and can require intravenous fluids or hospitalization. Severe diarrhea calls for treatment interruption and rehydration.

Frequently Asked Questions About Linzess

What conditions does Linzess treat?

Current labeling includes irritable bowel syndrome with constipation, adult chronic idiopathic constipation, and pediatric functional constipation under age-specific criteria.

What is the adult dose for irritable bowel syndrome with constipation?

The recommended adult dose is 290 mcg once daily.

What is the pediatric dose for functional constipation?

Patients age 2 and older with functional constipation receive 72 mcg once daily.

Does Linzess have a boxed warning?

Yes. The boxed warning concerns serious dehydration in pediatric patients younger than 2, and Linzess is contraindicated in this age group.

References

DailyMed - LINZESS (linaclotide) capsule, gelatin coated. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=09beda19-56d6-4a56-afdc-9a77b70b2ef3. Date Accessed October 13, 2026.

Linaclotide. LiverTox. https://www.ncbi.nlm.nih.gov/books/NBK548021/. Date Accessed October 13, 2026.

Linaclotide. MedlinePlus. https://www.medlineplus.gov/druginfo/meds/a613007.html. Date Accessed October 13, 2026.

Linaclotide. PubChem. https://pubchem.ncbi.nlm.nih.gov/compound/16158208. Date Accessed October 13, 2026.

LINZESS (linaclotide) Prescribing Information. AbbVie. https://www.rxabbvie.com/content/dam/rxabbvie/pdf/linzess_pi.pdf. Date Accessed October 13, 2026.