Loading…
LOPERAMIDE HYDROCHLORIDE is a brand name for Loperamide. The medicine, its uses, side effects and dosage are the same regardless of brand.
Used for: For the symptomatic treatment of acute diarrhoea, in adults and children aged 12 years and over. For the symptomatic treatment of acute episodes of diarrhoea associated with irritable bowel syndrome in adults aged 18 years and over following initial diagnosis by a doctor.
Verbatim from this product's MHRA label. Tap a section to expand.
Posology:
Acute Diarrhoea Adults and children over 12 years: 2 tablets (4 mg) initially followed by 1 tablet (2 mg) after every loose stool. The maximum daily dose should not exceed 6 tablets (12 mg). Symptomatic treatment of acute episodes of diarrhoea associated with irritable bowel syndrome in adults aged 18 years and over Two tablets (4 mg) to be taken initially, followed by 1 tablet (2 mg) after every loose stool, or as previously advised by your doctor.
The maximum daily dose should not exceed 6 tablets (12 mg). Paediatric population Contraindicated in children younger than 12 years of age Use in elderly No dose adjustment is required for the elderly. Renal impairment No dose adjustment is required for patients with renal impairment.
Hepatic impairment Although no pharmacokinetic data are available in patients with hepatic impairment, Imodium should be used with caution in such patients because of reduced first pass metabolism. (See
Adults and children aged ≥ 12 years The safety of loperamide HCl was evaluated in 2755 adults and children aged ≥ 12 years who participated in 26 controlled and uncontrolled clinical trials of loperamide HCl used for the treatment of acute diarrhoea.
e. 1%). Table 1 displays ADRs that have been reported with the use of loperamide HCl from either clinical trial (acute diarrhoea) or post-marketing experience. The frequency categories use the following convention: very common (≥1/10); common (≥1/100 to <1/10); uncommon (≥1/1,000 to <1/100); rare (≥1/10,000 to <1/1,000); and very rare (<1/10,000).
Table 1:
Adverse Drug Reactions IndicationSystem Organ Class Common Uncommon Rare Unknown Immune System Disorders Hypersensitivity reactiona Anaphylactic reaction (including Anaphylactic shock)a Anaphylactoid reactiona Nervous System Disorders Headache Dizziness Somnolencea Loss of consciousnessa Stupora Depressed level of consciousnessa Hypertoniaa Coordination abnormalitya Eye Disorders Miosisa Gastrointestinal Disorders Constipation Nausea Flatulence Abdominal pain Abdominal discomfort Dry mouth Abdominal pain upper Vomiting Dyspepsiaa Ileusa (including paralytic ileus) Megacolona (including toxic megacolonb ) Abdominal distension acute pancreatitis Skin and Subcutaneous Tissue Disorders Rash Bullous eruptiona (including Stevens-Johnson syndrome, Toxic epidermal necrolysis and Erythema multiforme) Angioedemaa Urticariaa Pruritusa Renal and Urinary Disorders Urinary retentiona General Disorders and Administration Site Conditions Fatiguea a) Inclusion of this term is based on post-marketing reports for loperamide HCl.
As the process for determining post marketing ADRs did not differentiate between chronic and acute indications or adults and children, the frequency is estimated from all clinical trials with loperamide HCl (acute and chronic), including trials in children ≤ 12 years (N=3683).
4 Special warnings and special precautions for use). Method of administration Oral use. The tablets should be taken with liquid. 3 Contraindications Loperamide HCl is contraindicated: • in patients with known hypersensitivity to loperamide HCl or to any of the excipients, • in children under 12 years of age,.
• in patients with acute dysentery, which is characterised by blood in stools and high fever, • in patients with acute ulcerative colitis, • in patients with bacterial enterocolitis caused by invasive organisms including Salmonella, Shigella, and Campylobacter, • in patients with pseudomembranous colitis associated with the use of broad- spectrum antibiotics.
Loperamide HCl should not be used when inhibition of peristalsis is to be avoided due to the possible risk of significant sequelae including ileus, megacolon and toxic megacolon. 4 Special Warnings and Special Precautions for Use Treatment of diarrhoea with loperamide HCl is only symptomatic.
Whenever an underlying aetiology can be determined, specific treatment should be given when appropriate. In patients with diarrhoea, especially in children, frail and elderly patients, fluid and electrolyte depletion may occur. In such cases administration of appropriate fluid and electrolyte replacement therapy is the most important measure.
Use of this medicine does not preclude the administration of appropriate fluid and electrolyte replacement therapy. In acute diarrhoea, if clinical improvement is not observed within 48 hours, the administration of loperamide HCl should be discontinued and patients should be advised to consult their doctor.
Persistent diarrhoea can be an indicator of potentially more serious conditions, and this medicine should not be used for prolonged periods until the underlying cause of the diarrhoea has been investigated. Patients with AIDS treated with loperamide HCl for diarrhoea should have therapy stopped at the earliest signs of abdominal distension.
Loperamide HCl is contraindicated: • in patients with known hypersensitivity to loperamide HCl or to any of the excipients, • in children under 12 years of age,. • in patients with acute dysentery, which is characterised by blood in stools and high fever, • in patients with acute ulcerative colitis, • in patients with bacterial enterocolitis caused by invasive organisms including Salmonella, Shigella, and Campylobacter, • in patients with pseudomembranous colitis associated with the use of broad- spectrum antibiotics.
Loperamide HCl should not be used when inhibition of peristalsis is to be avoided due to the possible risk of significant sequelae including ileus, megacolon and toxic megacolon. Loperamide HCl must be discontinued promptly when constipation, abdominal distension or ileus develop
Not medical advice. Always read the patient information leaflet and follow your prescriber or pharmacist.
Other brands of Loperamide in United Kingdom.
Know a brand we are missing in United Kingdom? Suggest a brand →
Brand names are compiled from public regulatory records for active-ingredient mapping only. Drugvu is not affiliated with any manufacturer. This is not medical advice.
4 Special Warnings and Special Precautions for use. Reporting of suspected adverse reactions Reporting suspected adverse reactions after authorisation of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product.
uk/yellowcard. The following adverse reaction(s) should be added under the SOC Gastrointestinal disorder with a frequency “not known”: acute pancreatitis
There have been isolated reports of obstipation with an increased risk for toxic megacolon in AIDS patients with infectious colitis from both viral and bacterial pathogens treated with loperamide HCl. Although no pharmacokinetic data are available in patients with hepatic impairment, loperamide HCl should be used with caution in such patients because of reduced first pass metabolism, as it may result in a relative overdose leading to CNS toxicity.
Patients with rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose-galactose malabsorption should not take this medicine because it contains lactose. If patients are taking this medicine to control episodes of diarrhoea associated with Irritable Bowel Syndrome previously diagnosed by their doctor, and clinical improvement is not observed within 48 hours, the administration of loperamide HCl should be discontinued and they should consult with their doctor.
Patients should also return to their doctor if the pattern of their symptoms changes or if the repeated episodes of diarrhoea continue for more than two weeks. Cardiac events including QT interval and QRS complex prolongation, torsade de pointes have been reported in association with overdose.
9). Overdose can unmask existing Brugada syndrome. Patients should not exceed the recommended dose and/or the recommended duration of treatment “Caution is needed in patients with a history of drug abuse. ” For acute episodes of diarrhoea associated with irritable bowel syndrome Special Warnings to be included in the leaflet: Only take loperamide HCl to treat acute episodes of diarrhoea associated with irritable bowel syndrome (IBS) if your doctor has previously diagnosed IBS.
• If any of the following now apply, do not use the product without first consulting your doctor, even if you know you have IBS: • If you are aged 40 years or over and it is some time since your last attack of IBS or the symptoms are different this time • If you have recently passed blood from the bowel • If you suffer from severe constipation • If you are feeling sick or vomiting • If you have lost your appetite or lost weight • If you have difficulty or pain passing urine • If you have a fever • If you have recently travelled abroad Consult your doctor if you develop new symptoms, or if your symptoms worsen, or if your symptoms have not improved over two weeks.