This topic is about using tincture of opium to manage high-output ileostomy, especially when other medications haven't worked. The discussion covers the availability of this medication, its effectiveness, and concerns about addiction. Here are some key points and advice shared by others:

- The original poster's doctor prescribed tincture of opium after other antidiarrheals like Imodium, Lomotil, and cholestyramine didn't help. They faced challenges finding a pharmacy to dispense this controlled medication, but eventually, one was able to order it.

- The poster was concerned about whether the medication would work and if there was a risk of addiction. They tried 3 drops on the tongue before dinner, which had an unpleasant taste. After several doses, the medication did slow the output but made the stool too thick, causing issues at the stoma opening. They adjusted the dose to find a balance.

- Imodium (loperamide) was recommended by a nurse, with one person finding it very effective, while another needed up to 24 tablets daily without success. A doctor suggested starting with 1 tablet a day and gradually increasing to manage output while keeping an eye on electrolytes like potassium.

- Codeine phosphate was mentioned by several users as effective in slowing output, though it can lead to physical dependence.

- Tincture of opium worked for the original poster but could over-thicken the stool. Reducing the dose helped prevent issues like "pancaking" and leaks. One person mentioned their insurance didn't cover it, and the cash price was around $550. Their doctor suggested Paregoric Liquid as an alternative, which is less potent but still bitter and only somewhat effective.

- Lomotil and cholestyramine were noted as common prescriptions that didn't help some people with high-output issues.

- Practical tips include starting any new medication at a low dose and increasing gradually to avoid problems like obstruction or excessive thickening. It's important to monitor the consistency of stoma output to prevent issues with the pouch. If insurance doesn't cover tincture of opium, discussing alternatives or seeking prior authorization might help reduce costs.