Hello friends,
Here we have a double hitter coming up to bat. I had a serious bout with a stomach virus, and guess what the good doctor suggested? He prefers Iomodium AD or its generic form Loperamide over the pink bismuth of Pepto Bismol. Well not for this alcoholic.
But here is something to also remember: it is easier to detox a person than it is to bring them back from death, so if I was facing a deadly dehydration as a result of dirrhea that only Iomodium AD code stop, well I might rehink my options before saying no completely. And don't pay no attention to me for your doctoring brother, I'm an alcoholic not an MD. This is just information so you are informed and aware.
Fact 1. Iomodium liquid "generics" or store-brand "works the same as" can contain .5% ethyl alcohol (see Walgreen store brand). This would qualify the product to a be a "form of alcohol" that an alcoholic could not safely use. Thank God the book keeps it simple: the alcoholic cannot safely use alcohol in any form.The brand name liquid "IOMODIUM AD" doesn't contain alcohol, but the generic store brand makers claim their product is manufactured by the same company. The bottom line: READ THE LABEL!!!
Fact 2. The active ingredient Loperamide is an opiod receptor agonist. The primary purpose is to quit your bowels of course and its not intended to have any kind of opiod action on the brain and should not cross the so-called "blood brain barrier in significant amounts". Are we getting on shaky ground? What the heck is a significant amount and who makes that decision? Can certain other chemicals in your blood stream or even simple stuff you eat or drink combine to make that happen? What happens after you drink 6 bottles? Note this is a question an alcoholic would ask - 6 bottles of anti-diarrheal? That's the first number that came into my mind - some will understand. Well heck pilgrim! Do I look like a chemical engineer?
Fact 3, et al. Loperamide "has been observed" causing physical dependence in "certain patients". Symptoms of opiate withdrawal have also been been observed in "certain patients" using Loperamide. Side effects can include drowsiness, dizziness, and tiredness at normal doses and "mild euphoria" or "mild stimulation" at high doses.
The Question? This is one you have to answer yourself. "Is it a duck?" With what I've read about Loperamide, there are certain risks with this chemical. I never had an addiction to opiods, heck I like poppy-seed sweet rolls but it will make my urine dirty not that it matters to anyone. But I don't feel comfortable with possible side effects so it's not for me to use. If I was a heroin addict, I'd run like a scalded dog in the other direction from this stuff. But if there were no substitutes available and I was going to die if I didn't have the analgesic effect going on in my bowels and not my brain, then I'd take the chance, but only then and if no less-risky substitute was available.
