Loperamide drug data and news

Loperamide drug data, resources, and news articles (when available). Onconews.org provides news on cancer research. This section, which includes profiles on medicines that may or not be cancer-related is in beta form. If things run smoothly we will be releasing a new format late in the summer of 2006.

Generic name Loperamide
Brand Names/Synonyms Apo-Loperamide; Diarr-Eze; Diarrhea Control; Ii; Imodium; Imodium a-D; Imodium a-D Caplets; Ioperamide; Kaopectate Ii; Loperacap; Loperamida [Inn-Spanish]; Loperamide; Loperamide Hcl; Loperamidum [Inn-Latin]; Maalox Anti-Diarrheal; Nu-Loperamide; Pepto Diarrhea Control; Pms-Loperamide; Rho-Loperamide
Indication For the control and symptomatic relief of acute nonspecific diarrhea and of chronic diarrhea associated with inflammatory bowel disease. Loperamide hydrochloride is also indicated for reducing the volume of discharge from ileostomies.
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Description Not Available
Pharmacology Loperamide is a synthetic anti-diarrheal indicated for the control and symptomatic relief of acute nonspecific diarrhea and of chronic diarrhea associated with inflammatory bowel disease. Loperamide is also indicated for reducing the volume of discharge from ileostomies. In man, Loperamide prolongs the transit time of the intestinal contents. It reduces the daily fecal volume, increases the viscosity and bulk density, and diminishes the loss of fluid and electrolytes. Tolerance to the antidiarrheal effect has not been observed. Loperamide is an opioid receptor agonist and acts on the mu opioid receptors in the myenteric plexus large intestines; it does not affect the central nervous system like other opioids. It works specifically by decreasing the activity of the myenteric plexus which decreases the motility of the circular and longitudinal smooth muscles of the intestinal wall. This increases the amount of time substances stay in the intestine, allowing for more water to be absorbed out of the fecal matter. Loperamide also decreases colonic mass movements and suppresses the gastrocolic reflex
Mechanism Of Action in vitro and animal studies show that Loperamide acts by slowing intestinal motility and by affecting water and electrolyte movement through the bowel. Loperamide inhibits peristaltic activity by a direct effect on the circular and longitudinal muscles of the intestinal wall. It is a non-selective calcium channel blocker and binds to opioid mu-receptors. Evidence also suggests that at higher concentrations it binds to NMDA receptors and to calmodulin
Loperamide News
(When available)

Diarrhea: Cancer-related causes and how to cope  Mar 2, 2006
Loperamide (Imodium AD) causes fewer side effects than other opioids do, making it a common treatment choice. Anti-secretory agents. ... - MayoClinic.com

WV's 480 botika ng barangay sell cheaper medicines  Feb 21, 2006
The medicines sold at the Botika Ng Barangay are: amoxicillin, cotrimoxasole, paracetamol, mefenamic acid, loperamide, ketoconazole cream and povidone iodine. ... - News Today Online,

From the analyst's couch: The IBS market  Feb 15, 2006
Failing that, fibre supplements and osmotic laxatives are prescribed for IBS-c and antidiarrhoeal agents such as loperamide for IBS-d. The pain associated with ... - Nature.com (subscription),

E. Coli Defense Mechanism May Provide Key to Disrupting Bacteria ...  Jan 16, 2006
Affected individuals can take anti-diarrheal medications, such as loperamide, to alleviate symptoms and drink plenty of fluids in order to maintain hydration. ... - Newsinferno.com,

A 2-Week-On, 2-Week-Off Schedule Appears Optimal for BIBW 2992 in ...  Nov 21, 2005
...agent BIBW 2992 at a dose of 70 mg appears safe in patients with solid tumors and the adverse effects can be easily controlled with loperamide and minocycline ... - DG News

HUGIN NEWS/Actelion and UCB enter into assignment and license ...  Nov 16, 2005
GI tolerability improves over time on treatment and is helped by diet modification, taking Zavesca away from meals and/or use of loperamide. ... - Frankfurter Allgemeine Zeitung,

Why do they call this stuff chili if it’s so darn hot?  Nov 9, 2005
...s our secret ingredient,� Kevin Shields of Clearwater’s own Uncle Billy’s Downwind Chili said, pointing to a bottle of loperamide hydrochloride anti ... - Tampa Bay Newspapers,

Azithromycin/Loperamide Comparable to Levofloxacin/Loperamide for ...  Oct 11, 2005
SAN FRANCISCO, CA -- October 11, 2005 -- Azithromycin and loperamide works as well as, but is slower to take effect than levofloxacin and loperamide for the ... - DG News

Desk diners in UK hits 12 million  Oct 11, 2005
Imodium contains loperamide, which works to restore normal bowel movement, leading to enhanced absorption of fluids and nutrients back into your body and more ... - Response Source (press release),

Botika sa Barangay sells cheap medicines to mountain barangays  Oct 1, 2005
Most of these medicines are Amoxicillin, Paracetamol, Nefenamic Acid, Contrimoxazole and Loperamide which are usually prescribed for common illnesses like fever ... - Philippine Information Agency,

Azithromycin/Loperamide Comparable to Levofloxacin/Loperamide for ...  11 Oct 2005
SAN FRANCISCO, CA -- October 11, 2005 -- Azithromycin and loperamide works as well as, but is slower to take effect than levofloxacin and loperamide for the ... - DG News

Desk diners in UK hits 12 million  11 Oct 2005
Imodium contains loperamide, which works to restore normal bowel movement, leading to enhanced absorption of fluids and nutrients back into your body and more ... - Response Source (press release),

Botika sa Barangay sells cheap medicines to mountain barangays  Oct 1, 2005
Most of these medicines are Amoxicillin, Paracetamol, Nefenamic Acid, Contrimoxazole and Loperamide which are usually prescribed for common illnesses like fever ... - Philippine Information Agency,

HEALTH WARNINGS FOR TRAVELERS'  Sep 13, 2005
Anti-motility agents such as loperamide and diphenoxylate and/or bismuth subsalicylate (Pepto-Bismol) can reduce bowel movement frequency. ... - One Bakersfield Online,

McNeil Consumer & Specialty Pharmaceuticals Statement Regarding ...  Sep 13, 2005
Other McNeil brands include IMODIUM(R) (loperamide HCI) AD Anti-Diarrheal, ST. JOSEPH(R) Adult Regimen Aspirin and NIZORAL(R) AD (ketoconazole) Shampoo. - PR Newswire (press release),

McNeil Consumer & Specialty Pharmaceuticals Statement Regarding ...  Sep 13, 2005
Other McNeil brands include IMODIUM® (loperamide HCI) AD Anti-Diarrheal, ST. JOSEPH® Adult Regimen Aspirin and NIZORAL® AD (ketoconazole) Shampoo. - Yahoo! News (press release)

Parents May Not Be Aware of FDA Guidelines for Treating Children ...  Sep 9, 2005
..."However, parents may not be aware that loperamide HCl, the active ingredient in Imodium AD for children ... The active ingredient is 1 mg of loperamide HCl/7.5mL. ... - PR Newswire (press release),

Parents May Not Be Aware of FDA Guidelines for Treating Children ...  08 Sep 2005
..."However, parents may not be aware that loperamide HCl, the active ingredient in Imodium AD for children ... The active ingredient is 1 mg of loperamide HCl/7.5mL. ... - PR Newswire (press release),

Clinical Trials Currently Recruiting Patients With Irritable Bowel ...  Aug 22, 2005
...the medications generally used to affect gut physiology or abdominal pain are antispasmodics, tricyclic antidepressants (TCAs), loperamide, Cholestyramine (for ... - Community Dispatch (press release)

STRONG MEDICINE NEEDED FOR OUT-OF-CONTROL IRRITABLE BOWEL SYNDROME  Aug 9, 2005
Dicyclomine can sometimes control the erratic intestinal muscle contractions of IBS. Loperamide, an anti-diarrhea medicine, can control loose stools. ... - Charlotte Sun-Herald, <**results**>

Data Shows That ADHD Patients on CONCERTA (Methylphenidate HCl) ...  Jun 28, 2005
Other McNeil brands include IMODIUM(R) (loperamide HCI) AD Anti-Diarrheal, ST. JOSEPH(R) Adult Regimen Aspirin and NIZORAL(R) AD (ketoconazole) Shampoo. - PharmaLive.com (press release)

Data Shows That ADHD Patients on CONCERTA(R) (Methylphenidate HCl) ...  Jun 28, 2005
Other McNeil brands include IMODIUM® (loperamide HCI) AD Anti-Diarrheal, ST. JOSEPH® Adult Regimen Aspirin and NIZORAL® AD (ketoconazole) Shampoo. - Yahoo News (press release)

Escherichia coli O157:H7 Frequently Asked Questions  Jun 13, 2005
...precipitate kidney complications. Antidiarrheal agents, such as loperamide (Imodium), should also be avoided. Hemolytic uremic syndrome ... - NBC 4.com,

Escherichia coli O157:H7 Frequently Asked Questions  Jun 13, 2005
...precipitate kidney complications. Antidiarrheal agents, such as loperamide (Imodium), should also be avoided. Hemolytic uremic syndrome ... - NBC 4.com,

Acetaminophen Provides Pain Relief Equal to Ibuprofen in Treatment ...  Jun 4, 2005
Other brands include IMODIUM® (loperamide HCI) AD Anti-Diarrheal, ST. JOSEPH® Adult Regimen Aspirin and NIZORAL® AD (ketoconazole) Shampoo. ... - Medical News Today,

New Study Shows Acetaminophen Provides Pain Relief Equal to ...  Jun 3, 2005
Other McNeil brands include IMODIUM(R) (loperamide HCI) AD Anti-Diarrheal, ST. JOSEPH(R) Adult Regimen Aspirin and NIZORAL(R) AD (ketoconazole) Shampoo. - PharmaLive.com (press release),

Munna Bhai MBBS and his magic cures  Apr 3, 2005
...salt and sugar (ORS) in the case of a baby with diarrhoea, seven out of 10 low competence doctors are likely to prescribe metronidazole, loperamide and furoxone ... - Indian Express

Some Basics about E. coli Infection  Apr 2, 2005
...precipitate kidney complications. Antidiarrheal agents, such as loperamide (Imodium), should also be avoided. Hemolytic uremic syndrome ... - foodconsumer,

Escherichia coli O157:H7 Frequently Asked Questions  Mar 1, 2005
...precipitate kidney complications. Antidiarrheal agents, such as loperamide (Imodium), should also be avoided. Hemolytic uremic syndrome ... - INDYchannel.com,

Postdural Puncture Headache with Abdominal Pain and Diarrhea  Feb 22, 2005
However, IBS could not be completely excluded. Loperamide and kaotin (kaolin and pectin) were prescribed, with minimal benefit. ... - Anesthesia & Analgesia (subscription),

Dealing with the Dreaded D-word?  Feb 22, 2005
It's one of the few products with loperamide, which slows the movements in the small intestine, allowing the body to begin to absorb the nutrients and water ... - Canada NewsWire (press release),

Dosage Forms TABLET; CAPSULE; LIQUID
Drug_Category Antidiarrheals; Antidiarrheals; ATC:A07DA03; ATC:A07DA05
Absorption Not well absorbed from gastrointestinal tract
Interactions Interactions for Loperamide:

There was no evidence in clinical trials of drug interactions with concurrent medications.

Toxicity Overdoses can cause bloating, nausea, vomiting, constipation, dehydration.
Organisms Affected Humans and other mammals
Chemical IUPAC Name 4-[4-(4-chlorophenyl)-4-hydroxy-1-piperidyl]-N,N-dimethyl-2,2-diphenyl-butanamide
Chemical Formula C29H33ClN2O2
Molecular Weight 477.037 g/mol
Smiles String CN(C)C(=O)C(CCN1CCC(CC1)(C2=CC=C(C=C2)Cl)O)(C3=CC=CC=C3)C4=CC=CC=C4
Melting Point 223 °C
Water Solubility Mostly insoluble
State Solid
LogP/Hphobicity 6.249
Isoelectric Point Not Available
Biotransformation Primarily hepatics
Half Life 10.8 hours (9.1-14.4 hours)
Protein Binding [%] 97%
RxList Link RXlist
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Drug Reference http://www.drugs.com/cons/Loperamide.html
http://www.rxlist.com/cgi/generic3/loperamide.htm
http://www.pdrhealth.com/drug_info/rxdrugprofiles/drugs/imo1206.shtml
Drug Type Approved Drug
Accession No APRD00275
CAS Registry Number 53179-11-6
KEGG Compound ID C07080
PubChem ID SID:9291
PharmGKB ID PA450262
SwissProt ID Not Available
GenBank ID Not Available
Drug ID Number [DIN] 2240415

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