OB-GYN 101
Pharmacy

Contents  ·  Introduction  ·  Learning Objectives  ·  Clinical Issues  ·  Procedures  ·  Library  ·  Pharmacy  ·  Lab  ·  Chest X-ray  ·  Ultrasound  ·  Videos  ·  Forms  ·  Progress Notes  ·  Facts Cards  ·  Students  ·  Search  ·  Feedback  ·  About Us

 

 

Loperamide (Imodium)

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

 

The information contained here is an abbreviated summary. For more detailed and complete information, consult the manufacturer's product information sheets or standard textbooks. Source: Operational Medicine 2001,  Health Care in Military Settings, NAVMED P-5139, May 1, 2001, Bureau of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C., 20372-5300

OB-GYN 101: Introductory Obstetrics & Gynecology
© 2003, 2004, 2005, 2008 Medical Education Division, Brookside Associates, Ltd.
All rights reserved

 

Advertise on this site