Monograph Details

Gastrointestinal Tract > Diarrhea
IMODIUM A-D CAPLETS
Manufacturer
McNeil Consumer & Specialty Pharmaceuticals
Legal Classification
OTC
Pharmacological Class
Opioid.
Generic Name
Loperamide 2mg.
Also
IMODIUM
IMODIUM A-D LIQUID
IMODIUM ADVANCED
Indications
Diarrhea.
Children
<2 yrs: not recommended. 24–47 lbs (2–5 yrs): 1mg up to 3 times daily for 2 days (use liq). 48–59 lbs (6–8 yrs): initially 2mg, then 1mg after each loose stool; max 4mg/day for 2 days. 60–95 lbs (9–11 yrs): initially 2mg, then 1mg after each loose stool; max 6mg/day for 2 days.
Adults
Acute: Initially 4mg, then 2mg after each loose stool; max 16mg/day. Stop after 48 hours if ineffective. Chronic: initially 4mg; maintenance 4–8mg/day. Reevaluate if no improvement after 10 days at 16mg/day.
Contraindications
If constipation must be avoided. Acute dysentery.
Precautions
Acute ulcerative colitis and antibiotic induced pseudomembranous colitis; discontinue if abdominal distention occurs. In dehydration, use fluid and electrolyte replacement. Hepatic dysfunction; monitor for CNS toxicity. Pregnancy (Cat.B). Nursing mothers.
Adverse Reactions
Abdominal pain, distention, constipation, dry mouth, nausea, drowsiness, dizziness, fatigue, rash.
How Supplied
Caps—30
A-D Caplets—6, 12, 18, 24
A-D Liq—2oz, 4oz
Advanced—6, 12, 18
Additional Resources
Related Prescribing Note