Bladder, Bowel and Stoma Handbook

The essential guide to product selection

Medications (Diarrhoea)

Colesevalam Hydrochloride (Cholestagel)

Diarrhoea Medication. Cholestagel 625 mg film-coated tablets. Dosage- Combination therapy The recommended dose of Cholestagel for combination with a statin with or without ezetimibe is 4 to 6 tablets per day. The maximum recommended dose is 6 tablets per day taken as 3 tablets twice per day with meals or 6 tablets taken once per day with a meal. Clinical trials have shown that Cholestagel and statins can be co-administered or dosed apart, and that Cholestagel and ezetimibe can be co-administered or dosed apart. Monotherapy-The recommended starting dose of Cholestagel is 6 tablets per day taken as 3 tablets twice per day with meals or 6 tablets once per day with a meal. The maximum recommended dose is 7 tablets per day. During therapy, the cholesterol-lowering diet should be continued, and serum total-C, LDL-C and triglyceride levels should be determined periodically during treatment to confirm favourable initial and adequate long-term responses.

Colestipol Hydrochloride (Colestid)

Diarrhoea Medication. Colestid granules for oral suspension 5g- Dosage- Adults: The recommended initial daily adult dosage of colestipol hydrochloride is 5 grams either once or twice daily. For adults colestipol hydrochloride is recommended in doses of 5 - 30 grams taken as one dose or two divided doses. Initiation of therapy is recommended at 5 grams either once or twice daily with 5 gram increments at one month intervals. Appropriate use of lipid profiles including LDL-cholesterol and triglycerides is advised so that optimal, but not excessive doses are used to obtain the desired therapeutic effect on LDL-cholesterol level. If the desired therapeutic effect is not obtained at a dose of 5 - 30 grams/day with good compliance and acceptable side-effects, combined therapy or alternate treatment should be considered.

Loperamide (Imodium)

Diarrhoea Medication. Each capsule contains 2 mg Loperamide hydrochloride. Dosage: Adults and children over 12: Two capsules (4mg) initially, followed by one capsule after each loose stool. Usual dose is 3-4 capsules (6-8mg) a day. Total dose should not exceed 6 capsules (12mg).

Loperamide Syrup (Imodium Syrup)

Diarrhoea Medication. Imodium 1mg/5ml oral solution. Adults: four 5ml doses initially, followed by two 5ml doses after each loose stool. Total daily should not exceed sixteen 5ml doses. Children- following doses must not be exceeded. Over 8 years old: two 5ml doses four times with the duration to 5 days. Children 4-8 years: One 5ml dose three or four times daily with the duration to 3 days.