How many days can you take Imodium? Imodium - indications and contraindications. Imodium treatment of acute diarrhea

Every person who has ever suffered from diarrhea knows how important it is to have tablets on hand that can quickly eliminate this very unpleasant phenomenon. After all diarrhea is not only debilitating, but also very dangerous condition which can lead to dehydration. Imodium for diarrhea is more expensive similar drugs, but he is capable of a short time relieve all symptoms. And this is important, because diarrhea disrupts the usual way of life and interferes with social communication. For example, it is difficult to sit quietly at a performance or learn to drive a car if you have to go to the toilet every 10-15 minutes. It turns out that the cost of the drug is the price of a calm and measured life.

General characteristics of the drug

Most often, the home medicine cabinet contains Imodium lozenges for diarrhea, although this drug is also available in the form of gelatin capsules, solution and classic tablets.

The active component of this medication is loperamide. And although in other medicines this drug group The same active substance, Imodium lozenges for diarrhea, begin to act faster, even at the stage of being in the oral cavity.

Loperamide binds to special receptors on the intestinal walls, thereby reducing the tone and peristalsis of the smooth muscles of the organ. Due to the slowdown of peristalsis, the time period for the passage of intestinal contents increases. Active substance helps to increase sphincter tone, resulting in feces delayed, and the urge to defecate occurs infrequently. The drug begins to act almost immediately after ingestion, and the therapeutic effect lasts up to 6 hours.

The tablets have a pleasant mint taste, so even children can easily take them.

Indications for use


Imodium for diarrhea is not prescribed by a doctor in all cases
. Indications are loose stools, which are caused by the following factors:

  • allergic;
  • psychological;
  • medicinal;
  • radial.

In addition, Imodium is also taken for diarrhea, which is caused by a sharp change in diet, deterioration of intestinal motility and absorption, as well as to stabilize stool in people with an ileostomy.

Imodium for poisoning and infectious diseases digestive organs can only be prescribed in complex therapy. This drug alone will not give any effect in such cases..

You should not take antidiarrheals immediately if you have poisoning or rotavirus. In this case, the removal of toxins slows down and recovery is delayed.

Contraindications

The drug has certain contraindications that cannot be ignored, these include:

  • special sensitivity to individual ingredients that are included in the medication;
  • volvulus;
  • ulcerative colitis in the acute stage;
  • diverticulosis;
  • pseudomembranous enterocolitis;
  • dysentery, salmonellosis, botulism and other infectious diseases;
  • first 3 months of pregnancy;
  • Breastfeeding period.

In addition, children from 2 years of age can take Imodium only in the form of a solution, and children from 5 years of age are allowed lozenges.

Use for infectious diseases

Although the instructions for use say that medicine is not effective for infectious diseases of the digestive tract; doctors sometimes prescribe Imodium in the treatment of such pathologies.


For dysentery, salmonellosis or rotavirus, this medication is most often prescribed not from the first day of the disease, but during the recovery process
. As part of complex therapy, imodium promotes:

  • restoration of normal motor skills;
  • increasing the time stool remains in the intestines, thereby improving the absorption of nutrients;
  • decreased tone anus, due to which the urge to bottom occurs less frequently.

If there is a suspicion of infection intestines, you cannot start taking an antidiarrheal drug from the first day of illness. There will be no effect; on the contrary, toxic substances will remain in the body, slowing down recovery.

Dosage of the drug

The instructions for use describe in great detail the method of administration and dosage depending on the age and severity of the condition. In this case, the capsules are swallowed whole, ordinary tablets are placed on the tongue, they completely disintegrate in a few minutes, the solution is dripped into a small volume of water, and the lozenges are slowly dissolved in the oral cavity.


For severe diarrhea, adults are prescribed 4 mg of the drug, then drink 2 mg after each loose stool
. We must not forget that the maximum permissible daily dose should not be more than 16 mg.

If the medication is prescribed in solution, then the starting dose for an adult is 60 drops. After this, drink 30 drops after each loose bowel movement. The permissible daily dosage should not exceed 180 drops.

If diarrhea is chronic, then adults are recommended to drink 4 mg of imodium per day.

For loose stools in children over 5 years of age, the medicine is prescribed in a starting dose of 2 mg, after which the same volume of the drug is given after each bowel movement. The daily volume should not exceed 8 mg.

If the medicine is prescribed in drops, then the child is first given 30 drops, after which the same amount of solution is given 3 more times a day. The daily dose should not be more than 120 drops in 4 doses.

With diarrhea occurring in chronic form, children over 5 years old are prescribed 30 drops per day. Children from 2 to 5 years old are prescribed 5 ml of solution for every 10 kg of weight, which is 1 measuring container. Usually this dose is given up to 3 times a day. If the urge to go down does not occur within 12 hours or the stool has become formed, the drug is discontinued.

In exceptional cases, imodium drops can also be prescribed to children under 2 years of age. In this case, the dosage is calculated individually by the attending physician.

Side effects

Imodium has quite a few possible side effects, these include the following conditions:

  • Rashes on skin allergic nature, atypical drowsiness, persistent dizziness and electrolyte imbalance in the body.
  • A feeling of dryness in the mouth, intestinal colic, a feeling of discomfort in the abdomen, nausea, vomiting, constipation and bloating.
  • Sometimes there may be prolonged urinary retention, and even more rarely, intestinal obstruction.

When you dissolve mint tablets, you may experience a burning sensation and itching of the tongue.. Side effects do not occur in all patients who take Imodium, but only in a small percentage. But if any health problems occur, the drug should be immediately discontinued and a doctor should be consulted to adjust the treatment.

Overdose and its treatment

An overdose of a drug is possible in only a few cases:

  1. If a person self-medicates and does not know how much medicine to take.
  2. If a child finds abandoned pills and mistakes them for candy.
  3. If a person tries to get rid of diarrhea faster and deliberately overestimates the prescribed dose.

If too much medication has been taken, intoxication of the entire body occurs, which is manifested by the following symptoms:

  • coordination of movements is impaired, the person falls into a stupor;
  • there is abnormal drowsiness and muscle weakness;
  • blood pressure increases;
  • respiratory depression occurs.

In case of severe drug poisoning, it is possible intestinal obstruction.

Treatment of overdose comes down to gastric lavage, taking adsorbents and administering an antidote.. The antidote to imodium is naloxone, which is administered at the first sign of an overdose. It should be borne in mind that the therapeutic effect of naloxone is shorter than that of imodium, so it is recommended to re-administer it after some time.

The patient after an overdose requires constant monitoring, as late complications may develop.

If a child is poisoned by an antidiarrheal drug, call immediately ambulance or deliver the baby to the hospital under their own power. Children have weak immunity and are not fully developed internal organs, so the consequences of a drug overdose can be unpredictable.

Features of application

To ensure that treatment with Imodium is as effective as possible, you should adhere to certain recommendations:

  1. If after two days of taking an antidiarrheal drug there is no improvement, you need to consult a doctor to clarify the diagnosis. A series of tests may be necessary to determine whether an infection is causing the diarrhea.
  2. It is not advisable for small children under the age of 5 to be prescribed medicine in capsules. In this case, it is better to prescribe a solution or lozenges.
  3. When side effects in the form of constipation or severe bloating, treatment with the drug should be stopped.
  4. In those patients who suffer chronic diseases liver, you need to constantly monitor the functions of the central nervous system.
  5. When treating diarrhea, it is very important to organize plenty of drinking to replenish lost fluid. In addition, it is recommended to take rehydron solution or rice water to replenish electrolytes in the body.
  6. When treating with imodium, you should be careful when working with precision machinery or driving a car. During this period, concentration and general reaction may be slightly reduced.

All medications in the home medicine cabinet are regularly reviewed and medications with expired expiration dates are thrown away.

Features of the use of medicine for diarrhea in children

Although all adults know that they can start giving any medications to children only with the permission of a doctor, many parents self-medicate. This is strictly forbidden, as there may be a significant deterioration in health. When treating children with imodium, the following rules must be observed:

  • When calculating the dosage for a child, be sure to pay the pediatrician’s attention to the exact weight and age of the little patient.
  • If the drug is prescribed in drops, then carefully measure the required dose, and then dilute it in a teaspoon of water and only then give it to the child.
  • For children younger age If they refuse to take the medicine, you can dilute the drops in a spoon of juice or tea.
  • Lozenges can be given to children who have already reached 5 years of age.

It must be remembered that all medicines should be stored out of the reach of small children. Imodium tablets have a pleasant taste and smell, so they should not be left in a visible place to avoid poisoning. Kids may well mistake them for candy.

Interaction with other drugs


The effectiveness of Imodium may be reduced if a person is also taking cholestyramine.
. When an antidiarrheal agent is taken with trimoxazole or ritonavir, the bioavailability of imodium is increased. This occurs due to inhibition of its metabolism during the initial passage through liver cells.

If diarrhea manifests itself at the most inopportune moment, do not be upset. Imodium can quickly stop this unpleasant phenomenon and restore the joy of life to a person. But you need to remember that this drug is effective only if the diarrhea is not caused by infections. Otherwise, it can only be prescribed in complex treatment, along with other drugs. It is advisable to start taking Imodium only after examination by a doctor and passing all the necessary tests.

Diarrhea can take you by surprise at the most inopportune moment - in the middle of a working day, a romantic date or vacation. To quickly cope with non-infectious diarrhea, you can take a drug with the active ingredient loperamide. Such drugs are found on pharmacy shelves under different trade names, the most popular among them is Imodium.

How does Imodium work?

In the classification of drugs, the drug belongs to the antidiarrheal group. Loperamide lowers motor activity muscle wall of the intestine and increases the tone of the anal sphincter (the muscular ring that locks the rectum), thereby slowing down the passage of contents through the intestinal tube. The effect occurs within half an hour after administration and lasts up to 6 hours.

Dosage of the drug

Imodium is available in capsules and tablets of 2 mg. For adults and children over 12 years of age, it is recommended to start with 4 mg for diarrhea, then another 2 mg after each episode of diarrhea. The maximum permissible dose for adults is 16 mg per day, and for children - 6 mg per 20 kg of body weight up to 16 mg. In children it is approved for use from 4 years of age at the following dose:

  • from 4 to 8 years: 1 mg up to 4 times a day for 3 days;
  • from 9 to 12 years: 2 mg up to 4 times a day for 5 days.

Mode of application

Imodium capsules are taken orally half an hour before meals. Lozenges are placed on the tip of the tongue. Within a few seconds, the tablet dissolves and can be swallowed without drinking water. Stop taking the drug when formed stool appears or if there is no urge to defecate for more than 12 hours.

Use during pregnancy and lactation

Imodium during pregnancy is contraindicated in the first trimester, when the newly developing tissues and organs of the fetus are most susceptible to all influences, including medications. If it is necessary to take it in the second and third trimesters, the issue of prescription is decided individually with the attending physician in order to adequately assess the benefits for the mother and the possible risk for the baby. A small amount of the active substance is found in breast milk, so taking the drug is not recommended during breastfeeding.

Indications for use

Imodium is prescribed for the symptomatic treatment of diarrhea, i.e. the drug does not affect the cause of the pathology that has arisen, but only counteracts the unpleasant sign of the disease:

  • allergic diarrhea;
  • upset bowel movements due to emotional reasons;
  • loose stools as a side effect of taking other medications;
  • radiation diarrhea;
  • when changing diet and diet composition;
  • in case of disruption of absorption processes in the small intestine;
  • for infectious diarrhea - only as an adjuvant;
  • in patients with ileostomy - to regulate stool frequency.

Contraindications

There is a list of conditions for which Imodium should not be used:

  • intestinal obstruction;
  • constipation;
  • flatulence;
  • acute ulcerative colitis;
  • pseudomembranous colitis as a result of taking certain antibiotics (lincomycin, clindamycin, less often penicillins and cephalosporins);
  • age under 4 years, and in capsules – under 6 years;
  • pregnancy at less than 13 weeks.

Loperamide or Imodium – which is better?

In a medicine under trade name The active ingredient in Imodium is loperamide. Imodium – original drug, that is, it is produced by the same pharmaceutical company that developed and researched it. In addition, there are generics on the market - medicines with a similar composition and instructions for use, but they are produced by other manufacturers:

  • Loperamide (Russia, Ukraine, Latvia);
  • Vero-Loperamide (Russia);
  • Diara (Russia);
  • Lopedium (Slovenia, Germany, Switzerland);
  • Superilop (India).


They are significantly cheaper than their prototype, since the company does not need to recoup the costs of the invention and clinical trials of the chemical formula. However, any practicing doctor confidently recommends the original drug, since it more effective than analogues and causes less side effects. This is due to the release form and quality excipients, which are inevitably included in the tablet or capsule.

What is Imodium Plus?

Imodium Plus is a multicomponent drug, which contains two active ingredients– loperamide and simethicone. Simethicone is an antifoaming agent used to relieve increased gas formation and bloating, which are often observed when taking loperamide. Imodium Plus has similar indications and contraindications for use, but is approved only for patients over 12 years of age.

Features of taking the medicine

If diarrhea occurs, it is advisable to consult a specialist so as not to worsen the condition. If within 2 days self-treatment the symptoms have not stopped, be sure to consult a doctor to determine the cause of the disease and get necessary recommendations on treatment.

With diarrhea of ​​any origin, the body loses water and salts, so they need to be replenished by taking a sufficient amount of fluid - preferably saline solutions(such as Oralit, Regidron). This is especially important in case of poisoning, when drinking plenty of fluids is intended not only to cover the body’s costs, but also to dissolve and remove toxins from the bloodstream. You can independently prepare a solution similar to physiological (0.9% sodium chloride), for which a teaspoon of coarse table salt (it does not contain an anti-caking agent) is dissolved in 1 liter of boiled or bottled water at a temperature of 37 - 40 ° C.

Remember that when intestinal infection In a child, his condition may deteriorate sharply. Children become dehydrated faster, suffer from intoxication more severely, and may develop shock - a life-threatening fall. blood pressure. They are more likely to vomit, making it difficult to give them enough liquid to drink. In this case, the baby needs intravenous administration saline solutions and medicines. If your child experiences diarrhea or vomiting, be sure to consult your pediatrician. If the doctor considers hospitalization necessary, do not refuse - delay could cost the baby his life.

Be careful when performing activities that require increased attention and reactions, including when driving a car. Loperamide may cause drowsiness, loss of coordination, stupor, and depression of consciousness. If these symptoms appear, stop taking the drug and seek help from a specialist.

Any disease can be treated more effectively with an integrated approach - it is not enough just to take a remedy for diarrhea. If we are talking about an intestinal infection (salmonellosis or dysentery), the first place comes antibacterial drug, for allergies - search for and exclude from the menu an intolerable product. The doctor will draw up a detailed treatment plan and explain how to take this or that drug.

INSTRUCTIONS Imodium

INDICATIONS

Imodium is prescribed for the treatment of diarrhea - acute or chronic, of various origins.

IMODIUM METHOD OF APPLICATION

For adults, the initial dose of the drug is 2 capsules, for children over 5 years old – 1 capsule. Further, for residual symptoms of diarrhea, use one capsule, no more than 6 times a day.

How long does it take for Imodium to work after taking it?

The effect of Imodium begins within 1 hour after administration and lasts up to 8 hours.

IMODIUM CONTRAINDICATIONS

Imodium is contraindicated in dysentery, various colitis, including ulcerative colitis and enterocolitis. Imodium is also contraindicated in cases of intestinal obstruction, constipation, and pathologies with impaired intestinal motility. For nursing mothers and during pregnancy, Imodium is used only as prescribed by a doctor.

Can Imodium be used for children?

At what age can it be taken?

Imodium is not prescribed to children under 5 years of age and

SIDE EFFECTS

When taking Imodium you may: headache, intestinal obstructions, nausea, abdominal pain, allergic reactions.

IMODIUM IN PREGNANCY AND BREASTFEEDING

IMODIUM IN EARLY PREGNANCY

Imodium is used during pregnancy with great caution, only as prescribed by a doctor. On early stages Taking Imodium during pregnancy is strictly prohibited. Imodium is contraindicated during lactation; therefore, if taken, a nursing mother should temporarily stop taking it. breast-feeding

OVERDOSE

In case of overdose, possible: loss or confusion, respiratory depression, convulsive state. The use of an antidote, Naloxone, is indicated.

A medicine to combat the symptoms of diarrhea is Imodium. Instructions for use indicate that capsules and lozenges 2 mg, chewable Plus soothe digestive system and restores intestinal function, reduces fluid loss and restores normal stool consistency.

Release form and composition

Imodium is available in the form of tablets and capsules for oral administration. Tablets are sold in blisters of 10 pieces, 1-2 in a cardboard box, capsules in blisters of 6 pieces in cardboard box with attached detailed description.

The main active ingredient of the drug is loperamide hydrochloride - 2 mg in 1 tablet or capsule. The auxiliary components are: mannitol, gelatin, flavoring, sodium bicarbonate.

They also produce chewable tablets (Imodium plus).

Indications for use

What does Imodium help with? Tablets are indicated for use if necessary symptomatic therapy acute and chronic diarrhea. Recommended for use for traveler's diarrhea. In this case, the drug is used for two days.

But, whatever the indications for the use of Imodium, the use of this drug should be stopped when bleeding in feces until their cause is determined.

Instructions for use

Imodium is prescribed orally.

For acute diarrhea, adults and elderly patients are prescribed an initial dose of 4 mg, subsequently 2 mg after each act of defecation in case of loose stools. Children over 6 years of age are prescribed an initial dose of 2 mg, then 2 mg after each bowel movement in case of loose stools.

At chronic diarrhea Adults and elderly patients are prescribed an initial dose of 4 mg per day. Next, the dose is adjusted so that the stool frequency is 1-2 times a day, which is usually achieved with a maintenance dose of 2-12 mg per day. Children over 6 years of age are prescribed an initial dose of 2 mg per day.

Next, the dose is adjusted so that the stool frequency is 1-2 times a day, which is usually achieved with a maintenance dose of 2-12 mg per day. The maximum daily dose for acute and chronic diarrhea in adults is 16 mg; in children - 6 mg per 20 kg of body weight - up to 16 mg. When normal stool or if there is no stool for more than 12 hours, the drug is discontinued.

The lozenge should be placed on the tongue. Within a few seconds it will dissolve on the surface of the tongue and can be swallowed with saliva, without washing it down with water.

Read also: how to take for diarrhea according to the instructions analogue -.

Imodium plus (chewable tablets)

The drug is prescribed to adults and children over 12 years of age in an initial dose of 2 tablets, then 1 tablet after each loose stool. The maximum daily dose is 4 tablets. Duration of treatment - no more than 2 days.

When using the drug in elderly patients, no dose adjustment is required. When using the drug in patients with impaired renal function, no dose reduction is required.

pharmachologic effect

Loperamide hydrochloride blocks opiate receptors in the intestinal wall, as a result of which the release of prostaglandin and acetylcholine is suppressed, which leads to a decrease in propulsive peristalsis. The transit time of intestinal contents increases, and the ability of the intestinal walls to absorb fluid increases.

The use of Imodium increases the tone of the rectum and anal sphincter, which allows better retention of feces and significantly reduces the frequency of the urge to defecate. Loperamide normalizes excess mucus in the intestines by reducing its secretion, helping to reduce pain which are caused by spasms of intestinal smooth muscles.

The active substance is easily adsorbed in the intestines and is almost completely metabolized in the liver. Has a rapid therapeutic effect. Excreted in bile and feces. The half-life of the drug is 10-11 hours.

Contraindications

  • Diverticulosis.
  • Intestinal obstruction (including in cases where suppression of peristalsis is not recommended).
  • The first trimester of pregnancy and the period of breastfeeding (lactation).
  • Acute dysentery and other infections gastrointestinal tract(caused by, including Shigella spp., Salmonella spp., Campylobacter spp.).
  • Pseudomembranous enterocolitis (antibiotic-associated diarrhea).
  • Hypersensitivity to the components of the drug.
  • Acute ulcerative colitis.
  • Age up to 6 years.

Should be used with caution in patients with liver failure. In the II-III trimesters of pregnancy, Imodium can be taken only in cases where the expected benefit to the health of the mother is higher than the potential risk to the fetus.

Side effects

The drug is generally well tolerated by patients, but in some cases the following side effects may develop:

  • From the central nervous system - fatigue, weakness, apathy, drowsiness, dizziness.
  • From the digestive canal - constipation, increased gas formation, abdominal pain, intestinal spasms, nausea, vomiting, excessive dry mouth, in rare cases, intestinal obstruction may develop.
  • In some cases, patients may develop tongue tingling and urinary retention.
  • Allergic reactions - rash, itching of the skin, hyperemia, swelling of the mucous membranes.

Children, pregnancy and breastfeeding

Imodium is contraindicated in the 1st trimester of pregnancy. Despite the absence of indications of teratogenic or embryotoxic effects, Imodium can be prescribed in the 2nd and 3rd trimesters of pregnancy only in cases where the expected benefit of therapy for the mother outweighs the potential risk to the fetus.

Loperamide is excreted in small quantities into breast milk, so if it is necessary to use the drug during lactation, breastfeeding should be discontinued.

Imodium capsules are contraindicated for children under 6 years of age. Children under 5 years of age are prescribed tablets only under strict medical supervision. Imodium should not be used for children simultaneously with drugs that have a depressant effect on the central nervous system.

special instructions

If 48 hours after the use of loperamide there is no positive dynamics, it is necessary to clarify the diagnosis and exclude the infectious genesis of diarrhea.

Drug interactions

Combination with P-glycoprotein blockers can lead to an increase in plasma loperamide levels by at least 2-3 times. It is not recommended to use drugs that depress nervous system, simultaneously with Imodium for children.

Drug analogues

Analogues of Imodium are determined by their structure:

  1. Loperamide.
  2. Superilop.
  3. Diarol.
  4. Enterobene.
  5. Lopedium.
  6. Diara.
  7. Laremid.
  8. Vero Loperamide.
  9. Loperacap.

Vacation conditions and price

The average cost of Imodium (lyophilized tablets 2 mg No. 6) in Moscow is 210 rubles. Available without a prescription.

Should be stored at room temperature out of the reach of children. Shelf life – 5 years.

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(lat. Imodium ® ) is an antidiarrheal drug.

Active substance - loperamide.
Imodium has two dosage forms s: capsules and lozenges, also called lingual tablets. One capsule or lozenge contains 2 mg of loperamide.

Excipients:

  • Imodium capsules: lactose, corn starch, talc, magnesium stearate; capsule shell: titanium dioxide, iron oxides yellow and black, sodium indigotin disulfonate, gelatin, sodium erythrosine
  • Imodium in lozenges: gelatin, mannitol, aspartame, mint flavor, sodium bicarbonate
lomeramide) is effective means for acute diarrhea of ​​non-infectious nature, as well as for infectious diarrhea of ​​mild and moderate severity. Imodium (lomeramide) is the drug of choice for the treatment of traveler's diarrhea. The effect of Imodium occurs quickly and lasts 4-6 hours. Imodium inhibits intestinal motility, increases the tone of the anal sphincter, thereby reducing the urge to defecate and retains feces in the rectum.

The active substance of Imodium, loperamide, stimulates opioid mu receptors in the intestinal wall, resulting in inhibition of the release of acetylcholine and prostaglandins, which, in turn, leads to a decrease in propulsive intestinal motility and an increase in the transit time of its contents. This increases the absorption time of water and electrolytes, reduces their loss and reduces the loss and increases the time of the protective action of immunoglobulins, which are released into the intestinal lumen during acute intestinal diarrhea. Loperamide increases the tone of the anal sphincter, resulting in a decrease in the frequency and severity of the urge to defecate. Loperamide reduces mucus hypersecretion in the colon, in addition, it has an antisecretory effect, which is realized through both opioid and non-opioid receptors. The active substance Imodium loperamide, due to the inhibition of calmodulin and blockade of calcium channels and due to the suppression of intestinal peptides and neurotransmitters that increase the permeability of plasma membranes, affects intestinal secretion (Ivashkin V.T.).

Imodium (lomeramide) is currently the most effective drug with antidiarrheal action, and its antidiarrheal effect is due to inhibition of both the motor component of diarrhea and intestinal secretion. Loperamide belongs to the group of synthetic opiates, but binds only to peripheral opiate receptors, does not have a systemic narcotic effect and does not penetrate the blood-brain barrier. This is explained by the peculiarities of its biotransformation during the first passage through the liver and the absence of active metabolites in the blood. Imodium can be successfully used for motor diarrhea with increased peristalsis (irritable bowel syndrome (IBS) and functional diarrhea), but is not effective for diabetic enteropathy, scleroderma, amyloidosis. Moreover, in these situations it can worsen diarrhea. For secretory diarrhea, Imodium is also very effective due to its antisecretory opiate-like effect. For infectious diarrhea, Imodium should be prescribed with caution, since the retention of the infectious agent in the body increases diarrhea and intoxication. Imodium relieves diarrhea well in Crohn's disease, but it is not recommended for use in ulcerative colitis due to its blocking effect on the tone of the intestinal wall and the risk of developing toxic dilatation (Belousova E.A., Zlatkina A.R.).

Professional medical publications, touching on the effects of Imodium on the gastrointestinal tract:

  • Belousova E.A., Zlatkina A.R. Diarrhea syndrome in the practice of a gastroenterologist: pathophysiology and differentiated approach to treatment // Farmateka. – 2003. – No. 10. – p. 65–71.

  • The FDA warns of serious cardiac problems with high doses of the antidiarrheal drug loperamide (Imodium), including abuse and misuse. June 7, 2016

  • FDA limits packaging size for antidiarrheal drug loperamide (Imodium) to increase safety of its use FDA limits packaging size for antidiarrheal drug loperamide (Imodium) to increase safety of its use. January 30, 2018
Indications for use:
  • Not infectious diarrhea various shapes And of various origins: acute and chronic, allergic, emotional, medicinal, radiation, due to changes in diet and type of food, due to metabolic and absorption disorders
  • infectious diarrhea (as an adjuvant)
  • regulation of stool in patients with ileostomy
Directions for use and dosage: orally (capsules - without chewing, with water; lingual tablet - on the tongue, within a few seconds it disintegrates, after which it is swallowed with saliva, without water). For acute diarrhea, adults are prescribed an initial dose of 2 capsules or tablets (4 mg of lomeramide); then, in the case of liquid feces, after each act of defecation - 1 tablet or capsule; the highest daily dose is 4 tablets or capsules (16 mg lomeramide). For chronic diarrhea, adults are prescribed 2 capsules or tablets per day. The maximum daily dose is 4 tablets or capsules (16 mg lomeramide). For acute diarrhea, children over 5 years of age are prescribed an initial dose of 1 tablet or capsule, then 1 tablet or capsule after each bowel movement; the maximum daily dose is 4 tablets or capsules (8 mg lomeramide). For chronic diarrhea in children over 5 years of age, Imodium is prescribed in daily dose 1 tablet or capsule. If normal stool appears or if there is no stool for more than 12 hours, the drug is discontinued (Instructions for use).

For acute diarrhea, it is preferable to use Imodium in the form of lozenges. Such a tablet dissolves on the tongue within 2 - 3 seconds, the required concentration in the body is achieved within one hour, which is faster than when using other dosage forms. The lozenge does not require drinking water and can be used in patients with difficulty swallowing and an increased gag reflex.

For chronic diarrhea, for IBS, Imodium capsules are prescribed.

Contraindications:

  • hypersensitivity to the components of the drug
  • intestinal obstruction
  • diverticulosis
  • acute ulcerative colitis
  • pregnancy (first trimester)
  • breastfeeding period
  • diarrhea due to pseudomembranous enterocolitis, dysentery and other gastrointestinal infections
  • childhood up to 2 years (for capsules - up to 6 years)
WHO position on the treatment of diarrhea in children with drugs that inhibit intestinal motility:

When treating with Imodium, it is necessary to observe caution when driving vehicles and other similar activities.

over-the-counter medicine .