take the immodium about 30minutes BEFORE eating and then also before bed.

Imodium should be taken before you eat, 30 to 60 minutes. Or if you are needing it regularly, then you can just take it throughout the day, up to 8 tablets, which might mean a maximum 2 in the morning, 2 at lunch, 2 at dinner hour and 2 before bed. You can adjust the timing up or down as you need more/less. If that's the case, then you don't really need to worry about timing it precisely with your meals, just stick to your usual schedule.

My surgeon recommended taking the metamucil before bed.

I never had to take Imodium after the take-down and my doctor wasn't keen on it anyway. Instead I took Metamucil cookies. They taste really good and work better for me than the powder/ orange stuff.

Thanks for the responses. When do you take the wafers? Before you eat?

It probably does work better to take the imodium before eating. I think I'd forget so I take 3 imodium in the morning with breakfast and that's also when I eat the wafers. Imodium has a half-life so if you take it daily you'll have a bit that's still effective.

If you want to space your imodium and wafers out during the day then yes, take both before meals.

kathy

Imodium definetly before you eat. At least 1/2 hr before a meal to let it absorb.
Fiber usuallu with meals. When I was using the metamucil wafers, I would eat 1 wafer with each meal. Helps bind everything together and absorb liquids.
Now I just use 1 tsp of powder mixed with a glass of OJ with breakfast about 4 days a week. I'm 12 years post-op and have found that's what keeps me balanced best.
I would think everyone is a little different and has to find their our routine.