Imodium also known as Loperamide
Imodium belongs to the family of medications called antidiarrheals, along with rehydration therapy (fluids and electrolytes), is used to treat short bouts of diarrhea that are not caused by bacterial infection.
Imodium is used to treat sudden diarrhea for instance can be very helpful when someone feels diarrhea during travelling. It slows down the movement of the gut by decreases the number of bowel movements and makes the stool less watery. It is also used to treat frequently diarrhea in people with inflammatory bowel disease (IBD) which is a group of intestinal disorders that cause prolonged inflammation of the digestive tract.
Forms of this medication:
Imodium can be in a form of tablet, capsule, Quick Dissolve Tablets, Liqui-Gels and liquid to take by mouth. It’s available with or without a prescription. Suggested by internet source https://www.webmd.com/drugs/2/drug-3730-3025/imodium-a-d-oral/loperamide-liquid-oral/details
Capsule / tablet
Each capsule-shaped tablet embossed “Imodium A-D” on one side and “2 mg” on the other side, contains Imodium HCl 2 mg. Nonmedicinal ingredients: cellulose, colloidal silicon dioxide, D&C Yellow No. 10, dibasic calcium phosphate, FD&C Blue No. 1, and magnesium stearate.
Quick Dissolve Tablets
Each white, circular tablet contains loperamide HCl 2 mg. Nonmedicinal ingredients: aspartame, flavour, gelatin, mannitol, and sodium bicarbonate. This medication contains phenylalanine. It does not contain bisulfites, gluten, lactose, or tartrazine.
Each with a mint odour contains loperamide HCl 2 mg. Nonmedicinal ingredients: carboxymethylcellulose sodium, cellulose, citric acid, D&C Yellow No. 10, dimethyl siloxane, FD&C Blue No. 1, flavour, glycerin, methylcellulose, propylene glycol, purified water, simethicone, sodium benzoate, sorbic acid, sucralose, titanium dioxide, and xanthan gum.
Each liquid filled, clear blue colored, oval-shaped, non-printed capsule contains loperamide hydrochloride 2 mg. Nonmedicinal ingredients: FD&C Blue No. 1, gelatin, glycerol, propylene glycol, propylene glycol monocaprylate, soya lecithin, triglycerides and water.
Direction to use:
Adults should not use more than 8 milligrams (mg) in a 24-hour period if self-treating or 16 mg if under a doctor’s supervision.
If you are taking the chewable tablet form of Imodium, you should take it on an empty stomach. The tablets should be chewed completely before swallowing.
If you are taking the dissolving tablets, you should dry your hands before opening the pack to remove a tablet. Place the tablet on the tongue and allow it to dissolve completely, and then swallow.
Do not crush, split, or break the tablet. Do not remove the tablet from the pack until right before taking it. You do not need to take water with this form of the medication.
If you are taking the oral suspension (liquid) form of Imodium, shake it well before you measure a dose. You should measure the liquid with a special dose measuring spoon or medicine cup.
Imodium A-D Liquid and New Imodium A-D Liquid contain two different strengths of the medication. If you switch from using one brand to the other, you should follow the dosing instructions carefully.
Imodium A-D Liquid also contains a small amount of alcohol.
Dosage is based on the patient condition and response to treatment. In children, dosage is also based on age and weight. Also is highly advised to follow the dosage of Imodium exactly as directed on the packaging or by your doctor.
- For children from 12 years old and adults who have acute or chronic diarrhea.
The recommended dose of Imodium is a starting dose of 4 mg, followed by a 2 mg dose after each loose bowel movement (or bout of diarrhea). Do not exceed 16 mg per day. For chronic diarrhea, once the optimal daily dose has been established, this dose can be given as a single daily dose or in divided doses.
Regular tablets should be taken with liquids. The quick-dissolve tablets can be taken without liquids. Imodium tablets are not suitable for children under the age of 6 years old.
- For children from 6 to 12 years of age (10 kg to 20 kg)
Can use this medication for acute or chronic diarrhea if recommended by a doctor. For children 6 to 8 years old (or weighing 20 kg to 30 kg) the recommended dose for the first day is 2 mg twice daily. For children 8 to 12 years of age who weigh over 30 kg, the recommended dose for the first day is 2 mg 3 times daily. If the diarrhea continues, then the medication is given only after a loose bowel movement, and the amount to be given depends on the weight of the child. Contact your doctor or pharmacist for the recommended amount.
Imodium should not be used by or given to anyone who:
- is allergic to Imodium or any ingredients of the medication
- is under the age of 2 years
- has acute dysentery (characterized by blood in the stool and fever)
- has acute ulcerative colitis
- has diarrhea caused by certain bacteria (e.g., salmonella, shigella and campylobacter)
- has pseudomembranous colitis (severe antibiotic-associated diarrhea)
- should avoid being constipated
- should not have the movement of the of intestines slowed (e.g. ileus, toxic megacolon)
Side effects of Imodium:
Most of medications can cause different side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent.
The side effects below has been experienced and reported by at least1% of people using this medication. Many of these side effects can be managed, and some may go away on their own over time.
- burning or prickly sensation on the tongue (quick-dissolve tablets)
- dry mouth
- nausea or vomiting
A patient is advised to contact a doctor if experience these side effects above for further medication care. https://www.everydayhealth.com/drugs/loperamide
Here are some of the symptoms that don’t happen very often but can cause serious problems if a patient will not seek medical attention;
Contact a doctor as soon as possible if any of the following side effects occur:
- abdominal or stomach pain, cramps, discomfort, or distention
It’s highly recommended to seek immediate medical attention and stop taking the medication if any of the following Symptoms of a severe allergic reaction occurs:
- difficulty breathing
- peeling or blistering skin
- swelling of the mouth or throat
Precautions or warnings for this medication:
Based on different sources of information below are some precautions a patient must consider before using this medication in order to avoid serious problems that may have caused;
- Drowsiness or dizziness: Imodium may cause drowsiness or dizziness. Do not drive or operate machinery until you know how Imodium affects you.
- Acquired immune deficiency syndrome (AIDS): People with AIDS should stop taking Imodium and contact their doctor if they experience abdominal swelling or distention.
- Constipation: If you develop constipation, stop taking this medication and contact your doctor.
- Liver disease: People with liver disease should be monitored carefully by their doctor while taking this medication.
- Pregnancy: This medication should not be used during pregnancy, if you become pregnant while taking this medication, contact your doctor immediately.
- Breast-feeding: This medication passes into breast milk. If you are a breast-feeding mother and are taking Imodium it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.
- Fluids and electrolytes: The loss of fluids and electrolytes (e.g., chloride, sodium) can occur if you have diarrhea. Imodium helps with the symptoms of diarrhea but will not correct any fluid or electrolyte problems caused by diarrhea. Talk to your doctor or pharmacist about whether you need fluid and electrolyte replacement.
- Improvement in diarrhea: If your diarrhea has not improved after 48 hours of treatment with Imodium, stop taking it and contact your doctor.
- Medical conditions: Imodium should not be used by people with intestinal infections such as dysentery, which is often associated with severe diarrhea, fever, and blood in the stool, and other infections of the gut. A more serious problem of the bowel may develop if Imodium is used by some people with a serious form of diarrhea associated with antibiotic use.
- Children: This medication is not recommended for use in children under the age of 12 except on the advice of a physician also should not be given to children under 6 years of age without medical prescription and supervision. Imodium tablets are not suitable for children under 6 years of age. Imodium should not be used for children under 2 years of age.
THE USES OF IMODIUM IN KILIMANJARO CLIMB:
As describe above that Imodium is most useful for sudden diarrhea such as that can happen when someone travelling (referred as Traveler’s diarrhea).
Note; Traveler’s diarrhea is a digestive tract disorder that commonly causes loose stools and abdominal cramps. It’s caused by eating contaminated food or drinking contaminated water. Traveler’s diarrhea usually isn’t serious it’s just unpleasant.
Also when you visit a place where the climate or sanitary practices are different from yours at home, you have an increased risk of developing traveler’s diarrhea.
It’s highly recommended to use Imodium in Kilimanjaro climb and whenever you feel the following symptoms immediately inform your guide so that he/she will assist you on the use of Imodium.
The typical symptoms of traveler’s diarrhea include:
- Sudden diarrhea
- Nausea and vomiting
- Urgent need to have a bowel movement
- Malaise (weakness or discomfort)
- Explosive and painful gas
- Loss of appetite
Kilimanjaro guides are trained in acute mountain sickness (AMS) and basic mountain first aid. However they are not doctors can notice the symptoms very quickly and assist with the first aid.
Most of the tour companies offer First Aid Kit including medications but climbers are advised to bring their first aid kit or medications.