Imomed 2 mg. 10 tablets

What is Imomed and what it is used for
Imoded is an antidiarrheal medicine that is used for short-term symptomatic treatment of acute disorder or with ongoing (chronic) diarrhea.
It also applies in case of diarrhea after surgical removal of a part of the intestine.

2. What you need to know before taking Imomed
Do not take Imomed:

if you are allergic to the active substance or any of the other ingredients;
in conditions where obstruction of bowel peristalsis should be avoided due to the risk of serious consequences. Such conditions are: swollen stomach, constipation and intercourse;
in a disorder accompanied by fever and / or stools with mucus and blood impurity;
inflammatory bowel disorder (ulcerative colitis or pseudomembranous colitis after antibiotic treatment);
in a disorder caused by certain intestinal bacteria;
in children under 6 years of age.
Warnings and precautions
Imomed's should be discontinued immediately in the presence of constipation, weight in the abdomen and development of intestinal obstruction.
In a disorder, a significant amount of fluids and electrolytes are lost. You should compensate for this loss by taking a lot more fluids than you would normally take. This is especially true for children.
In acute diarrhea, if 48 hours of improvement is not achieved, the use of Imomed should be discontinued and you should seek medical attention.
In case of impaired hepatic function, tell your doctor. You may need a strict medical check-up with Imomed.
In patients with AIDS who are treated with Imomed, if signs of swelling and abdominal pain develop, they should immediately discontinue and return to the treating physician.

Use in children
Children under 6 years of age should not be treated with Imomed, due to the high content of loperamid hydrochloride.

Other drugs and Imomed
Tell your doctor if you are taking medicines that delay the peristalsis of the stomach and intestine, as these may increase the effect of Imamed.
Although no clinical manifestations of loperamide have been reported with the following drugs: quinidine (for the treatment of arrhythmia), itraconazole and ketoconazole (for the treatment of fungal infections), gemfibrozil (for lipid lowering in the blood), rotavir HIV infections), the blood levels of lomoperamide are increased by concomitant administration.
Concomitant administration of loperamide with oral desmopressin (for the treatment of diabetes mellitus) results in increased blood desmopressin concentration.

Pregnancy, breastfeeding and fertility
If you are pregnant or are breast-feeding, think you may be pregnant or plan to become pregnant, ask your doctor or pharmacist for advice before taking this medicine.

There is insufficient data on the use of the product in pregnant women, therefore Imomed should not be used during pregnancy.
It is recommended that Imamed is not taken during breast-feeding as small amounts pass into breast milk.
Women who are pregnant or breast-feeding should consult their physician for appropriate treatment.

Driving and using machines
Because diarrhea treated with Imomed can cause fatigue, dizziness or drowsiness, it is advisable to be careful when driving or using machines.

Imomed contains lactose. If you have been told by your doctor that you have an intolerance to some sugars, consult with your doctor before taking this product.

3. How to take Imomed
Always take Imomed as recommended in this leaflet.
If you are not sure, talk to your doctor or pharmacist.
Imomed can be administered at any time of the day.

Adults
In acute treatment, 2 tablets (4 mg looperamide hydrochloride) and then 1 tablet (2 mg) are administered at the beginning of treatment after each untreated but no more than 8 tablets (16 mg) per day.
If the stools are normalized or there are no more strokes for 24 hours, do not take more Imomed tablets.
In chronic diarrhea, the initial dose is adjusted to 1-2 hard discharges a day, which is achieved with 1 to 6 tablets (2 to 12 mg) per day.
Attention: Do not take more than 8 tablets in 24 hours!

Use in children and adolescents
For children, the dose should be based on body weight (3 tablets per 20 kg).

Children over 12 years old
For acute disorder, the starting dose is 1 tablet (2 mg looperamide hydrochloride), followed by one tablet (2 mg) after each untreated stroke. The daily dose of 4 tablets (8 mg) should not be exceeded.
For chronic diarrhea, 1 tablet is taken after each untreated but the daily dose should not exceed 4 tablets (8 mg).

Children from 9 to 12 years old
For acute disorder, the starting dose is 1 tablet (2 mg looperamide hydrochloride), followed by one tablet (2 mg) after each untreated stroke. The daily dose of 3 tablets (6 mg) should not be exceeded.
In chronic
Children from 6 to 8 years old
For acute diarrhea, 1 tablet (2 mg) after each unformed run. The daily dose should not exceed 3 tablets (6 mg).
For chronic diarrhea, 1 tablet (2 mg) is taken after each unformed run, but the daily dose should not exceed 2 tablets (4 mg).

The tablets are taken without chewing with enough fluid.
The duration of administration of Imomed in acute diarrhea is no more than 2 days. If the disorder lasts for more than 2 days, you should contact your doctor for advice.

If you take more than the necessary dose of Imomed
If you take more Imodem than you should, contact your doctor, especially if you experience any of the following symptoms: muscle stiffness, uncoordinated movements, drowsiness, difficulty urinating or weak breathing.
The reaction of children to high doses of Imomed is more pronounced than in adults. If the child has taken too much or has any of the symptoms mentioned, contact your doctor immediately.
If necessary gastric lavage is required.
As an antidote, the opioid antagonist naloxone may be administered under the supervision of a physician.

If you forget to take Imomed
Do not take a double dose to make up for the missed Imomed tablet.

4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everyone gets them.

The frequency of adverse reactions by frequency is as follows:

Very common: more than 1 in 10 patients treated;
Common: less than 1 in 10 but more than 1 in 100 treated patients;
Uncommon: Less than 1 in 100 but more than 1 in 1,000 treated patients
Rare: less than 1 in 1000 but more than 1 in 10,000 treated patients;
Very rare: less than 1 in 10,000 treated patients incl. individual cases.
Gastrointestinal disorders:

Common: constipation, flatulence (gas formation), nausea;
Uncommon: abdominal cramps, dry mouth, abdominal discomfort, vomiting, dyspepsia (indigestion);
Very rare: intestinal obstruction and concomitant enlargement of the colon as a complication of chronic inflammatory bowel disease (toxic megacolon).
Nervous system disorders:

Common: headache;
Uncommon: dizziness, drowsiness;
Rare: depressed consciousness, violation of coordination of movements.
Immune system disorder:

Rare: hypersensitivity reactions such as skin rashes, pruritus, shortness of breath, swelling of the face and lips, hoarseness - in case of such signs immediately seek medical attention.
Skin and subcutaneous tissue disorders:

Uncommon: rash;
Very rare: urticaria, itching, bullous rashes (including blistering of the skin), including Steven-Johnson syndrome, and toxic epidermal necrolysis (extensive areas of cutaneous necrosis combined with toxic effects).
Renal and urinary disorders:

Rare: urinary retention.
General violations:

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

5. How to Store Imomed
Keep out of the reach and sight of children.
Store below 25 ° C
Do not use this medicine after the expiry date which is stated on the carton.
The expiry date refers to the last day of that month.
Do not dispose of medicines in the sewage system or in the household waste container. Ask your pharmacist how to dispose of medicines you no longer use. These measures will help to protect the environment.

6. Package Contents and Additional Information
What Imomed contains
The active substance is loperamid hydrochloride. Each tablet contains 2 mg of looperamide hydrochloride
The other ingredients are: corn starch, lactose monohydrate, povidone, brilliant blue FCF, quinoline yellow, magnesium stearate, talc, colloidal anhydrous silica, sodium starch glycolate.

What Imomed looks like and what the package contains
Light green in color, biconvex tablets with a diameter of 7 mm.
Original pack containing one blister of 10 tablets.

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