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Operational Medicine 2001
Loperamide (Imodium)

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Category:

  • Miscellaneous

Description:

  • Antidiarrheal

Indications:

  • Diarrhea (acute non-specific)

  • Chronic diarrhea (inflammatory bowel disease)

  • Reduction of volume from ileostomy

  • Traveler’s diarrhea

Contraindications:

  • Acute diarrhea due to invasive organisms (enteroinvasive E. coli, Salmonella, Shigella) or pseudomembranous colitis

Precautions:

  • Pregnancy category B: unknown if excreted in breast milk; compatible with breast feeding

  • Liver disease, dehydration

  • Severe ulcerative colitis (toxic megacolon)

  • Children (greater variability in response)

Adverse Reactions (Side Effects):

  • CNS: fatigue, fever, dizziness, drowsiness

  • GI: abdominal pain, anorexia, constipation, dry mouth, nausea, toxic megacolon, vomiting

  • RESP: respiratory depression

  • SKIN: rash

 

Dosage:

Administered orally (capsule, liquid)

  • Adult:   PO 4mg, then 2mg after each loose stool, max 16mg daily; maintenance for chronic diarrhea usually 4-8mg daily

  • Child:   <2 years not recommended; 13-20 kg PO 2mg 2 times daily on day 1, then 0.1 mg/kg after each loose stool; >30 kg PO 2mg 3 times daily on day 1, then 0.1 mg/kg after each loose stool

 

 

 

Approved for public release; Distribution is unlimited.

The listing of any non-Federal product in this CD is not an endorsement of the product itself, but simply an acknowledgement of the source. 

Operational Medicine 2001

Health Care in Military Settings

Bureau of Medicine and Surgery
Department of the Navy
2300 E Street NW
Washington, D.C
20372-5300

Operational Medicine
 Health Care in Military Settings
CAPT Michael John Hughey, MC, USNR
NAVMED P-5139
  January 1, 2001

 United States Special Operations Command
7701 Tampa Point Blvd.
MacDill AFB, Florida
33621-5323

*This web version is provided by The Brookside Associates Medical Education Division.  It contains original contents from the official US Navy NAVMED P-5139, but has been reformatted for web access and includes advertising and links that were not present in the original version. This web version has not been approved by the Department of the Navy or the Department of Defense. The presence of any advertising on these pages does not constitute an endorsement of that product or service by either the US Department of Defense or the Brookside Associates. The Brookside Associates is a private organization, not affiliated with the United States Department of Defense.

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