Do not take:

• If you are allergic to loperamide or to any of the ingredients in this medicine (see “What is in this medicine”)
• If you are having a flare up of an inflammatory bowel condition, such as ulcerative colitis
• If you have very smelly stools, blood or pus in your stools, stomach pain, or a fever
• If you have dysentery (a disease caused by eating and drinking contaminated food and water) – you may have a fever and blood in your stools
• If you have severe diarrhoea after taking antibiotics
• If you have a swollen stomach
• If you are constipated, or have any condition which may cause constipation or where constipation should be avoided
• If you have paralysis (non movement) of the bowel muscles, or an obstruction of the bowel
• If you have an intolerance to some sugars, unless your doctor tells you to (this medicine contains lactose)
• If you are pregnant or breastfeeding, unless your doctor tells you to

Talk to your pharmacist or doctor:

• If you have liver problems
• If you have AIDS (you may be more likely to experience some of the side effects – if your stomach becomes swollen stop taking the capsules and talk to your doctor)
• If you have IBS but have not had this condition previously diagnosed by a doctor
• If you have IBS, which has previously been diagnosed by a doctor, but you notice any of the following new symptoms:
  • If you are 40 years or over and it is some time since your last attack of IBS, or if the symptoms are different this time
  • If you have recently passed blood from the bowel
  • If you have severe constipation
  • If you are feeling sick or being sick
  • If you have lost your appetite or lost weight, especially if losing weight without trying
  • If you have difficulty or pain on passing urine
  • If you have a fever
  • If you have recently travelled abroad
• Do not take this product for anything other than its intended use (see “What this medicine is for”) and never take more than the recommended amount (see “How to take this medicine”). 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 this medicine.

Other important information

Diarrhoea is a common symptom of a number of serious stomach and bowel conditions. If your diarrhoea continues or keeps coming back talk to your doctor.

Dehydration may be a complication of diarrhoea, as large amounts of fluid are lost in the stools. This medicine acts only to make the stools more solid and less frequent and does not replace lost fluids. Therefore it is important to drink more fluid than usual.

When your body loses fluid, the amount of salts (electrolytes) in your body may also change and this can cause a condition called electrolyte imbalance. To help balance the fluid and salt levels in your body to the right levels your pharmacist may recommend that you also take a “rehydration treatment” if you have diarrhoea, especially if you are elderly.

Driving and using machines: Diarrhoea or this medicine may cause people to feel tired, sleepy or dizzy. You should not drive or use machines, until you are sure you are not affected.

Information about some of the ingredients in this medicine: The colour ponceau 4R (E124) in this medicine may cause allergic reactions.

If you take other medicines

Before you take these capsules, make sure that you tell your pharmacist about ANY other medicines you might be using at the same time, particularly the following:

• Ritonavir (used to treat HIV)
• Quinidine (for heart rhythm problems), gemfibrozil (for reducing blood fat levels)
• Itraconazole, ketoconazole (for fungal infections)
• Desmopressin (for treating excessive urination or bed wetting)
• Other medicines for diarrhoea, constipation, or for other stomach and bowel conditions

If you are unsure about interactions with any other medicines, talk to your pharmacist. This includes medicines prescribed by your doctor and medicine you have bought for yourself, including herbal and homeopathic remedies.