Irritable Bowel Syndrome Message Boards | Re: I need some help....

On the ingredients, maybe it is different in Sweden? It is definitely lactose free in the UK, and also I think in the US too, as we've had many conversations about it on here, wanting all the generic ones to follow their suit.
(Imodium made a big thing about it when they made the change, about a year ago I think). But it is definitely lactose free, and therefore for anyone with lactose intolerance, or even just a sensitivity to milk (like myself) these are the best option. Though, again, he confirmed that such microsopic amounts are used it is unlikely to cause a problem to many people.

As for the dosage I'm afraid you're wrong. Yes there is a "maximum limit" given on the box (which in the UK is x6 2mg capsules p/ 24hrs), but this is NOT for those with IBS who rely on them, or for thoe with many other illnesses that neccessiate higher usage for symptom control.

If you look on the box / on the leaflet they also say that Imodium should not be used preventatively, should not be taken in 2's other than for the first dose, and should not be taken long term - this is all non-applicable when it comes to those of us with illnesses such as IBS that cause chronic diarrhoea.
I have had this confirmed both from my GI (again, who is the leading authority on IBS in the UK, and respected at such the world round), and also from the company that makes Imodium itself - I spoke to them both by phone & email when I was looking for all the answers myself.

As confirmed by the makers of Imodium, the maxiumum dose stated is only for those using it the 'typical' way - i.e. once every now & again for a stomach bug, an attack of nerves before an interview or an upset stomach on holiday. The comment RE long term use is also directed at those same people. They have to state both these things because of liability to legal action if those NOT suffering with chronic illness misuse the drug.

So you are right in that "there is a reason for" the maximum dosage given / usage instructions, but wrong also, in that it does not apply to those of us on here.
It's important to get the facts right on this one, as many newcomers look to this site for info, and Imodium/loperamide can literally be a lifesaver for many of us, and sometimes needs to be taken in large doses.

(Again though, I re-state that every person is different, and they need to find their own limit - for this I refer you back to the examples I have given of those of us who use large quantities with no negative consequences. Working with your doctor to find this ideal dose is also preferable, though not every doctor completely understands IBS & it's treatment options, so you are of course better dealing with a good specialist.

Specialists familiar with IBS are happy to recommend long term Imodium use, as well as higher doses if absolutely necesssary, as it is the only drug that works specifically & independently on the stomach alone, and as such can cause no other side effects. All other drugs that can be used to treat or manage D - such as Lomotil & AD's - can cause side effects, often serious, and can affect the brain & central nervous system if taken for too long or at the wrong dosage.

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