This topic is about using tincture of opium (DTO) to help manage high output from an ileostomy. The original poster's doctor recommended this medication, which is known to be an old-fashioned and quite costly remedy. They are curious to know if others have tried it and what their experiences have been. Here are some insights and advice shared by others:

1. Addiction Concerns
- Many doctors are cautious about prescribing DTO due to its high potential for addiction.
- A long-term user mentioned experiencing physical dependence and facing challenges when the medication is unavailable.

2. Cost, Availability, and Legal Limits
- The price of a 4-ounce bottle of DTO has varied significantly, ranging from $85 to $565, with a current price around $250.
- DTO is not commonly stocked in most chain pharmacies, so it may require a special order that can take up to a week.
- Federal regulations often limit the supply to a 30-day amount, though some states allow up to 90 days.

3. Effectiveness and Supplementation
- DTO is reported to be somewhat effective in reducing ileostomy or J-pouch output, but some users still need to take additional medications like loperamide (Imodium) for better control.
- Another person found plain codeine to be somewhat effective and suggests that other opiates, which also slow down gut movement, might be cheaper alternatives.

4. Alternatives and Cautions
- Some members recommend considering other opiate medications that can cause constipation and might be less expensive and easier to obtain.
- There is a historical reference to laudanum, another opium-based remedy, highlighting the long-standing risk of addiction. Users are advised to use DTO carefully and only under strict medical supervision.