Linzess vs Rezdiffra

A side-by-side look at two gastrointestinal medications advertised on TV. Informational only — not medical advice.

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Information reviewed July 24, 2026

US LinzessUS Rezdiffra
Generic namelinaclotideresmetirom
Drug classGuanylate Cyclase-C AgonistThyroid Hormone Receptor-Beta Agonist
TreatsIrritable bowel syndrome with constipation, chronic constipationMetabolic dysfunction-associated steatohepatitis (MASH)
CategoryGastrointestinalGastrointestinal
ManufacturerAbbVie/IronwoodMadrigal Pharmaceuticals
Year approved20122024
FDA warningBlack box warningModerate warnings
Est. TV ad spend$140M
Common side effectsDiarrhea, Abdominal pain, Gas, BloatingDiarrhea, Nausea, Itching, Gallbladder problems

Frequently asked questions

Is Linzess or Rezdiffra better?

Neither is universally "better." Linzess (linaclotide) and Rezdiffra (resmetirom) are both used for gastrointestinal, but the right choice depends on your medical history, insurance and your doctor's guidance. This comparison is informational only.

What's the difference between Linzess and Rezdiffra?

Linzess is a Guanylate Cyclase-C Agonist made by AbbVie/Ironwood, while Rezdiffra is a Thyroid Hormone Receptor-Beta Agonist made by Madrigal Pharmaceuticals. See the table above for a side-by-side breakdown.

Which one spends more on TV ads?

Linzess has the larger estimated TV advertising budget of the two.

TVPills

A reference tool to help identify prescription medications and supplements seen in television advertising. This is not medical advice. Always consult a healthcare professional.

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