What this medicine is for
This medicine contains Loperamide Hydrochloride, which belongs to a group of medicines called antidiarrhoeals, which help to relieve the symptoms of sudden, short-term diarrhoea (acute
diarrhoea). It works by making the stools (motions) more solid and less frequent.
It can be used for the relief of acute diarrhoea in adults and children aged 12 years and over.
It can also be used by adults of 18 years and over who have irritable bowel syndrome (IBS), which has been previously diagnosed by a doctor, to relieve short term diarrhoea associated with it.
Before you take this medicine
These capsules can be taken by adults and children from the age of 12 years. However, diarrhoea is a common symptom of a number of serious stomach and bowel conditions and therefore some people should not take this medicine or should seek the advice of their pharmacist or doctor first.
Do not take
• If you are allergic to loperamide or to any of the ingredients in this medicine (see “What is in this medicine”)
• If you are having a flare up of an inflammatory bowel condition, such as ulcerative colitis
• If you have very smelly stools, blood or pus in your stools, stomach pain or a fever
• If you have dysentery (a disease caused by eating and drinking contaminated food and water) – you may have a fever and blood in your stools
• If you have severe diarrhoea after taking antibiotics
• If you have a swollen stomach
• If you are constipated, or have any condition which may cause constipation or where constipation should be avoided
• If you have paralysis (non movement) of the bowel muscles, or an obstruction of the bowel
• If you have an intolerance to some sugars, unless your doctor tells you to (this medicine contains lactose)
• If you are pregnant or breastfeeding, unless your doctor tells you to
Talk to your pharmacist or doctor
• If you have liver problems
• If you have AIDS (you may be more likely to experience some of the side effects – if your stomach becomes swollen stop taking the capsules and talk to your doctor)
• If you have IBS but have not had this condition previously diagnosed by a doctor
If you have IBS, which has previously been diagnosed by a doctor, but you notice any of the following new symptoms:
– If you are 40 years or over and it is some time since your last attack of IBS, or if the symptoms are different this time
– If you have recently passed blood from the bowel
– If you have severe constipation
– If you are feeling sick or being sick
– If you have lost your appetite or lost weight, especially if losing weight without trying
– If you have difficulty or pain on passing urine
– If you have a fever
– If you have recently travelled abroad
Other important information
Diarrhoea is a common symptom of a number of serious conditions in the stomach and bowel.
If your diarrhoea lasts for a long time or keeps returning, talk to your doctor.
This medicine only treats the symptoms of diarrhoea and should not be taken for long periods of time.
Diarrhoea can cause the body to lose large amounts of fluids, which need replacing by drinking more fluid than usual.
When your body loses more fluid than normal, the amount of salts (electrolytes) in your body also changes and this can cause dehydration and electrolyte imbalance. This can be treated using a type of medicine called ‘oral rehydration treatment’, which helps to bring the fluid and salt levels back to normal. Your pharmacist may recommend that you take this rehydration treatment, especially if you are elderly.
Driving and using machines:
These capsules may cause dizziness, sleepiness or tiredness. If affected, you should not drive, operate machinery or take part in activities where such symptoms may put you or others at risk.
Information about some of the ingredients in this medicine:
The colour ponceau 4R (E124) in this medicine may cause allergic reactions.
If you take other medicines
Before you take these capsules, make sure that you tell your pharmacist about ANY other medicines you might be using at the same time, particularly the following:
• Ritonavir (used to treat HIV)
• Quinidine (for heart rhythm problems), gemfibrozil (for reducing blood fat levels)
• Itraconazole, ketoconazole (for fungal infections)
• Desmopressin (for treating excessive urination or bed wetting)
• Other medicines for diarrhoea, constipation, or for other stomach and bowel conditions
If you are unsure about interactions with any other medicines, talk to your pharmacist. This includes medicines prescribed by your doctor and medicine you have bought for yourself, including herbal and homeopathic remedies.
How to take this medicine
If the foil is broken, do not take that capsule.
|Age||What for||How many||How often|
|Adults and children of 12 years and over||Short term diarrhoea||Two capsules to start with. After that, take one capsule after each loose bowel movement.||Don’t take more than 6 capsules in any 24 hours. Don’t take for more than 24 hours.|
|Adults only (18 years and over)||Diarrhoea associated with irritable bowel syndrome, which has been diagnosed by a doctor||Two capsules to start with. After that, take one capsule as needed until stools become solid.||Don’t take more than 6 capsules in any 24 hours. Don’t take for more than 14 days.|
Swallow the capsules whole with water.
Do not give to children under 12 years.
Do not take more than the dose recommended in the table above.
Talk to your doctor if your short term diarrhoea lasts for more than 24 hours.
If you need to take this medicine for diarrhoea associated with IBS for more than 14 days, or if you notice new symptoms, or symptoms worsen, talk to your doctor.
If you take too many capsules
Talk to a doctor straight away. Take your medicine and this leaflet with you.
After you take this medicine
Most people can take this medicine without any problems but sometimes you may notice some side effects.
If you have any of the following serious side effects, stop taking the medicine and see a doctor straight away:
• Swelling of the face, neck, tongue, throat or difficulty breathing (severe allergic reactions)
Talk to your pharmacist if these other less serious side effects concern you:
Common side effects: (less than 1 in every 10 people are affected)
• Headache, dizziness
• Feeling sick, constipation, wind
Uncommon side effects: (less than 1 in every 100 people are affected)
• Dry mouth, being sick, indigestion, stomach discomfort, stomach or upper abdominal pain
• Feeling very sleepy or wanting to sleep
• Skin rash
Rare side effects: (less than 1 in every 1000 people are affected)
• Obstruction of the bowel, dilation of the bowel, paralysis (non movement) of the bowel muscles which may stop bowel movements
• Swelling of the stomach and abdomen
• Allergic skin reactions such as itchy, red, raised rash (which can sometimes be severe and include peeling, swelling, blistering and lesions of the skin)
• General feeling of tiredness, loss or decreased levels of consciousness, stimulation lack of coordination, lack of response to stimulation
• Difficulty focussing
• Difficulty passing urine, tensing of the muscles
If any problem becomes severe, or you notice other side effects not stated here, talk to your pharmacist or doctor.
Reporting of side effects:
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow
Card Scheme at: www.mhra.gov.uk/yellowcard By reporting side effects you can help provide more information on the safety of this medicine.
How to store this medicine
Do not store above 30°C
Store in the original package.
Keep this medicine out of the sight and reach of children.
Do not use after the Use By date on the end flap of the carton (marked ‘EXP’).