This topic is about using Imodium (loperamide) safely to manage ostomy output and odor, especially for someone planning to attend a college reunion. The person is looking for ways to reduce the frequency of emptying their ileostomy pouch and to control any bathroom odor. They are considering using Imodium for the first time since having ulcerative colitis before their ostomy surgery. Here are some helpful insights and advice:

1. Safety & General Use
- Many people with ileostomies use Imodium regularly and find it safe when used as directed.
- Start with a low dose, such as ½ to 1 tablet (1-2 mg) once or twice a day, and adjust as needed while keeping your diet the same to see how it affects you.
- Most people use between 2 mg and 8 mg per meal or per day, but some with high output may use 10-32 mg daily under medical supervision.
- Tablets are preferred over capsules as they dissolve better.
- Imodium works quickly and its effects wear off in a few hours; taking too much can cause cramping or fatigue.
- Stay well-hydrated, as low fluid intake combined with Imodium can slow motility too much and cause discomfort.
- Consult a healthcare professional before exceeding 8 mg per day, especially if using high doses.

2. Timing Strategies
- Take Imodium 30 minutes before meals to slow down output after eating.
- For special occasions, 2 mg to 4 mg about an hour before eating or traveling is often sufficient.
- Some people take two tablets at bedtime to reduce output overnight.

3. Alternatives & Adjuncts
- Prescription Lomotil may be more effective for some when Imodium isn't enough; 2-3 tablets can provide about 4 hours of relief.
- Marshmallows, Metamucil powder, or Metamucil packets can help thicken and slow output and can be used with Imodium.
- Combining Lomotil with Imodium or fiber is common for those with high output or short-gut syndrome.

4. Dosage Cost & Availability
- Generic loperamide is much cheaper than branded Imodium; consider buying store brands or online.
- Costco offers up to three 24-tablet boxes for $9.99 each.
- Life Sciences Pharmacy sells 300-tablet bottles for about $19.99.
- Be aware that the FDA limits the amount you can purchase at one time due to potential misuse.

5. Odor-Control Options
- Hollister M9 is effective but can bleach fabric if it leaks, so keep the bottle upright.
- Perfect Choice Super Strength pouch deodorant has a thicker consistency and less leakage.
- Devrom chewable tablets or Pepto-Bismol tablets can help suppress odor internally.
- Consider carrying small external sprays like travel-size Poo-Pourri or dollar-store toilet sprays.

6. Social & Practical Tips
- Test your chosen dose and products well before the reunion to find the right balance between slowing output and avoiding blockage.
- Bring extra hydration, supplies, and a discreet odor spray with you.
- Some people choose to explain their ostomy to friends and skip medications, but do what makes you feel most comfortable and confident.