Imodium Dual Action Relief

This medicine is suitable for most adults and children aged 12 years and over, but a few people should not use it. If you are in any doubt, talk to your doctor or pharmacist. Do not take this medicine if:

• In children less than 12 years old.
• If you are allergic (hypersensitive) to loperamide hydrochloride, simeticone or any of the other ingredients of the tablets (please see ingredients section).
• If you have a high temperature (e.g. above 38° C) or blood in your stools.
• If you are having a flare up of an inflammatory bowel condition like ulcerative colitis.
• If you have severe diarrhoea after taking antibiotics.
• If you are constipated or your stomach appears swollen.

If any of these apply to you, get advice from a doctor or pharmacist without taking Imodium Dual Action Relief Tablets.

Talk to your doctor or pharmacist:

• If you have severe diarrhoea as your body loses more fluid, sugars and salts than normal. You will need to replace the fluid by drinking more liquid than usual. Ask your pharmacist about special powders which replace the sugars and salts.
• If you have AIDS and your stomach becomes swollen, stop taking the tablets immediately and contact your doctor.
• If you have liver disease. Check with your doctor before using the tablets. Some of the side effects might be more troublesome.
• Imodium Dual Action Relief Tablets only treat the symptoms of diarrhoea. In some cases, the cause of your diarrhoea may require treatment, if symptoms persist or worsen, please contact your doctor.

Taking other medicines

Talk to your doctor or pharmacist if you are taking any other medicines including:

• Quinidine (used to treat abnormal heart rhythms or malaria)
• Itraconazole or ketoconazole (antifungal medicines)
• Gemfibrozil (used to treat high cholesterol)
• Ritonavir (used to treat HIV infection and AIDS)
• Desmopressin (used to control thirst and urine production in patients with diabetes insipidus)

Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription, because Imodium Dual Action Relief Tablets may interact with them. If any of these bullet points apply to you now or in the past, talk to a doctor or pharmacist.

If you are pregnant or breast-feeding

• Ask your doctor or pharmacist for advice before taking this medicine if you are pregnant, think you are pregnant or planning to become pregnant.
• This medicine is not recommended if you are breast-feeding as small amounts of the medicine may get into your milk. Talk to your doctor about a suitable treatment.

Special warnings about this medicine

• This medicine may make you feel dizzy, tired or sleepy. If affected do not drive or operate machinery.
• Do not take this product for anything other than its intended use (see product details) and never take more than the recommended amount (see directions). Serious heart problems (symptoms of which include fast or irregular heartbeat) have been reported in patients who have taken too much loperamide, the active ingredient in Imodium Dual Action Relief Tablets.
• In acute diarrhoea, the symptoms usually disappear within two days. If symptoms persist after this period, stop taking this medicine and contact your doctor.
• sugars, contact your doctor before taking this medicinal product.

Like all medicines, Imodium Dual Action Relief Tablets can cause side-effects, although not everybody gets them. If you experience any of the following stop using the medicine and seek immediate medical help:

• Allergic reactions including swelling of the face, tongue or throat, difficulty swallowing, unexplained wheezing, shortness of breath which may be accompanied by skin rash or hives and skin rash which may lead to severe blistering and peeling of the skin.
• Loss of consciousness or decreased consciousness.

If you experience any of the following, stop using the medicine and talk to your doctor:

• Difficulties urinating
• Severe abdominal pain, abdominal bulging or swelling or fever which may be due to a blocked or enlarged bowel
• Severe constipation

Other effects which may occur include Common side-effects (less than 1 in 10 but more than 1 in 100 people get these):

• Headache
• Feeling sick
• A change in the way some things taste

For more information on side effects, please click here

Reporting of side-effects

If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side-effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects, you can help provide more information on the safety of this medicine.

How to take this medicine:

• • Check the table overleaf to see how much medicine to take. Swallow the correct number of tablets whole with a drink of water.

• • For oral use only.

• • Do not use more than the stated dose shown in the table.

Children under 12 years old

This medicine is not recommended for children under 12 years old. Adults and children 12 years and over.

Adults over 18 years old

Swallow two tablets initially, followed by one tablet after each loose bowel movement.

Children and young adults

Swallow one tablet initially, followed by one tablet after each loose bowel (12 to 18 years) movement.

• • Do not take more than 4 tablets in any 24 hour period.

• • Do not take for more than 48 hours. If symptoms persist for more than 48 hours talk to your doctor.

If anyone takes too much of this medicine If you have taken too many Imodium Dual Action Relief Tablets, immediately contact a doctor or hospital for advice. Symptoms may include:

Increased heart rate, irregular heartbeat, changes to your heartbeat (these symptoms can have potentially serious, life-threatening consequences), muscle stiffness, uncoordinated movements, drowsiness, difficulty urinating, weak breathing, dry mouth or the pupils of your eyes may become small, stomach pains, feel sick or vomit or be constipated. Children react more strongly to large amounts of Imodium Dual Action Relief Tablets than adults. If a child takes too much or shows any of the above symptoms, call a doctor immediately. If you forget to take the medicine You should only take this medicine as required following the dosage instructions above carefully. If you forget to take a dose, take a dose after the next loose stool (bowel movement). Do not take a double dose.

The active ingredients in Imodium Dual Action Relief Tablets are:

Loperamide hydrochloride 2 mg and simeticone (equivalent to 125 mg dimeticone) per tablet.

Other ingredients are:

Calcium hydrogen phosphate, microcrystalline cellulose, acesulfame K, artificial vanilla flavour (includes propylene glycol, glycol, maltodextrin, ethanol and benzyl alcohol), sodium starch glycolate (type A) and stearic acid.