Common Use

Imodium is an antidiarrheal medication that works by binding to opioid receptors in the intestinal wall. This action inhibits the release of acetylcholine and prostaglandins, reducing peristalsis and increasing the time it takes for food to pass through the intestines. Imodium also increases the tone of the anal sphincter, which helps reduce stool incontinence and the urge to defecate. It is used to treat diarrhea and to lessen the amount of stool in patients with an ileostomy, a surgical procedure that reroutes the bowel through an opening in the stomach.

Dosage and Directions

Imodium is taken orally. For adults and elderly patients with acute diarrhea, the initial dose is 4 mg, which can be reduced to 2 mg after each loose stool. For children over 6 years old, the recommended initial dose is 2 mg, which may also be decreased to 2 mg after each loose stool. Imodium tablets are fragile, so avoid pressing them through the foil. Chew the tablets before swallowing. Do not take Imodium more than three times in 24 hours.

Precautions

Avoid using Imodium if you are allergic to loperamide or if you experience bloody, mucous, or black and tarry stools. Do not use it for diarrhea caused by antibiotics. Ensure you drink extra water and maintain a healthy diet while taking this medication to prevent dehydration. Improvement in your condition may take up to 48 hours. Notify your doctor if you have liver failure or AIDS.

Contraindications

Imodium should not be used in cases of acute dysentery, gastrointestinal infections (such as those caused by Salmonella, Shigella, or Campylobacter), ileus, diverticulosis, acute ulcerative colitis, or pseudomembranous enterocolitis (antibiotic-induced diarrhea). It is also contraindicated during the first trimester of pregnancy, while breastfeeding, for infants under 6 years old, and for those with hypersensitivity to loperamide or other components of the drug.

Possible Side Effects

Side effects may include allergic reactions like hives, rash, facial or tongue swelling, dizziness, drowsiness, constipation, stomach pain or bloating, dry mouth, worsening diarrhea, watery or bloody stools, excessive gas, nausea, vomiting, fever, headache, or severe blistering. Stop using Imodium and contact your doctor immediately if you experience any of these symptoms.

Drug Interactions

Inform your doctor if you are taking saquinavir (Invirase), quinidine, or ritonavir. Quinidine and ritonavir are P-glycoprotein inhibitors, and their use with Imodium may increase Imodium plasma levels. Saquinavir levels may decrease when taken with Imodium.

Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and return to your regular schedule. Imodium may not require a strict dosing schedule and can be taken as needed.

Overdose

Symptoms of an overdose include dizziness, drowsiness, infrequent urination, severe stomach cramps, bloating, and vomiting. Seek immediate medical attention if you suspect an overdose.

Storage

Store Imodium at room temperature between 59-77°F (15-25°C), away from light, moisture, children, and pets.

Disclaimer

This information provides general details about Imodium and does not cover all directions, drug interactions, or precautions. It should not be used for self-treatment or self-diagnosis. Always consult your healthcare provider for specific instructions tailored to your condition. We disclaim any responsibility for the accuracy of this information or any consequences resulting from its use.