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Crohn's Disease Forum » General IBD Discussion » Lomotil and possible obstructions


01-30-2013, 04:59 PM   #1
xSophiexx
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Lomotil...

My gi was horrified that i had been taking Lomotil. He told me it actually can be very bad for Crohns patients as can cause obstructions! He said its pretty cruel as it does work for diarrhoea but it can make things worse.

Anyone else heard this?!
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01-30-2013, 05:12 PM   #2
2thFairy
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Yep. Lomitil can definitely cause constipation/obstipation.
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01-30-2013, 05:13 PM   #3
xSophiexx
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Ooh bloody hello i been eating them like smarties!
01-30-2013, 05:19 PM   #4
2thFairy
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Oh no!!!! Drink lots of fluids.
01-31-2013, 08:35 AM   #5
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I take lomotil daily. It would only be a problem if you took too much for you as it could then cause constipation, or maybe even an obstruction if you really overdosed. But it works quite well for me, so does immodium (loperamide) but lomotil is stronger. The amount I take is not enough to stop diarrhoea completely but it slows it down and makes my stomach feel more confortable too.

Lomotil doesn't treat Crohn's in any way - it doesn't stop the inflammation or effect the immune system or anything like that, so you'd still need other medication to stop a flare. Lomotil just treats the symptoms.
01-31-2013, 08:42 AM   #6
nogutsnoglory
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I take it and I have narrowing. I wouldn't go above the daily amount. I agree with the suggestion of lots of liquids.
01-31-2013, 10:37 AM   #7
Sybil Vane
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Lomotil has saved my life. I can leave the house with it. I figure if I can get down from 20 times a day to five, I'm not at a risk of becoming obstructed or constipated.
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01-31-2013, 10:48 AM   #8
scottsma
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I have U.C and take loperimde BUT the most I have ever taken is 3 per day,and that is only to get me to an early appt. or something in the morning.I do suffer urgency and can take up to 8 per day as per prescription,but I don't take it if I'm at home for the rest of the day.I have read that it isn't good for crohnies though.I agree with drinking PLENTY of water.
01-31-2013, 11:54 AM   #9
nogutsnoglory
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I am taking it because otherwise I have so much diarrhea. I have lost so much weight and vitamins and minerals. I don't know if it helps with that but it may slow the loss down. It definitely lets me not run.
01-31-2013, 12:26 PM   #10
2thFairy
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It's great stuff for ileostomies too. I was taking 8-10 a day to prevent dehydration when my ileo was new. However, with many people it can plug you right up if you're not careful.
01-31-2013, 01:26 PM   #11
Jennifer
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Lomotil comes in a prescription so I don't see why one's GI would be surprised they were taking it (my GI is the one who prescribed it for me). You take it as prescribed and/or as needed. If you're dealing with a stricture then be careful with anything that could help harden your stool and as mentioned increase your fluid intake. I haven't found Lomotil to make things worse and do recommend it to other members on the forum who can't seem to get their frequency under control.
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Diagnosis: Crohn's in 1991 at age 9
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Things I take: Tenormin 25mg (PVCs and Tachycardia), Junel, Tylenol 3, Omeprazole 20mg 2/day, Klonopin 1mg 2/day (anxiety), Restoril 15mg (insomnia), Claritin 20mg
Currently in: REMISSION Thought it was a flare but it's just scar tissue from my resection. Dealing with a stricture. Remission from my resection, 17 years and counting.
01-31-2013, 04:51 PM   #12
xSophiexx
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Crabby 2th fairy and others i thought his reaction strange too. i was pretty put out as Lomotil makes the day bearable as many of you know!! i never take more than prescribed just found it a bit odd!!
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