Loperamide Treatment Report

Category: Over the Counter Drugs

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What is Loperamide?

An example of Loperamide

Loperamide is an antidiarrheal drug used to treat chronic diarrhea associated with inflammatory bowel disease; acute nonspecific diarrhea; increased volume of ileostomy discharge, traveler’s diarrhea.

Reported Purpose & Perceived Effectiveness

Reasons and Perceived effectiveness
Perceived Effectiveness
Purpose # of patients # of patients with evaluations
Major
Moderate
Slight
None
Can’t tell
134 10 Efficacy_major Efficacy_moderate Efficacy_slight Efficacy_none
48 12 Efficacy_major Efficacy_moderate Efficacy_slight Efficacy_none
7 3 Efficacy_major Efficacy_moderate
4 1 Efficacy_major
3 1 Efficacy_major
2 0

See all 127 patients currently taking Loperamide

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Reported Side Effects

Side effects as an overall problem

Severe
3
Moderate
4
Mild
4
None
16

Commonly reported side effects, conditions, and hospitalizations associated with Loperamide

2
1
1
1
1
1
See all 7 reported side effects See top 6 reported side effects

Reported Dosages

Frequently reported dosages based on patients currently taking Loperamide. See all 19 dosages

  as needed 4 mg as needed 2mg as needed 2 2mg as needed 4 2mg as needed 2 mg daily 4 mg daily 6 mg daily 8 mg daily 12 mg daily
  1 Number of Patients: 1 1 Number of Patients: 1 57 Number of Patients: 57 22 Number of Patients: 22 4 Number of Patients: 4 17 Number of Patients: 17 11 Number of Patients: 11 3 Number of Patients: 3 2 Number of Patients: 2 2 Number of Patients: 2  

Reported Stop Reasons

Why Patients Stopped Taking Loperamide (multiple reasons could be selected)
Reason # Patients Percentage of patients
Other 32   Other: 37%
Course of treatment ended 24   Course of treatment ended: 28%
Did not seem to work 16   Did not seem to work: 19%
Side effects too severe 11   Side effects too severe: 13%
Doctor's advice 10   Doctor's advice: 12%
Not indicated 6   Not indicated: 7%
Personal research 3   Personal research: 3%
Expense 1   Expense: 1%

See all 80 patients who’ve stopped taking Loperamide

Currently Taking Loperamide

A bar graph

0-1 month 1-3 months 3-6 months 6 months-1year 1-2 years 2 years or more
0
0

Stopped Taking Loperamide

A bar graph

0-1 month 1-3 months 3-6 months 6 months-1year 1-2 years 2 years or more

Reported Adherence, Burden & Cost See details from patient evaluations

Adherence

Taking treatment as prescribed

Adherence of Loperamide

Always
15 56%
Usually
9 33%
Sometimes
2 7%
Never
1 4%

Burden

Difficulty being on treatment

Burden of Loperamide

Very
1 4%
Somewhat
3 11%
A little
4 15%
Not at all
19 70%

Cost

Paid out of pocket

Cost of Loperamide

$200+
0 0%
$100-199
0 0%
$50-99
0 0%
$25-49
0 0%
< $25
15 100%

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4 patient evaluations for Loperamide

Purpose: Diarrhea (Started Dec 10, 2006)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Aug 15, 2011 2 mg Daily Led_efficacy_4Led_efficacy_4Led_efficacy_4Led_efficacy_4Major NoneNoneNoneNoneNone UsuallyUsuallyUsuallyUsuallyUsually Not at allNot at allNot at allNot at allNot at all
Sep 30, 2010 2 mg Daily Led_efficacy_4Led_efficacy_4Led_efficacy_4Led_efficacy_4Major NoneNoneNoneNoneNone AlwaysAlwaysAlwaysAlwaysAlways SomewhatSomewhatSomewhatSomewhatSomewhat
Date
Aug 15, 2011
Advice & Tips
This stuff really works and you can eat anything, and work anywhere if you take it. I phased it out because the L-Glutamine powder seems to have rebalanced my digestive tract.
Cost
< $25 monthly
Date
Sep 30, 2010
Advice & Tips
This stuff really works. You can eat anything. Chili dogs? take an extra one. Work on an assembly line? Take one to work just in case.
Cost
< $25 monthly
  • Icon_thumb_off 0 helpful marks
  • jaydub26
    Data Quality: 1 star
    • Sex: Female
    • Age: 50y
    Condition: Inflammatory Breast Cancer 1 additional condition(s)
    Quality of Life:
    • Mental: None
    • Physical: Mild
    I am: Neutral
  • 32322-thumb
  • See jaydub26's full Loperamide history
Purpose: Treat side effects of another treatment (Started Aug 29, 2008)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Jan 13, 2011   Led_efficacy_4Led_efficacy_4Led_efficacy_4Led_efficacy_4Major MildMildMildMildMild UsuallyUsuallyUsuallyUsuallyUsually Not at allNot at allNot at allNot at allNot at all
Jan 13, 2009 As needed Led_efficacy_4Led_efficacy_4Led_efficacy_4Led_efficacy_4Major MildMildMildMildMild UsuallyUsuallyUsuallyUsuallyUsually Not at allNot at allNot at allNot at allNot at all
  • Icon_thumb_off 0 helpful marks
Purposes: Bowel problems and Other (Started Aug 28, 2000)
Date Dosage Bowel problems Perceived effectiveness Other Perceived effectiveness Side Effects Adherence Burden
Jan 08, 2010 2 mg Daily Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_defaultModerate NoneNoneNoneNoneNone AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Jul 01, 2009 2 mg Daily Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_defaultModerate NoneNoneNoneNoneNone AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Apr 11, 2009 2 mg Daily Led_efficacy_4Led_efficacy_4Led_efficacy_4Led_efficacy_4Major NoneNoneNoneNoneNone AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Sep 17, 2008 2 mg Daily Led_efficacy_4Led_efficacy_4Led_efficacy_4Led_efficacy_4Major NoneNoneNoneNoneNone AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Date
Sep 17, 2008
Advice & Tips
I have sensetive bowel sydrone and if I don't take the pills my system is easy to mess up, and other medication will have a effect on bowel movement.
Cost
< $25 monthly
  • Icon_thumb_off 0 helpful marks
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What is loperamide?

Loperamide slows the rhythm of digestion so that the small intestines have more time to absorb fluid and nutrients from the foods you eat.

Loperamide is used to treat diarrhea. Loperamide is also used to reduce the amount of stool in people who have an ileostomy (re-routing of the bowel through a surgical opening in the stomach).

Loperamide may also be used for other purposes not listed in this medication guide.


Precautions

Do not use this medication if you are allergic to loperamide, or if you have:

  • stools that are bloody, black, or tarry; or
  • if you have diarrhea that is caused by taking an antibiotic.

Before taking loperamide, tell your doctor if you are allergic to any drugs, or if you have:

  • a fever;
  • mucus in your stools;
  • a history of liver disease; or
  • if you are taking an antibiotic.

If you have any of these conditions, you may need a dose adjustment or special tests to safely take loperamide.

FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.

It is not known whether loperamide passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Do not give this medicine to a child younger than 2 years old without the advice of a doctor.

Loperamide can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

Avoid becoming overheated or dehydrated during exercise and in hot weather. Follow your doctor’s instructions about the type and amount of liquids you should drink.

Antibiotic medicines can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or has blood in it, call your doctor. Do not use loperamide to stop the diarrhea unless your doctor has told you to.

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Instructions

Seek emergency medical attention if you think you have used too much of this medicine.

Overdose symptoms may include dizziness, drowsiness, urinating less than usual, severe stomach cramps or bloating, and vomiting.

Since loperamide is usually taken as needed, you may not be on a dosing schedule. If you are taking the medication regularly, take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at your next regularly scheduled time. Do not take extra medicine to make up the missed dose.

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Side Effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Stop using this medication and call your doctor at once if you have any of these serious side effects:

  • stomach pain or bloating;
  • ongoing or worsening diarrhea;
  • diarrhea that is watery or bloody; or
  • fever, sore throat, and headache with a severe blistering, peeling, and red skin rash.

Less serious side effects may include:

  • dizziness;
  • drowsiness, tired feeling;
  • constipation;
  • mild stomach pain; or
  • mild skin rash or itching.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.

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Interactions

Before taking loperamide, tell your doctor if you are also taking saquinavir (Invirase).

There may be other drugs that can interact with loperamide. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Other Names

Diamode, Diar-Aid, Imodium, Imodium A-D, Imodium A-D EZ Chews, Imodium A-D New Formula, Imotil, Kao-Paverin, Kaopectate Caplet, Maalox Anti-Diarrheal, Pepto Diarrhea Control, and loperamide

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Disclaimer

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2004 Cerner Multum, Inc. Version 2.05. Revision date 8/23/04

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