Imodium Capsule 4'S

Introduction About IMODIUM CAPSULE

IMODIUM CAPSULE contains Loperamide which belongs to the group of medicines
called Antidiarrheals. It is used to manage acute attacks of diarrhea (in adults
and children over 12 years of age) and acute episodes of diarrhea associated
with irritable bowel syndrome (group of symptoms that affects the digestive
system such as abdominal cramps, gas, bloating and diarrhea) (in adults aged 18
years and over).

Before taking IMODIUM CAPSULE, inform your doctor if you have liver disease,
acquired immunodeficiency syndrome (AIDS), low body fluids and salts (due to
diarrhea), intolerance to certain sugars and if you have a history of
intolerance to certain sugars such as lactose.

IMODIUM CAPSULE is not recommended for use in pregnant and breast-feeding women.
It is not recommended for use in children (less than 12 years of age) and it
should be used with with caution in children (above 12 years of age) for
short-term diarrhea.

IMODIUM CAPSULE should be used with caution in elderly patients with severe
diarrhea (due to increased risk of low body fluids and salts), consult your
doctor before taking this medicine. The most common side effects of taking
IMODIUM CAPSULE are headache, constipation, flatulence and nausea. Consult your
doctor immediately if any of the side effects worsen.

Uses Of IMODIUM CAPSULE

• To manage acute attacks of diarrhea (in adults and children over 12 years of age)
• Manage acute episodes of diarrhea associated with irritable bowel syndrome (in adults aged 18 years and over)

How IMODIUM CAPSULE Works

IMODIUM CAPSULE acts by decreasing the muscle contraction and fluid secretion,
resulting in longer stomach and intestinal transit time and increased absor
of fluids and electrolytes from the gastrointestinal tract. Thus, helps to
manage diarrhoea by slowing down the overactive bowel.

How to use IMODIUM CAPSULE

Take IMODIUM CAPSULE as advised by your doctor. Swallow the medicine with a
glass of water. Do not crush or chew the medicine. Your doctor will decide the
correct dose and duration for you depending upon your age, body weight and
disease condition.

Side Effects Of IMODIUM CAPSULE

Common

• constipation
• nausea
• flatulence
• headache

Uncommon

• dizziness, drowsiness
• stomach pain or discomfort
• dry mouth
• vomiting
• indigestion
• rash

Rare

• abnormal increase in muscle tension
• smaller pupils
• bloated tummy, tiredness
• severe itching
• skin rashes with the formation of wheals

Stop taking IMODIUM CAPSULE and contact your doctor immediately if you
experience any of the following side effects:

• bloated tummy which may be due to enlargement of the large intestine, which may cause constipation, bloating and tenderness of the stomach or fever (megacolon or toxic megacolon)
• allergic reaction which causes swelling of the face, throat or tongue, difficulty in breathing or dizziness
• severe skin, mouth, eyes and genital blisters (Steven-Johnson's Syndrome or toxic epidermal necrolysis)
• fever, ill feeling, itching, joint pain, multiple skin lesions (erythema multiforme)
• swelling of the deeper skin layers caused by a building up of fluid (angioedema)
• decreased level of consciousness or loss of consciousness (passing out, feeling faint or less alert)
• difficulties in co-ordinating movement
• difficulties in passing urine
• severe constipation, blockage of the bowl

How To Manage Side Effects

!### Constipation

Eat plenty of fiber rich foods such as fresh fruits, vegetables, and cereals and
drink plenty of water. Exercise more regularly. If the symptom does not improve,
consult your doctor.

!### Dry Mouth

Sip water regularly and other sugar free liquids. Do not use mouthwashes that
contain alcohol because they can make your mouth dry, use mouthwash that is used
only for dry mouth. Limit your caffeine intake. Avoid smoking or using tobacco
products. Consult your doctor if the symptom does not improve.

Headache

Drink ample amount of water and avoid skipping meals. Get adequate rest. Try to
be relaxed and stress free. Apply pain relieving balm on your forehead if
necessary. Consult your doctor if the symptom does not improve.

!### Nausea And Vomiting

Stick to simple meals while taking this medicine. Avoid eating oily rich, fried
or spicy foods. Do not lie down or sleep immediately after eating. Consult your
doctor if the symptom does not improve.

!### Stomach Pain

Try to take rest and relax. Eat and drink slowly or try to have smaller and
frequent meals. Keep a heat pad on your stomach. If the symptom does not
improve, consult your doctor.

Warning & Precautions

!### Pregnancy

ContraindicatedIMODIUM CAPSULE is not recommended for use in pregnant women. Consult with your
doctor before taking IMODIUM CAPSULE if you are pregnant or planning to have a
baby.

!### Breastfeeding

ContraindicatedIMODIUM CAPSULE is not recommended for use in breast feeding women as small
amount of this medicine may pass into the breast milk. Consult your doctor
before taking IMODIUM CAPSULE.

!### Driving and Using Machines

Use with CautionDo not drive or use machines while taking IMODIUM CAPSULE as it may cause
dizziness, tiredness, drowsiness, reduced alertness, fainting or passing out.
Consult your doctor before taking IMODIUM CAPSULE.

!### Liver

Use with CautionIMODIUM CAPSULE should be used with caution in patients with liver disease.
Consult your doctor before taking IMODIUM CAPSULE.

!### Allergy

ContraindicatedDo not take IMODIUM CAPSULE if you are allergic to loperamide or any other
ingredients of this medicine.

!### Use In Pediatrics

Consult your doctorIMODIUM CAPSULE is not recommended for use in children (less than 12 years of
age). It is used with caution in children (above 12 years of age) for short-term
diarrhea. Consult child’s doctor for advice.

!### Use In Geriatrics

Use with CautionIMODIUM CAPSULE should be used with caution in elderly patients with severe
diarrhea (due to increased risk of low body fluids and salts). Consult your
doctor before taking IMODIUM CAPSULE.

Others

IMODIUM CAPSULE is not recommended for use if you have:

• flare-up of ulcerative colitis (inflammatory bowel disease) which leads to abdominal pain, bloody diarrhoea, fever and weight loss.
• severe diarrhoea after taking antibiotics (accomp
• constipation, bowel blockage or stomach bloating
• bacterial infection of the small intestine and colon (caused by bacteria such as salmonella, shigella and campylobacter)
• inflammation of the colon after taking antibiotics (associated with watery or bloody diarrhoea)
• acute (short-lived) dysentery, the symptoms include blood in your stools and high temperature

Before taking IMODIUM CAPSULE, inform your doctor if you have:

• acquired immunodeficiency syndrome (AIDS)
• low body fluids and salts (due to diarrhea)
• intolerance to certain sugars
• history of drug abuse
• loss of appetite or weight loss
• difficulty or pain in passing urine
• fever or recently passed blood from the bowel

Interactions

A. Drug-drug interactions:

Before taking IMODIUM CAPSULE, inform your doctor if you are taking any of the
following medicines:

• gemfibrozil (used to manage high cholesterol levels)
• quinidine (used to manage abnormal heart rhythm)
• ritonavir (used to manage HIV infection)
• itraconazole, ketoconazole (used to manage fungal infections)
• oral desmopressin (used in the management of diabetes insipidus)
• other antidiarrheal preparations such as bismuth subsalicylate (used to manage diarrhea)

Over dosage:

If you or anyone else accidentally take too much of IMODIUM CAPSULE, consult
your doctor immediately or visit the nearby hospital. Symptoms of overdose
includes, increased heart rate, irregular heartbeat, muscle stiffness,
uncoordinated movements, drowsiness, difficulty urinating or weak breathing.

Synopsis

Drug	:	Loperamide
Pharmacological Category	:	Antidiarrheals
Therapeutic Indication	:	Diarrhoea
Dosage Forms	:	Tablet, Capsule

More Information

• Keep IMODIUM CAPSULE out of reach of children
• Store IMODIUM CAPSULE at room temperature

FAQs About IMODIUM CAPSULE

Q: What isIMODIUM CAPSULE used for?

A: IMODIUM CAPSULE is used to manage acute attacks of diarrhea (in adults and
children over 12 years of age) and acute episodes of diarrhea associated with
irritable bowel syndrome (group of symptoms that affects the digestive system
such as abdominal cramps, gas, bloating, diarrhea) (in adults aged 18 years and
over).

Q: What are the common side effects of IMODIUM CAPSULE?

A: The most common side effects of taking IMODIUM CAPSULE are headache,
constipation, flatulence and nausea. Consult your doctor immediately if any of
the side effects worsen

Q: Can IMODIUM CAPSULE be used in breast-feeding women?

A: IMODIUM CAPSULE is not recommended for use in breast feeding women as small
amount of this medicine may pass into the breast milk. Consult your doctor
before taking IMODIUM CAPSULE.

Q: Can I drive or operate machines after taking IMODIUM CAPSULE?

A: Do not drive or use machines while taking IMODIUM CAPSULE as it may cause
dizziness, tiredness, drowsiness, reduced alertness, fainting or passing out.
Consult your doctor for advice before taking IMODIUM CAPSULE.

Q: Is IMODIUM CAPSULE safe to use in elderly patients?

A: IMODIUM CAPSULE should be used with caution in elderly patients with severe
diarrhea (due to increased risk of low body fluids and salts). Consult your
doctor before taking IMODIUM CAPSULE.

Useful Diagnostic Tests

• Stool culture
• Complete blood count