Topic Explanation
The discussion revolves around the use of Tincture of Opium to manage high output from an iliostomy. The original poster is seeking experiences and advice from others who might have used this medication for similar purposes. Concerns include the effectiveness of the medication in slowing down bowel movements and potential addiction issues.

Extracted Advice and Insights
1. Effectiveness and Comparison with Other Medications:
- Tincture of Opium appears to be effective in slowing down iliostomy output for some users, as indicated by a user who experienced a significant reduction in output frequency after starting the medication.
- Other users have tried various over-the-counter and prescription medications like Imodium, Lomotil, and cholestyramine powder without success, suggesting that Tincture of Opium might be a viable alternative for those with similar experiences.

2. Addiction Concerns and Alternatives:
- Concerns about potential addiction to Tincture of Opium were raised, with comparisons made to long-term use of Codeine, which one user found addictive.
- Alternatives like Paragoric Liquid were mentioned, though it was noted to be less potent and not as effective for some users.

3. Practical Usage Tips:
- It was suggested to start with a lower dose and adjust based on the body's response to avoid issues like "pancaking," where the contents of the ostomy bag thicken and cause leaks or blowouts.
- The taste of Tincture of Opium was noted to be very unpleasant.

4. Availability and Insurance Challenges:
- Some users experienced difficulties in obtaining the medication, with issues related to pharmacy stock and insurance coverage, which in one case did not cover the cost, leading to a high out-of-pocket expense.

5. Individual Variability:
- Responses to Tincture of Opium can vary widely among individuals, with some experiencing better control during the day compared to at night, and issues like increased gas accumulation in the ostomy bag.