Rezdiffra vs Trulance

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

Share

Information reviewed July 24, 2026

US RezdiffraUS Trulance
Generic nameresmetiromplecanatide
Drug classThyroid Hormone Receptor-Beta AgonistGuanylate Cyclase-C Agonist
TreatsMetabolic dysfunction-associated steatohepatitis (MASH)Chronic constipation and IBS-C
CategoryGastrointestinalGastrointestinal
ManufacturerMadrigal PharmaceuticalsSalix (Bausch Health)
Year approved20242017
FDA warningModerate warningsBlack box warning
Est. TV ad spend
Common side effectsDiarrhea, Nausea, Itching, Gallbladder problemsDiarrhea, Should not be used in young children (boxed warning), Abdominal pain, Bloating

Frequently asked questions

Is Rezdiffra or Trulance better?

Neither is universally "better." Rezdiffra (resmetirom) and Trulance (plecanatide) 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 Rezdiffra and Trulance?

Rezdiffra is a Thyroid Hormone Receptor-Beta Agonist made by Madrigal Pharmaceuticals, while Trulance is a Guanylate Cyclase-C Agonist made by Salix (Bausch Health). See the table above for a side-by-side breakdown.

Which one spends more on TV ads?

Rezdiffra 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.

TVPills is independent and not affiliated with, endorsed by, or sponsored by any drug manufacturer or brand. All trademarks are the property of their respective owners. Some links are affiliate links; we may earn a commission at no extra cost to you.