LOPEDIUM 2 mg. 10 capsules

WHAT LOPEDIUM AND WHAT IT IS USED
Lopedium apply for the symptomatic treatment of disorders (diarrhea) when it is not possible causes of diarrhea can be treated directly. Prolonged use of Lopedium requires medical supervision.

2. BEFORE YOU TAKE LOPEDIUM
Do not take Lopedium
are allergic (hypersensitivity) to the active ingredient or any of the other ingredients of the product;
in conditions where you have to avoid delay of peristalsis and bowel function because of the risk of serious consequences. Such conditions are: feeling of swollen stomach, constipation, and intestinal obstruction;
in children under two years;
in a disorder accompanied by an elevated temperature and feces with impurities of blood and mucus (acute dysentery);
acute attack of ulcerative colitis (ulcerative inflammation of the colon);
at disorder obtained after administration of broad-spectrum antibiotics (pseudomembranous colitis);
diarrhea caused by certain intestinal bacteria.
Taking loperamidov hydrochloride should be discontinued as soon as they appear constipation, heaviness in the abdomen or development of bowel obstruction.

Take special care with Lopedium
In certain diseases or conditions Lopedium can be used only after consulting your doctor. This also applies if they are suffering from the abovementioned diseases.
If you suffer or have suffered from liver disease can take Lopedium only after medical advice, as you are likely metabolism of the product to be funny and signs of overdose relatively manifestation of toxicity of the central nervous system.
In disorder they may be lost large amounts of fluid and electrolytes and offsetting them is the most important therapeutic measure, in particular in children. Lopedium should not be given to children aged between 2 and 6 years without a doctor's prescription and supervision.
In acute diarrhea, if there is no improvement in 48 hours, Lopedium intake should be discontinued and seek medical advice.
AIDS patients who experience Lopedium against diarrhea should stop taking at the earliest onset of heaviness in the abdomen. There have been isolated reports of constipation with subsequent complications in AIDS patients.
Lopedium contains lactose. If you are informed that you have an intolerance to some sugars, consult your doctor before taking this product.

Taking other medicines
Though not reported clinical manifestations of interplay between Lopedium and following medication, it was found that simultaneous intake of them increases the concentration of Lopedium blood:
quinidine (for irregular heart rhythm, arrhythmia);
ritonavir (for infection with the HIV virus);
itraconazole and ketoconazole (for infections with fungi);
gemfibrozil (lowering blood lipid).
Concomitant use of Lopedium oral desmopressin (a synthetic analog of vasopressin hormone applied to the so-called. Diabetes insipidus) leads to an increased concentration of desmopressin in the blood.
Children and adults
Children under 2 years should not be treated with drugs containing loperamidov hydrochloride, which is Lopedium.
The dosage for children aged between two and six years should be tailored to their body weight. Lopedium capsule is not suitable for children in this age group due to the high content of active ingredient. To this end, there are other pharmaceutical forms to medical prescription.

Pregnancy and lactation
Lopedium intake during pregnancy is not recommended. Women who are pregnant or nursing should consult their doctor for appropriate treatment.

Driving and using machines
Diarrhea treated Lopedium may appear tiredness, dizziness or drowsiness. Therefore, caution is advised when driving or operating machinery.

3. HOW TO TAKE LOPEDIUM
It is recommended that the following dosage unless your doctor has prescribed Lopedium a different dosing regimen. Please follow those directions for use. Otherwise Lopedium will not work properly.
Adults and children aged 6-17 years
In acute disorders the initial dose is 2 capsules for adults (corresponding to 4 mg loperamidov hydrochloride) and 1 capsule (2 mg) for children, followed by one capsule (2 mg) after each subsequent stool with thin consistency.

In chronic diarrhea starting dose is 2 capsules (4 mg) for adults and 1 capsule (2 mg) daily for children, the initial dose is adjusted to reach a solid 1-2 stools per day, which is usually achieved with a maintenance dose of 1-6 capsules (2 mg 12 mg) per day. The maximum dose for acute and chronic diarrhea is 8 capsules Lopedium day for adults (corresponding to 16 mg loperamidov hydrochloride) and must not be exceeded. In children, the dosage should be adjusted according to body weight (3 capsules / 20 kg body weight), but should not exceed a maximum of 8 capsules a day.
Hard gelatin capsules are accepted without chewing, together with some liquid.

If you do not establish clinical improvement within 48 hours after initiation of treatment of acute diarrhea, Lopedium intake should be discontinued and seek medical advice.
Lopedium should not use more than four weeks without medical supervision.
When diarrhea should be taken to restore fluids and electrolytes the most important healing method, especially in children.

If you take more than the amount Lopedium
In the case of an overdose (including relative overdose due to abnormal liver function) may occur: suppression of the central nervous system (motor stiffness, coordination disorders, drowsiness, small pupils, increased muscle tone and respiratory depression), urinary retention and ileus . Children are more sensitive to the effects of the central nervous system as compared to adults.
If you experience symptoms of overdose, must at all costs be sought advice. Treatment is focused on controlling the symptoms of an overdose as a judgment can be applied existing antidote naloxone.
Note to Physician
The effect of loperamide is longer than that of naloxone, which requires repeated administration of naloxone. The patient should be closely monitored for at least 48 hours in order to detect the possible depression of the central Nernst system.
If it is necessary to remove the remnants of the active ingredient in the stomach, held gastric lavage.

If you have further questions, please ask your doctor or pharmacist.

4. POSSIBLE SIDE EFFECTS
Classification of adverse reactions frequency is as follows:
Very common: more than 1 of 10 treated patients;
Common: less than 1 in 10 but more than 1 out of 100 patients treated;
Uncommon: less than 1 in 100, but more than 1 per 1 000 treated patients;
Rare: less than 1 per 1 000, but more than 1 in 10 000 patients treated;
Very rare case 1 or less than 1 in 10 000 patients treated, including individual cases.
Frequent: headache, dizziness, nausea, constipation, intestinal gas.

Uncommon: somnolence, pain, burning and discomfort in the abdomen, vomiting, indigestion, dry mouth, rash.

Rare: hypersensitivity reactions such as skin rash, swelling particularly in the face and neck, anaphylactic shock, loss of consciousness, motor stiffness, reduced consciousness, disturbance in the coordination, hypertension, small pupils, intestinal obstruction, a feeling of heaviness in the abdominal area, urinary retention, fatigue.

If any of the side effects gets serious, or you notice other effects not listed in this leaflet, please tell your doctor or pharmacist.

5. HOW TO STORE LOPEDIUM
Keep out of reach of children.
Keep in the carton, dry place.
Do not use Lopedium after the expiry date stated on the packaging.

6. FURTHER INFORMATION
What Lopedium
The active substance is loperamidov hydrochloride. Each hard gelatin capsule contains 2 mg loperamidov hydrochloride.

The other ingredients are gelatin, lactose monohydrate, magnesium stearate (Ph.Eur.), Corn starch, talc, colorants - iron oxide (E 172), patent blue (E131) and titanium dioxide (E171).

Tip for diabetics:
1 hard gelatin capsule contains 0.01 carbohydrate units.

Lopedium looks like and contents of the pack
Original packages containing 10 hard gelatin capsules

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