Indications for the use of imodium - treatment of digestive disorders. Imodium for diarrhea Use in diseases of an infectious nature

Destruction of the gene pool

Killer drugs on the Russian market

Pharmaceuticals is that area of life where neither a class instinct nor a conceptually competent worldview will help people. This requires specific knowledge. Here we are giving them the third year. Today we will talk about the next drugs that are banned in many countries of the world due to deadly side effects and are being sold in our Papua New Russia.

Imodium (loperamide)

Imodiumis a Belgian brandloperamide, means for the treatment of diarrhea in children, the normalization of bowel function in children and adults, released to the world market by the famous transnational corporation Johnson & Johnson. The drug has been firmly established in the Russian market since the 1990s.

In the West, information about mortal danger imodium for the child's body became public in 1980, when this medicine was the leading antidiarrheal drug in the world. But we will not tell about the West, but about how the exile took place loperamide-imodium in Pakistan, a country very close to Russia in terms of economy and corruption.

For the time being, the Belgian company Janssen (which is a subsidiary of Johnson & Johnson Corporation) quietly corrupted Pakistani officials, Pakistani mothers calmly poisoned children, and the Pakistani state calmly looked at it. Fighting imodium began not in the capital's medical circles, but in the teaching hospital of the small provincial town of Multan, which you will not find on any map. And it was started by two simple Pakistani doctors, who eventually managed to overcome the all-powerful "octopus", by which we mean a tandem from a foreign corporation and native officials, connected by "business interests". At the end of 1989, in just two months, 19 cases were registered in the pediatric department of a provincial hospital, when, as a result of taking drops imodium manufactured by Janssen, infants developed severe abdominal edema and intestinal paralysis. Eighteen children were under the age of 7 months; one was 2 years old. Six children died in the hospital, four more were taken home in serious condition, so that, according to the customs of the Pakistani people, they died at home, nine children survived. Two doctors from the hospital wrote a letter to Janssen, asking them to withdraw the drops from the market. imodium. The firm ignored the message. Having received no answer, the doctors went the only way possible in the conditions of life under the "octopus" - they made the fact public. In February 1990, they publicly, from the pages of the newspaper, turned to manufacturers with a demand to "remove imodium off the Pakistani drug market before it kills more children."

Janssen responded quickly. The firm asked one of the firm's doctors to send more information about these deaths, while issuing a "reassuring" statement saying it was premature to take any action until all the details were clear; what's in the prescribing information imodium clearly stated: the medicine should not be used in children under 12 months of age; and that the drops are for prescription only and should only be used under medical supervision.

By March 1990, it became clear to the "octopus" that since he made publicity, he should "make a good face on a bad game." The tandem tried to create a "parallel reality": the company said it voluntarily seized the drops imodium from both the Pakistani and global markets, and the Pakistani Federal Ministry of Health has assured that it has banned the drops imodium and canceled the registration of all other pediatric products containing loperamide. Statements were made in official circles and without publicity, but in real life, participants in the pharmaceutical business continued to profit from the “promoted” drug. The provincial doctor did not give up. He again sent a letter to Janssen, in which he said that several more children were admitted to the hospital with poisoning. imodium and urged the firm to take appropriate action. In May, the medic managed to attract the attention of a TV crew from Yorkshire Television. The British walked through the pharmacies, found imodium in six out of ten, after which they shot a documentary film without embellishment, depicting how a child dies in front of the cameraman. In June In 1990, the shocking film was delivered to Johnson & Johnson executives in New Jersey for viewing. After the press session Johnson & Johnson's vice president of science and technology announced that the company is working hard to remove oral drops from the Pakistani market. Soon the company issued a statement: “We have seized drops imodium in other developing countries and suspended their sales worldwide. We also voluntarily withdraw the syrup imodium in countries where the World Health Organization has a diarrheal disease control program.”

Indeed, most of the world has either banned the use for the treatment of children imodium, or set an age limit up to which the drug is unacceptable to use (in Australia, for example, they set an age limit of 12 years).

But then, as you remember, the collapse of the Union happened, and the omnivorous market of the Russian Federation with an infinitely gullible population and an excellent grasping reflex of officials opened up to the child-killing corporations. Children's Imodium loperamide rushed to us and to this day is one of the most popular children's drugs, and for one-year-old babies. And not only Belgian, but any other.

Information about the fatal "side effect" from Russian mothers, of course, was hidden. In the 2007 Drug Formulary, for example, only constipation and dizziness are named among the undesirable effects, and even then with “long-term use”.

And here's the most amazing thing. In the Handbook for 2004 it is said that the drug is intended for the treatment of children over the age of 5 years, and one synonym is indicated. In the "Handbook" 2007 dosage indicated imodium for children over the age of 1 year, and there are already 20 synonyms (let's call the German lopedium, Polish loperamide, indian loperacap, swiss Loperamide-Rivofarm, american loperamide hydrochloride... there is also a Russian copy loperamide-acry). It turns out that over the past three years, our oversight agencies that control the pharmaceutical market have removed the age limit and dragged a deadly drug from all over the world.

Loose stools are formed under the influence of multiple adverse factors. Poor nutrition, stressful situations, allergic reactions, drugs, polluted environment, diseases of the digestive tract and other organs, bacteria can cause diarrhea. All of these factors contribute to the disruption of the digestive system and the appearance of diarrhea, to alleviate the symptoms of which there are various drugs with a quick effect. One of them is Imodium. The use of this drug allows you to reduce the number of bowel movements in a very short time and avoid many unpleasant consequences, such as dehydration, which is especially dangerous for children.

Description of the drug

Imodium is a medicine designed to combat the symptoms of diarrhea. A common form of release is lyophilized lozenges, chewable tablets (Imodium plus), capsules. Lyophilization is the drying of substances by rapid freezing and placement in a vacuum chamber. This method is used to increase the duration of storage of substances, in this case it is loperamide hydrochloride, which is the main active ingredient of Imodium. In addition to the main component, the composition of the drug includes additional substances:

lactose;
corn starch;
talc;
magnesium stearate;
iron oxide;
titanium dioxide;
indigo carmine;
aspartame;
gelatin;
sodium bicarbonate;
mint or vanilla flavoring;
simethicone.

Depending on the form of release, the composition of the excipients may differ slightly, but the dosage of loperamide hydrochloride remains unchanged - two milligrams in each tablet and capsule. In some cases, the medicine can be used in the form of drops or a solution, this form is especially relevant for children.

Pharmacological properties

Imodium, as indicated in the instructions for use, helps to reduce the contractile function of the intestine. Due to the binding of the active substance loperamide hydrochloride, which is part of the drug, with receptors located on the intestinal walls, the synthesis of the hormones acetylcholine and prostaglandin is suppressed. This has a calming effect on the intestines and reduces peristalsis, helps to increase the time of passage of feces through the digestive tract and reduce the symptoms of diarrhea. The use of the drug provokes an increase in the tone of the rectum and anal sphincter, due to which loose stools are kept inside longer. In addition, loperamide hydrochloride has the property:

reduce the secretion of mucus and its release into the intestinal lumen;
stimulate the absorption capacity of the intestine, which increases the absorption of fluid into the blood and prevents dehydration, which often occurs with diarrhea;
reduce pain and spasms.

Simethicone, which is part of the composition, relieves the symptoms that accompany diarrhea - flatulence, spasms. The medicine begins to act a maximum of an hour after ingestion. The duration of drug exposure is approximately six hours. It is excreted from the body in about a day with feces and urine.

What helps?

According to the indications for use, Imodium is used for:

allergic diarrhea;
psychogenic diarrhea;
diarrhea caused by drugs;
loose stools resulting from radiation, surgery;
digestive disorders caused by changing climatic conditions, environmental conditions;
food, alcohol and chemical poisoning, accompanied by diarrhea;
diarrhea of infectious, bacterial origin (as an aid);
some diseases, a symptom of which is loose stools.

The drug is used for both acute and chronic diarrhea. Whatever the reason, the drug should not be taken if there is blood in the stool, which indicates internal bleeding that occurs with certain diseases in which the drug may be contraindicated.

Instructions for use, dosage

Due to the existing contraindications and age restrictions, you should consult a specialist before using the drug.

How to use

In the acute form of diarrhea, tablets for resorption, chewable tablets and capsules are prescribed in two pieces, which corresponds to four milligrams of loperamide - this is the initial dosage. Then take one tablet (capsule) after each bowel movement. The daily dosage of Imodium should not exceed eight tablets (capsules). In chronic diseases, the dosage is selected individually, usually no more than six tablets (capsules) per day, it all depends on the patient's condition. Treatment is continued until the number of bowel movements is reduced to two times a day.

The drug in liquid form is prescribed in the amount of 60 drops at the initial intake, then after each bowel movement, 30 drops. Daily dosage - no more than 180 drops during the day.

Lozenges are placed under the tongue, after dissolution they are not washed down. The capsules need to be taken with water. Chewable tablets are chewed and washed down with water. During treatment with this drug, the amount of fluid consumed should be increased to two to three liters per day. The average duration of treatment is three days, further use of the drug can lead to unpleasant consequences.

The drug should be discontinued if:

within two days there is no improvement;
bloody fecal discharge appeared;
improvement is observed, the number of bowel movements does not exceed two times a day;
no stool for twelve hours.

In case of infectious diarrhea, the drug is prescribed only in combination therapy with antibiotics. In the early days of infectious diseases or during intoxication, loose stools are not recommended to be eliminated with antidiarrheal agents, since bacteria and toxins leave the body with feces.

Use in pregnant and lactating women

The drug is strictly forbidden to use in the first three months of pregnancy and during lactation, since its effect is unsafe for the development of the child. In the second and third trimester, the use of the drug is permissible, but only in cases of urgent need. The dosage is set by the attending physician individually for each case.

Use for diarrhea in children

Children under the age of two years Imodium is contraindicated. For babies, its use is fraught with the development of paralysis of the intestinal muscles and swelling of the abdominal cavity, which is fatal. Therefore, in childhood, the drug should be used only under the supervision of a specialist. From the age of six, the use of lozenges is allowed, but drops and solution are the most convenient option. Capsules are not recommended for children under six years of age, chewable tablets are recommended from twelve years of age. But opinions differ on this point, as in some countries a different age threshold has been set for the use of Imodium in the treatment of childhood diseases. In some states, for example, in Australia, a ban on the use of funds in any form up to twelve years has been introduced.

Children's dosage:

Tablets and capsules are prescribed one at a time. The daily norm is no more than four tablets (capsules).
Drops - at the first dose they give 30, then 15 drops after each bowel movement. The maximum daily allowance is 120 drops.
The solution is prescribed 5 milliliters (one measuring cap) per 10 kilograms of the child's weight, no more than three times a day.

Children over the age of twelve are given the adult dosage. The duration of treatment is three days. If there is no positive result within two days, the drug should be discontinued.

Contraindications

It is excluded to use the medicine for children under two years of age, lactating women, in the first months of pregnancy, as well as for:

intestinal obstruction, constipation;
bloating;
gastritis;
Crohn's disease;
intestinal adhesions;
diverticulosis;
hypersensitivity to the components of the drug;
ulcerative and pseudomembranous colitis;
phenylketonuria - a disease associated with impaired metabolism of phenylalanine (amino acid);
the presence of blood in the stool;
increase in body temperature;
liver pathology.

Special care should be taken when treating loose stools caused by antibiotics, infectious diseases.

Side effects

If the dosage and instructions for the use of the drug are followed, unpleasant consequences are usually not observed. Overdose may cause:

dizziness;
headaches;
malaise and weakness;
sleep disorders;
violations of coordination;
thirst;
nausea;
vomiting;
colic and spasms in the abdomen;
flatulence;
intestinal obstruction;
urinary retention;
skin rashes and other allergic reactions.

What is the price?

In different regions, the cost of the drug may differ. The price also depends on the form of the drug and the quantity in the package.

Approximate cost of 10 tablets:

in Moscow - 246-370 rubles;
in the Leningrad region - 265-311 rubles;
in the Vladimir region - 238-312 rubles;
in Volgograd - 278 rubles;
in the Vologda region - 207-288 rubles;
in the Voronezh region - 266-294 rubles;
in the Ivanovo region - 216-314 rubles;
in Kaliningrad - 298-304 rubles.

The approximate cost for 6 capsules is:

in Moscow - 165-217 rubles;
in the Leningrad region - 156-183 rubles;
in Murmansk - 220-231 rubles.

Analogues

Analogues of the drug Imodium, similar in composition, are much cheaper. These include:

Loperamide;
Diara;
Lopedium;
Diarol;
Superilop;
Laremid;
Enterobene;
Loperacap;
Stoperan.

The cheapest analogue is the drug Loperamide, its cost for 10 tablets is about 20 rubles, which is almost ten times cheaper than Imodium.

How to take imodium: rules and warnings

The information presented in the section on medicines, methods of diagnosis and treatment is intended for medical professionals and is not an instruction for use. Imodium (lomeramide) is an effective remedy for acute non-infectious diarrhea, as well as mild to moderate infectious diarrhea.

Loperamide increases the tone of the anus 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. Moreover, in these situations, it can exacerbate diarrhea. With infectious diarrhea, Imodium should be administered with caution, since the delay of the infectious agent in the body increases diarrhea and intoxication.

If a normal stool appears or if there is no stool for more than 12 hours, the drug is canceled (Instructions for use). The 2006 WHO Handbook Management of Diarrhea notes that imodium, as “…and other intestinal motility inhibitors, can reduce the frequency of defecation in adults. None of these drugs should be given to infants and children with diarrhea."

The composition of Imodium and its effect

Loperamide, which is part of the drug, has an effect an hour after application. The active substance of the drug (Loperamide) is easily excreted from the intestines, completely absorbed by the liver and excreted in the bile. In the USA in 1973 the drug was patented and it became known under the brand IMODIUM®. At the moment, it is the only drug containing Loperamide in this form (among its analogues).

Learn more about IMODIUM®, its principle of action and the history of the drug in the world and in Ukraine. IMODIUM® should be used for the treatment of acute and chronic diarrhea and in cases of traveler's diarrhea. If symptoms persist for more than 48 hours, a doctor should be consulted. To establish a diagnosis and prescribe a course of treatment, it is necessary to consult a doctor.

Indications for use:

The action of imodium is associated with the effect on the nerve cells of its active component - loperamide. Feces are retained in the intestines, while partial reabsorption of water and salts into the blood occurs and dehydration is prevented.

For all chronic diseases and conditions of the intestine, Imodium can only be prescribed by a doctor who selects an individual dose of the drug and monitors the patient's condition. If the patient has signs of an overdose of the drug, intestinal obstruction or intestinal infection, imodium is canceled. Some resort to the emergency help of highly advertised drugs, such as the popular Imodium.

A spoiled and contaminated product, in which pathogenic microorganisms and dangerous toxins are present, is eaten by an adult or a child. In the stomach, under the action of hydrochloric acid, microbes can die, but the toxins are not neutralized, unfortunately.

The pharmaceutical industry has been manufacturing Imodium for over 30 years. It comes in capsules that need to be swallowed and washed down. Another more convenient form, especially on the road, is rounded tablets of white color and mint flavor, they must be sucked.

Briefly about food poisoning and intestinal infections

The drug relieves pain associated with spasms in the intestines. The medicine begins to act within half an hour. Imodium has no effect on pathogenic bacteria. With diarrhea, microbes and their toxic products are in the intestines.

You don’t have to grab Imodium yet, if diarrhea happened due to taking antibiotics - then complications may arise against the background of dysbacteriosis. Imodium or its cheaper synonym Loperamide are often found in home or camping first aid kits. They are used by many because they are easy to use. People think that these drugs can be resorted to in any case of diarrhea without fear.

Now it’s clear that you still need to drink something else from intestinal microbes, or even Imodium in extreme cases, if you really go in transport. This drug acts on the muscles of the intestine and slows down the movement of its contents. What medicine will quickly and effectively help against diarrhea? In this article you can read the instructions for the use of the drug against indigestion.

This is a fairly well-known and effective antidiarrheal drug, which has found its wide application around the world. The manufacturer of this drug is Janssen.

However, as for newborns, this drug paralyzes the intestinal muscles in them. As a result, most children die. A similar tragedy happened in Pakistan. Many experts argue that children's Imodium should be discontinued in pharmacies.

That's when many people pull out of their purse pre-stored Imodium tablets or other drugs, its analogues. But in such situations, the use of Imodium is still undesirable. To prevent this from happening, it is better to take imodium as prescribed by a doctor, despite the fact that this drug is sold in pharmacies without a prescription.

Imodium: instructions for use

How does Imodium work?

In the classification of medicines, the drug belongs to the antidiarrheal group. Loperamide reduces the motor activity of the muscular wall of the intestine and increases the tone of the anal sphincter (the muscle ring that locks the rectum), which slows down the passage of contents through the intestinal tube. The action 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. Adults and children over 12 years of age are recommended to start with diarrhea at 4 mg, followed by another 2 mg after each episode of diarrhea. The maximum allowable 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 allowed for use from 4 years in 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. The drug is stopped when a 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 only the developing tissues and organs of the fetus are most susceptible to all influences, including drugs. If it is necessary to take it in the II and III trimesters, the appointment is decided on an individual basis with the attending physician in order to adequately assess the benefits for the mother and the possible risk to the baby. A small amount of the active substance is found in breast milk, so the drug is not recommended for breastfeeding.

Indications for use

Imodium is indicated for the symptomatic treatment of diarrhea, ie. the drug does not affect the cause of the pathology that has arisen, but only counteracts the unpleasant symptom of the disease:

allergic diarrhea;
stool disorder on emotional grounds;
loose stools as a side effect of other medications;
radiation diarrhea;
when changing the diet and composition of the diet;
in violation of absorption processes in the small intestine;
with infectious diarrhea - only as an aid;
in patients with an ileostomy, to regulate stool frequency.

Contraindications

There is a list of conditions under 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 for less than 13 weeks.

Loperamide or Imodium - which is better?

In the drug under the trade name Imodium, the active ingredient is loperamide. Imodium is an original drug, that is, it is produced by the same pharmaceutical company that developed and researched it. In addition, generics are on the market - medicines with the same 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. Nevertheless, any practitioner recommends the original drug with confidence, as it is more effective than analogues and rarely causes side effects. This is due to the form of release and the quality of the excipients that are inevitably included in the composition of the tablet or capsule.

What is Imodium Plus?

Imodium Plus is a multi-component drug, which contains two active ingredients - loperamide and simethicone. Simethicone is an antifoaming agent used to relieve the increased gas and bloating that often occurs with loperamide. Imodium Plus has similar indications and contraindications for use, but is only allowed 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 aggravate the condition. If within 2 days of self-treatment the symptoms did not stop, be sure to consult a doctor to establish the cause of the disease and get the necessary recommendations for treatment.

With diarrhea of any origin, the body loses water and salts, so they need to be replenished by taking a sufficient amount of liquid - preferably saline solutions (such as Oralit, Regidron). This is especially important in case of poisoning, when drinking plenty of water is designed not only to cover the costs of the body, 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 with a temperature of 37 - 40 ° C.

Remember that with an intestinal infection in a child, his condition can worsen dramatically. Children become dehydrated faster, tolerate intoxication more difficultly, and shock can develop - a life-threatening drop in blood pressure. They are more likely to vomit, making it difficult for them to drink enough fluids. In this case, the baby needs intravenous saline solutions and drugs. If you experience diarrhea and vomiting in a child, be sure to consult a pediatrician. If the doctor considers hospitalization necessary, do not refuse - delay can cost the baby his life.

Be careful when performing activities that require increased attention and reaction, including when driving a car. Loperamide can cause drowsiness, incoordination, stupor, depression of consciousness. If these symptoms appear, stop taking the drug and seek medical help.

Any disease is more effectively treated 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), an antibacterial drug comes first, with an allergic one, the search and exclusion from the menu of an intolerant product. The doctor will draw up a detailed treatment regimen and explain how to take this or that remedy.

Learn how to take imodium for diarrhea

Intestinal disorders can occur suddenly, spoiling all plans for the day. Especially when it comes to irritable bowel syndrome, which occurs due to stress and nervous strain.

Therefore, diarrhea tablets should always be on hand, capable of neutralizing the manifestations of diarrhea as soon as possible. One such drug is Imodium. It slows down intestinal motility, reducing the urge to defecate. How to use Imodium diarrhea tablets and what you need to know about it, we will analyze further.

Pharmacokinetics

The main active ingredient of the drug is loperamide, which, after entering the gastrointestinal tract, is fully absorbed, penetrating into the intestine. This substance is not able to be absorbed into the blood, therefore it acts locally, bypassing the general bloodstream. This is one of its main advantages, due to which the therapeutic effect occurs as quickly as possible.

Drug molecules act on opioid receptors, inhibiting the synthesis of prostaglandins and acetylcholines.

This, in turn, reduces the sensitivity of the mucous membrane to the irritant, which helps to reduce the manifestations of diarrhea. Slow peristalsis provokes a decrease in the rate of mass movement through the intestines, due to which the urge to defecate disappears immediately after taking the pill.

Loperamide has a selective effect, that is, it affects only the intestinal mucosa, without reducing the concentration of attention and the speed of psychomotor reactions. Also, its effectiveness can be described by the following therapeutic manifestations:

regulates the production of mucus by the cells of the intestinal mucosa;
an increase in the tone of the rectum and sphincter, which dulls diarrhea, reducing the urge;
normalization of the absorption of nutrients in the intestines, which avoids dehydration and violations of the water-salt balance;
reducing spasm of smooth muscles, which helps to eliminate unpleasant pain in the abdomen;
slowing down intestinal motility.

The period of complete elimination is hours.

Does it help with diarrhea?

The drug reduces intestinal motility, helping to reduce the urge to defecate.

Release form and composition

The drug is produced in the form of tablets for resorption, as well as in the form of capsules coated with a gelatin shell.

Each tablet and capsule contains 2 mg of the main component of loperamide hydrochloride, as well as auxiliary components, such as natural flavor (mint), gelatin, aspartate. Tablets are packed in plastic blisters of 10 or 20 pcs.

Capsules are packaged in plastic blisters of 10 pieces. In one package 1 or 2 blisters.

Dosage and scheme of application

Tablets are intended for resorption in the oral cavity. To do this, it is placed under the tongue or on the cheek, where it slowly dissolves. In the presence of acute diarrhea, use 1 tablet every 3-4 hours. As a maintenance therapy, the drug can be used twice a day, in the morning and in the evening. In the event that on the second day the diarrhea has not decreased, a decision is made to cancel this medication and replace it with another one.

The capsules are taken orally with a small amount of water. In acute diarrhea, it is recommended to take 1 capsule three times a day. In the event that there is no bowel movement for more than three days, the medicine should be canceled.

In the presence of chronic diarrhea caused by systemic diseases, Imodium should be taken 1 tablet per day or 1 capsule. For the chronic form of diarrhea, it is recommended to use capsules, since they dissolve directly in the intestine, which provides a prolonged antidiarrheal effect. Dosage should be adjusted as the patient's condition improves. Imodium is suitable for both long-term use and single use.

The maximum daily dose is mg, which is equal to 8 tablets. Their reception is divided into equal periods of time, which ensures the maximum effect.

Indications for use

Imodium is prescribed in the presence of diarrhea of various etiologies. With bacterial diarrhea, it acts as an adjuvant in complex therapy. If diarrhea is a consequence of systemic diseases and a violation of the intestinal microflora, it can be used as the main remedy for diarrhea.

In the presence of an intestinal disorder, which is caused by pathogenic microflora, treatment is supplemented with drugs such as:

Antibiotics (Nifuroxazide, Ceftriaxone, Cefazolin) - contribute to the destruction of bacteria not only in the intestines, but throughout the body.
Enterosorbents (Sorbeks, Laktofiltrum, Polisorb) - help to reduce the concentration of toxic substances produced by bacteria by gluing and neutralizing them.
Probiotics (Linex, Bifiform, Acipol) - compensate for the deficiency of benign bacteria in the intestine, by seeding the mucous membrane.

In the event that diarrhea has other causes (stress, the presence of diseases of the stomach and intestines), the following can be introduced into the course of treatment:

enzymes;
diuretic and choleretic drugs;
drugs that normalize pH;
antidepressants.

Contraindications

Given the fact that the drug has a local effect and practically does not enter the general circulation, there are still some contraindications for use that should be considered when choosing remedies for diarrhea. These include:

the presence of ulcerative colitis, accompanied by profuse and prolonged diarrhea;
severe constipation (no stool for more than 4 days);
bloating and increased gas formation;
intestinal pathologies, in which it is extremely dangerous to reduce its motility;
in the presence of impurities of blood and pus in the feces;
acute dysentery, which is characterized by the addition of vomiting and high fever;
intestinal obstruction not associated with diarrhea;
diverticulosis;
first trimester of pregnancy;
children under 5 years of age, due to the presence of a high dosage of loperamide.

Nuances of application for special categories of patients

To date, it is not known for certain how Imodium affects the intrauterine development of the fetus. There are no facts that would confirm its detrimental effect on the development of the child. However, do not self-medicate during pregnancy. It is strictly forbidden to use the drug in the first trimester of pregnancy, when all the vital organs and systems of the child are laid. In the event that the doctor assesses the current situation and notes that the expected benefit to the mother is several times greater than the possible harm to the fetus, the drug is prescribed using the minimum dosage. Treatment should begin with lozenges, using no more than half at a time.

Long-term use of this medication during lactation can provoke the development of persistent constipation in a child, as well as a violation of intestinal motility. Accordingly, Imodium is not used during lactation.

Children under 5 years of age are strictly prohibited from using this medicine. After 5 years, diarrhea therapy is carried out taking into account the individual characteristics of the child, paying attention to weight. The calculation is carried out in this way: for every 20 kg of weight, 1 tablet. The frequency of receptions is 1-2 times a day. For children, it is recommended to use lozenges, as they are easier to dose. After resorption, it is not necessary to give a drink, at least a minute. The course of treatment is 1-2 days. In the absence of effectiveness, the drug is replaced by an analogue.

In elderly patients, intestinal motility slows down naturally, which occurs due to a decrease in secretion. This fact should be taken into account, since there are cases when, after taking Imodium tablets, patients complained of persistent constipation and difficulty in normalizing stools.

special instructions

It has been proven that the drug has little effect on the liver and kidneys. However, for patients who have pathologies in the functioning of these organs, it is important that monitoring is constantly carried out.

Imodium

The description is current as of 24.01.2015

Latin name: Imodium
ATX code: A07DA03
Active ingredient: Loperamide (Loperamide)
Manufacturer: Janssen-Cilag (France), Johnson & Johnson (Russia), Gedeon Richter (Hungary)

Compound

The composition of the drug includes as an active substance - loperamide hydrochloride. Additional components of capsules: lactose, talc, corn starch, magnesium stearate. The capsule shell includes yellow iron oxide, titanium dioxide, erythrosin, black iron oxide, indigo carmine, gelatin.

Release form

The medicine is available in capsules and lozenges.

pharmachologic effect

Pharmacodynamics and pharmacokinetics

The medicine acts as an antidiarrheal agent. Its active substance is a synthetic selective opioid receptor inhibitor. It affects the cells of the intestinal wall. The release of acetylcholine and prostaglandins in the gastrointestinal tract is blocked by affecting the functions of cholinergic and adrenergic neurons.

After taking Imodium, there is an increase in the tone of the anal sphincter and rectum. Feces are better retained, the urge to defecate becomes less frequent. Decreased intestinal peristalsis. The contents pass through the digestive tract longer.

The drug normalizes the amount of mucus in the intestinal lumen by reducing its secretion. It also improves the absorption of fluids and electrolytes from the gastrointestinal tract, reduces the likelihood of dehydration and electrolyte problems that often occur with diarrhea. The active substance reduces pain, which can be provoked by spasm of the smooth muscles of the intestinal wall.

The drug is easily absorbed from the gastrointestinal tract. Acts quickly. It is cleaved in the liver, excreted mainly with bile and feces. The half-life is 9-14 hours. The systemic impact is negligible.

Indications for the use of Imodium

Indications for the use of Imodium: the need for symptomatic treatment of acute and chronic diarrhea. Recommended 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 remedy should be discontinued when bloody discharge appears in the feces, until their cause is clarified.

Contraindications

Do not use this drug in case of hypersensitivity to its components. In addition, the following contraindications are known:

Precautions prescribed for violations of liver function. Before using the drug, contraindications must be excluded.

Side effects

Adverse reactions may depend on the nature of the disease:

In addition, the following side effects are known:

The medicine can cause drowsiness, therefore it is undesirable when using it to perform work that is associated with the use of dangerous mechanisms.

During clinical trials, the most commonly reported adverse reactions that are characteristic of diarrheal syndrome are abdominal pain, nausea, dry mouth, drowsiness, constipation, discomfort and excessive fatigue, vomiting, dizziness, flatulence. Thus, it is difficult to distinguish these manifestations from side effects.

Application instruction of Imodium (Way and dosage)

The drug should be used only after consulting a doctor. How to use Imodium, what it will help in each case and how long it should be used, only a specialist knows. In the case of acute and chronic diarrhea, 2 capsules are usually used at the beginning of the course. Instructions for the use of Imodium for children from 6 years old informs that in this case they are usually given one capsule per day.

For maintenance therapy, the dosage is selected so that defecation is 1-2 times a day. As a rule, it is from 1 to 6 capsules for adults. The maximum dosage is not more than 8 capsules. Children from 6 years old are given no more than 3 capsules.

For those who take Imodium tablets, the instructions for use say that they should be placed on the tongue and wait until they dissolve for a few seconds, after which they should be swallowed without drinking liquid.

In case of acute diarrhea, the initial dosage is 2 tablets for adults and 1 tablet for children from 6 years of age. With the successful action of the drug, it is continued to take one tablet after each bowel movement in case of loose stools.

The initial daily dose for chronic diarrhea is 2 tablets for adults and 1 tablet for children. Then the dosage is adjusted individually so that the frequency of stools is 1-2 times a day. Every day an adult patient can lure from 1 to 6 tablets. The maximum dose should not exceed 8 tablets. For children, dosages are calculated based on weight (3 tablets per 20 kg, but not more than 8 tablets).

If in acute diarrhea the effect of the drug is absent for two days after use, it should be urgently stopped and another medicine should be selected. When the patient begins to have a normal stool or if it is absent for 12 hours or more, the drug is also canceled.

Overdose

In case of an overdose, symptoms of CNS depression may appear: stupor, drowsiness, incoordination, miosis, muscle hypertonicity, etc. In addition, urinary retention and a complex of symptoms resembling intestinal obstruction are possible.

Children when taking the drug are more sensitive to effects on the central nervous system.

Naloxone can be used as an antidote. You may need to reapply it, as the duration of action of Imodium is longer. To identify possible symptoms of an overdose, the patient should be observed for two days. Treatment is symptomatic. Perhaps gastric lavage and the use of activated charcoal.

Interaction

The combination with P-glycoprotein blockers can lead to an increase in plasma levels of loperamide by at least 2-3 times.

Terms of sale

Released without a prescription.

Storage conditions

The medicine should be stored in a dry place at room temperature.

Best before date

5 years. This tool can not be used after the expiration date, which is indicated on the original packaging.

Analogues of Imodium

In the pharmacy network you can find the following analogues of Imodium:

All medicines have their own characteristics of use. Imodium analogues are not recommended for use without consulting a doctor. If the drug is ineffective, you need to contact a specialist before buying another replacement product.

The price of analogs, as a rule, is noticeably lower than the cost of Imodium.

Imodium for children

From what pills will help in each case and how to take them to children under 6 years old, only a specialist knows, so they should be given under strict medical supervision.

Imodium for children from 6 years of age should be given at lower dosages than adults. They are determined by a specialist on an individual basis.

Imodium for children under 6 years of age in the form of capsules is undesirable.

Imodium during pregnancy and lactation

With caution, Imodium is prescribed during pregnancy. It does not have a teratogenic, embryotoxic and mutagenic effect on the fetus. During pregnancy, it may be prescribed if the intended benefit to the mother outweighs the possible risk to the child.

Cannot be used while breastfeeding. If admission is necessary, consideration should be given to stopping breastfeeding.

Intestinal disorders can occur suddenly, spoiling all plans for the day. Especially when it comes to irritable bowel syndrome, which occurs due to stress and nervous strain.

So at hand should always have diarrhea pills capable of quickly neutralizing the manifestations of diarrhea. One such drug is Imodium. It slows down intestinal motility, reducing the urge to defecate. How to use Imodium diarrhea tablets and what you need to know about it, we will analyze further.

In terms of its chemical composition, loperamide is similar to the cells of the intestinal mucosa, so the body tolerates it well.

Drug molecules act on opioid receptors, inhibiting the synthesis of prostaglandins and acetylcholines.

loperamide has a selective effect, that is, it affects exclusively the intestinal mucosa, without reducing the concentration of attention and the speed of psychomotor reactions. Also, its effectiveness can be described by the following therapeutic manifestations:

regulates the production of mucus by the cells of the intestinal mucosa;
an increase in the tone of the rectum and sphincter, which dulls diarrhea, reducing the urge;
normalization of the absorption of nutrients in the intestines, which avoids dehydration and violations of the water-salt balance;
reducing spasm of smooth muscles, which helps to eliminate unpleasant pain in the abdomen;
slowing down intestinal motility.

The drug is metabolized by liver cells, after which it is completely excreted from the body without accumulating in soft tissues.

The period of complete elimination is 10-12 hours.

Does it help with diarrhea?

The drug reduces intestinal motility, helping to reduce the urge to defecate.

It is effective for diarrhea non-infectious

In the event that pathogenic bacteria have become the cause of diarrhea, Imodium is used as an adjuvant, with an emphasis on antibiotics.

Release form and composition

The drug is produced in the form of tablets for resorption, as well as in the form of capsules coated with a gelatin shell.

Capsules are packaged in plastic blisters of 10 pieces. In one package 1 or 2 blisters.

Imodium tablets, the price of which is from 250 to 500 rubles, depending on the quantity, are highly effective in the treatment of diarrhea.

Dosage and scheme of application

Tablets are intended for resorption in the oral cavity. To do this, it is placed under the tongue or on the cheek, where it slowly dissolves. In the presence of acute diarrhea, use 1 tablet every 3-4 hours. As a maintenance therapy, the drug can be used twice a day, in the morning and in the evening. In the event that on the second day the diarrhea has not decreased, a decision is made to cancel this medication and replace it with another one.

Taking this medicine does not affect the fullness of the stomach and intestines.

The maximum daily dose is 15-16 mg, which is equal to 8 tablets. Their reception is divided into equal periods of time, which ensures the maximum effect.

How to take pills in the presence of other diseases, the doctor will inform.

Indications for use

Imodium is prescribed in the presence of diarrhea of various etiologies. With bacterial diarrhea, it acts as an adjuvant in complex therapy. If diarrhea is a consequence of systemic diseases and a violation of the intestinal microflora, it can be used as the main remedy for diarrhea.

In the presence of an intestinal disorder, which is caused by pathogenic microflora, treatment is supplemented with drugs such as:

Antibiotics (Nifuroxazide, Ceftriaxone, Cefazolin) - contribute to the destruction of bacteria not only in the intestines, but throughout the body.
Enterosorbents (Sorbeks, Laktofiltrum, Polisorb) - help to reduce the concentration of toxic substances produced by bacteria by gluing and neutralizing them.
Probiotics (Linex, Bifiform, Acipol) - compensate for the deficiency of benign bacteria in the intestine, by seeding the mucous membrane.

In the event that diarrhea has other causes (stress, the presence of diseases of the stomach and intestines), the following can be introduced into the course of treatment:

enzymes;
diuretic and choleretic drugs;
drugs that normalize pH;
antidepressants.

Contraindications

Given the fact that the drug has a local effect and practically does not enter the general circulation, all the same, there are some contraindications for use, which should be considered when choosing remedies for diarrhea. These include:

the presence of ulcerative colitis, accompanied by profuse and prolonged diarrhea;
severe constipation (no stool for more than 4 days);
bloating and increased gas formation;
intestinal pathologies, in which it is extremely dangerous to reduce its motility;
in the presence of impurities of blood and pus in the feces;
acute dysentery, which is characterized by the addition of vomiting and high fever;
intestinal obstruction not associated with diarrhea;
diverticulosis;
first trimester of pregnancy;
children under 5 years of age, due to the presence of a high dosage of loperamide.

Also, you should not use this drug if surgical interventions were performed on the intestines, due to the high likelihood of developing stagnant processes.

Nuances of application for special categories of patients

Despite the fact that loperamide practically does not penetrate into the blood, there is evidence that the drug is able to seep into breast milk, passing on to the child.

Children under 5 years old Absolutely forbidden use this medicine. After 5 years, diarrhea therapy is carried out taking into account the individual characteristics of the child, paying attention to weight. The calculation is carried out in this way: for every 20 kg of weight, 1 tablet. The frequency of receptions is 1-2 times a day. For children, it is recommended to use lozenges, as they are easier to dose. After resorption, it is not necessary to give a drink, at least 10-15 minutes. The course of treatment is 1-2 days. In the absence of effectiveness, the drug is replaced by an analogue.

Assign minimum dosages, which are supported by probiotics.

special instructions

Overdose and adverse reactions

In the case when the dosage of Imodium has been increased, overdose symptoms such as:

intestinal obstruction;
constipation;
hand tremor;
depression of the central nervous system;
increased drowsiness;
apathy;
slow pulse and breathing.

In case of detection of an overdose, symptomatic treatment is performed according to the scheme:

Artificial ventilation of the lungs and heart massage if the person is not breathing and is in a coma.
Lavage of the stomach and intestines in order to reduce the concentration of the active substance and the resulting toxins.
The introduction of sorbents: activated carbon, Polysorb.
The introduction of an antidote that can neutralize the activity of loperamide - Naloxone. It may be necessary to administer it several times, since the process of excretion and disintegration of loperamide is several times higher.

In the presence of hypersensitivity to the components of the drug, as well as diseases of the gastrointestinal tract, side effects such as:

colic in the intestines;
dry mouth and intense thirst;
constipation;
flatulence;
nausea and vomiting;
gastralgia.

The most dangerous manifestation in the treatment with Imodium is an allergic reaction, which is manifested by symptoms such as:

swelling of the mucous membranes;
rapid pulse;
noise and ringing in the ears;
semi-conscious state;
skin rash and itching;
anaphylactic shock and angioedema.

The rapid development of anaphylaxis can put a person into a state of coma, as well as provoke respiratory arrest and heartbeat.

If there is a tendency to allergies, before taking the medicine worth a try. To do this, 1/10 of the tablet is placed under the tongue for 10-15 minutes, observing the condition. With the development of an acute allergic reaction, it is necessary to administer antihistamines or glucocorticosteroids to the patient. In the absence of a heartbeat, adrenaline is administered.

drug interaction

With the simultaneous administration of loperamide with cholestyramine, a decrease in its effectiveness is noted, due to the neutralization of molecules.

Storage and dispensing from pharmacies

The drug is stored in a cool dry place, out of the reach of children. Released without a doctor's prescription. Shelf life - 5 years.

After the specified date, the medicine should not be used.

Analogues

Identical effects on the intestines, but different in composition, which will help with diarrhea, are drugs such as:

Atoxil - 210-220 rubles per pack of 10 sachets;
Smecta - 25-30 rubles for 1 package;
Hilak forte - 30 ml 250-270 rubles;
Nifuroxazide - 180-230 rubles;
Stoperan - 260-280 rubles.

Synonyms

Identical in composition, where the main active ingredient is loperamide, are drugs such as:

Loperamide - 7-15 rubles;
Loperamide hydrochloride - 25-35 rubles;
Lopedium - 28-50 rubles.

Watch a video about the drug

Every person who has ever suffered from diarrhea knows how important it is to have pills on hand that can quickly eliminate this very unpleasant phenomenon. After all diarrhea is not only exhausting, but also a very dangerous condition that can lead to dehydration. Imodium for diarrhea is more expensive than similar drugs, but it is able to relieve all symptoms in a short time. 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 every 10-15 minutes you want to go to the toilet. 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 in the home first aid kit are lozenges for diarrhea imodium, although this drug is also available in the form of gelatin capsules, solution and classic tablets.

The active ingredient in this medication is loperamide. And although other medicines of this drug group have 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 in peristalsis, the time interval for the passage of intestinal contents increases. The active substance helps to increase the tone of the sphincter, as a result of which the feces are 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 flavor, so even children can easily take them.

Indications for appointment

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

allergic;
psychological;
medication;
beam.

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

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

Do not take antidiarrheals immediately for 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;
the first 3 months of pregnancy;
breastfeeding period.

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

Use in infectious diseases

Although the instructions for use say that the drug is not effective in diseases of the digestive tract of an infectious nature, doctors sometimes prescribe imodium in the treatment of such pathologies.

With dysentery, salmonellosis or rotavirus, this medication is most often prescribed not from the first day of the disease, but already in the process of recovery. As part of complex therapy, Imodium contributes to:

restoration of normal motor skills;
an increase in the time spent by feces in the intestines, due to which the absorption of nutrients improves;
a decrease in the tone of the anus, due to which the urge to the bottom occurs less frequently.

If there is a suspicion of an infectious bowel disease, you should not start taking an antidiarrheal drug from the first day of illness. There will be no effect, on the contrary, toxic substances will linger 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 absorbed in the oral cavity.

With severe diarrhea, adults are prescribed 4 mg of the drug, after which they drink 2 mg after each liquid stool. We must not forget that the maximum allowable daily dose should not be more than 16 mg.

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

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

With loose stools in children older than 5 years, the drug is prescribed in a starting dose of 2 mg, after which the same amount of the drug is given after each act of defecation. 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 exceed 120 drops in 4 doses.

With diarrhea that occurs in a chronic form, children from 5 years of age are prescribed 30 drops per day.. Babies from 2 to 5 years old are prescribed 5 ml of solution for every 10 kg of weight, which is 1 measured container. Usually this dose is given up to 3 times a day. In the event that the urge to the bottom does not occur within 12 hours or the feces have become formalized, the drug is canceled.

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

Side effects

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

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

When resorption of mint tablets, burning and itching of the tongue can be observed.. Side effects do not occur in all patients who take Imodium, but only in a small percentage. But with the appearance of any health disorders, the drug is urgently canceled and the doctor is consulted for a treatment adjustment.

Overdose and its treatment

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

If a person is self-medicating and does not know how much medicine to drink.
If the child found the left pills and mistook them for sweets.
If a person is trying to get rid of diarrhea faster and deliberately overestimates the prescribed dose.

In the event that too much medication has been taken, intoxication of the whole organism occurs, which is manifested by such symptoms:

coordination of movements is disturbed, a person falls into a stupor;
there is abnormal drowsiness and weakness in the muscles;
blood pressure rises;
respiratory depression occurs.

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

Treatment of an overdose is reduced to gastric lavage, the use of adsorbents and the introduction of an antidote.. The antidote to imodium is naloxone, which is administered at the first signs 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-introduce it after some time.

Patients after an overdose need constant monitoring, as late complications may develop.

If a child is poisoned with an antidiarrheal drug, they urgently call an ambulance or take the baby to the hospital on their own. Children have weak immunity and internal organs are not fully formed, so the consequences of an overdose of medication can be unpredictable.

Application features

In order for Imodium treatment to be as effective as possible, certain recommendations should be followed:

If after two days of taking an antidiarrheal drug there is no improvement, you need to consult a doctor for a clarification of the diagnosis. It is necessary to pass a series of tests to determine if an infection is the cause of diarrhea.
For young children under the age of 5 years, it is not advisable to prescribe the medicine in capsules. In this case, it is better to prescribe a solution or lozenges.
If side effects occur in the form of constipation or severe bloating, drug treatment should be discontinued.
In those patients who suffer from chronic liver diseases, it is necessary to constantly monitor the functions of the central nervous system.
In the treatment of diarrhea, it is very important to organize a plentiful drinking regimen in order to replenish the lost fluid. In addition, it is shown to take a solution of rehydron or rice water to replenish electrolytes in the body.
When treating with imodium, care should be taken when working with precise mechanisms or driving a car. During this period, concentration and general reaction may be slightly reduced..

All medicines in the home first aid kit are regularly reviewed and expired medicines are thrown away.

Features of the use of drugs for diarrhea in children

Although all adults know that it is possible to start giving any medication to children only with the permission of a doctor, many parents self-medicate. It is absolutely impossible to do this, as there may be a significant deterioration in health. When treating children with Imodium, the following rules must be observed:

When calculating the dosage, the child must definitely pay the attention of the pediatrician to the exact weight and age of the small patient.
If the drug is prescribed in drops, then carefully measure the desired dose, and then dilute it in a teaspoon of water and only then give it to the child.
For younger children, if they refuse to drink the medicine, you can dilute the drops in a spoonful of juice or tea.
Lozenges can be given to children who have already reached the age of 5.

It must be remembered that All medicinal products should be kept out of the reach of small children.. Imodium tablets have a pleasant taste and smell, so they should not be left in a conspicuous place, in order to avoid poisoning. Toddlers may well mistake them for lollipops.

Interaction with other drugs

The effectiveness of imodium may be reduced if a person is taking cholestyramine at the same time.. If the antidiarrheal agent is taken together with trimoxazole or ritonavir, then the bioavailability of imodium increases. This is due to the inhibition of its metabolism during the initial passage through the liver cells.

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