Immodium: dependency vs. efficacy

iHateColitis

I've seen some conflicting things online on this subject. Does long term immodium use result in dependency or loss of efficacy i.e. do you build a tolerance to it after time and need to take more and/or do you end up needing to take it?

11 years out, trying to make a major lifestyle decision on whether or not i want to start taking Immodium regularly. I have not up to this point and just have dealt with the BM's. Now, its becoming too burdensome at work. It would definitely improve things. But I worry about dependency/tolerance.

Thanks.

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Scott FMember

Imodium doesn't seem to become less effective over time, even with daily use. Even the opiates used for pain management don't seem to lose their gut slowing effect over time, though the pain relief does slowly disappear with chronic use.

6/6/1611:29 PM

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Jan DollarModerator, RN, retired

From what I've read, there is no tolerance to Imodium.I've been taking it for >20 years. I took the maximum dose for about 5 years, then tapered down since then. I now take 1-2 per day.

Jan

6/7/163:53 AM

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iHateColitisMember

I read some anecdotal stuff online (but from people with IBS) about it losing its efficacy. Though I wonder if it was just a case of the people thinking it lost efficacy because they forgot what normal was once they went back to normal.

I also wonder how the effects differ in someone with IBS and a colon and someone with a j pouch.

6/7/169:06 AM

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