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Feb 02, 2025

Affordable Loperamide Source for High Dosage Needs

Topic Explanation

The forum discussion revolves around finding an affordable source for loperamide, a medication used to control ostomy output. The original poster mentions purchasing 600 tablets for $35 from Life Sciences Pharmacy, highlighting the need for a cost-effective solution due to their high daily dosage requirement of 16 tablets. The discussion includes various experiences and advice on managing ostomy output with loperamide and other methods.

Advice and Insights

1. Loperamide Availability and Pricing:
- Loperamide is available over the counter and is a generic form of Imodium.
- Prices can vary widely; one user found a better deal on eBay for $29 per 600 tablets with free shipping.
- Costco offers a deal where you can purchase three boxes of Imodium (48 pills per box) for $3.00.

2. Usage and Effectiveness:
- Loperamide is fast-acting and may require frequent dosing to maintain solid output.
- For high-output conditions, liquid or oral versions of loperamide may be more effective than tablets.
- Some users find timing difficult, especially with colostomies, and suggest taking the medication after each bowel movement.

3. Alternative Methods and Additional Medications:
- Some users with short bowel syndrome use a combination of loperamide, octreotide, and morphine to manage output and prevent dehydration.
- Bananas are mentioned as a food that can help thicken ostomy output.

4. Prescription and Insurance:
- While loperamide is over the counter, obtaining a prescription can significantly reduce costs, as it may be cheaper than buying it over the counter.

5. Educational Resources:
- Carol Rees Parrish's book on short bowel syndrome is recommended for managing output and hydration. It is available for free through the SBS website or the University of Virginia's site.

6. Personal Experiences and Adjustments:
- Users share personal experiences with dietary adjustments, such as limiting grape intake, to manage output.
- Long-term adaptation of the bowel is noted, with some users experiencing changes beyond the typical adaptation period.

7. Challenges with Short Bowel Syndrome:
- Short bowel syndrome can lead to continuous liquid output, and some users report that loperamide is ineffective for them.
- The removal of the ileocecal valve can exacerbate rapid and liquid output, complicating management efforts
See full discusison
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