# Plecanatide (Trulance) > Uroguanylin analog for chronic constipation. Source: https://peptides.cafe/peptide/plecanatide Category: GC-C Agonist · Gastrointestinal Tag: FDA-Approved · GI ## Mechanism Synthetic analog of human uroguanylin that activates guanylate cyclase-C in a pH-dependent manner, increasing intestinal fluid secretion and transit. ## Research areas - Chronic idiopathic constipation - IBS-C ## Common research protocols - Oral: 3 mg orally once daily. ## Study summaries - "Plecanatide phase 3" — American Journal of Gastroenterology (2017): Significantly improved complete spontaneous bowel movements vs placebo. ## Considerations - FDA-approved. - Diarrhea most common adverse event. ## Disclaimer Educational content only. Not medical advice, diagnosis, or treatment. Most research peptides are not FDA-approved for human therapeutic use. Consult a licensed clinician before any use.