title: Sacolene in cholera: a double blind randomized controlled trial.
abstract: Methylated casein (Sacolene), a diarrhoea remedy used in Europe, has shown an antisecretory effect in cholera-induced secretion in animals and benefit in diarrhoea in humans. In this placebo controlled trial Sacolene was evaluated in 78 male adults with severe cholera who, after initial i.v. therapy received Sacolene or placebo, 4 g at start and 2 g 4 hourly until cessation of diarrhoea, along with oral rehydration therapy and repeat i.v. therapy if indicated. No antibiotics were given during the study. The purging rate and diarrhoea duration were similar in the 2 groups. The proportion of patients requiring repeat courses of i.v. therapy in the study group was 46% compared with 69% in controls (i.e. reduced by 23%, p = 0.04). While the severity of purging was not reduced, the proportion of patients requiring repeat i.v. therapy was reduced by Sacolene therapy. The latter finding may indicate some benefit from Sacolene in cholera, though this requires confirmation.
authors.affiliation: International Centre for Diarrhoeal Disease Research, Department of Clinical Science, Dhaka, Bangladesh.
authors.forename: F C
authors.initials: FC
authors.lastname: Patra
authors.forename: R N
authors.initials: RN
authors.lastname: Majumder
authors.forename: R
authors.initials: R
authors.lastname: Eeckels
authors.forename: J F
authors.initials: JF
authors.lastname: Desjeux
authors.forename: D
authors.initials: D
authors.lastname: Mahalanabis
mesh_terms: D000328:Adult; D000930:Antidiarrheals / Q000627:therapeutic use*; D001774:Blood Chemical Analysis; D002364:Caseins; D002771:Cholera / Q000188:drug therapy* / Q000628:therapy; D003131:Combined Modality Therapy; D003681:Dehydration / Q000628:therapy; D003967:Diarrhea / Q000188:drug therapy* / Q000628:therapy; D004311:Double-Blind Method; D004573:Electrolytes / Q000097:blood; D005440:Fluid Therapy; D006400:Hematocrit; D006801:Humans; D008297:Male; D008894:Milk Proteins / Q000627:therapeutic use*; D016896:Treatment Outcome
chemical_list: D000930:Antidiarrheals; D002364:Caseins; D004573:Electrolytes; D008894:Milk Proteins; C021085:methylated casein