Loperamide Use After Ileostomy: Long-Term or Temporary?

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Janko
Mar 25, 2025 11:07 pm

I had my ileostomy about 5 months ago. I was prescribed Loperamide (Imodium dispersibles) to thicken the contents of the stoma. I take 8 tablets daily, i.e., 16 mg daily. Will I have to continue to take Loperamide long term, or will there come a time when the dosage will be lowered or I will not have to take it at all? I would be grateful to hear from others in a similar situation. Thank you.

Past Member
Mar 26, 2025 1:06 am

Have you tried different foods such as mashed potatoes, bread, or Bengals, or other foods that would help thicken it up?

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ron in mich
Mar 26, 2025 1:54 am

Hi Janko, welcome to the site. I use foods like peanut butter, applesauce, and cheese. I also use psyllium fiber in smoothies.

Kas
Mar 26, 2025 2:00 am

Hi!

I'm 1.5 years out from surgery. I am still on the 4 tabs 4 times a day, morphine, and Octreotide injections once a month in addition to eating foods to help thicken and using a fiber supplement.

That said, everyone is different.

Ben38
Mar 26, 2025 5:49 am

Only time will tell; no two people are the same in the bag game. Have you had any small bowel removed or tried lowering the dose or going without for a day or two when you're at home to see how it goes without? I have loose output, not high, from having a large piece of small bowel removed. Doctors say I should take loperamide, but I manage fine without it.

 

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Nightrose
Mar 26, 2025 8:54 am

I'm not really one to answer at the moment as I'm having trouble getting my flow right.

I've not taken loperamide; if I try to thicken my flow, I have scrambled eggs or an omelet, and that usually helps, also marshmallows.

Hugo
Mar 26, 2025 3:04 pm

I take loperamide when I'm going to be away from home for any length of time. At home, I use applesauce, bananas, smooth PB, and marshmallows.