Drug ClassAnti-diarrhoeal agent
MechanismActs on opioid receptors in myenteric plexus to inhibit peristalsis (inhibits ACh release)
Typical Dose2-4mg OD up to 16mg in 2 doses
Indications* Acute & chronic diarrhoea * Faecal incontinence
Contra-indications* Active Ulcerative Colitis * Abx-associated colitis * Dysentery
Side-effects* GI disorders (abdo cramps) * Headache * Nausea
InteractionsDesmopressin
Elimination
Additional Notes