This topic is about finding alternatives to Loperamide (Imodium) for managing ostomy output. The person sharing their experience has been using Imodium for a long time to help slow down their ileostomy output but is concerned about possible side effects. They found codeine too sedating and are also taking Omeprazole. They are seeking other medications or non-drug methods to help thicken or reduce output without causing drowsiness.

Here are some suggestions and insights shared:

1. Consider using liquid Loperamide instead of tablets, as it might be easier to adjust the dosage.

2. Try Docusate sodium, 100 mg (2 capsules twice daily), to help regulate the consistency of the output.

3. Prescription options to discuss with a healthcare provider include:
- Tincture of Opium (approximately 1 ml per dose)
- Lomotil (diphenoxylate/atropine)
- Prevalite powder (cholestyramine)
These can be used alone or in combination with Imodium, but should be supervised by a medical professional.

4. Over-the-counter fiber options:
- Metamucil (psyllium husk) can be taken once or twice daily to absorb fluid and bulk up the output. Some people have noted that hospital staff use it for managing loose effluent.

5. Dietary tips that might help:
- Eating a banana, especially if it's slightly green, with breakfast or later in the day.
- Adding yogurt to your diet for an extra thickening effect.

6. General advice from surgeons and GI teams includes maintaining a fiber routine with Metamucil and adjusting Imodium or other anti-diarrheal medications based on the consistency of the stool.

7. For more detailed information about medications, consulting resources like WebMD is recommended.