A client calls the clinic and says, "I have been taking Imodium (loperamide) for diarrhea, but it isn't helping." How should the nurse respond?

Question

1. "Are you taking it after every episode of diarrhea?"
2. "Imodium is not effective against diarrhea."
3. "This medication may make you sleepy."
4. "You may have to take the maximum dose for 2 or 3 days before diarrhea slows."
5. "You should come in for assessment."

Answer 1

Correct Answer: 1,3,5
Rationale 1: Loperamide (Imodium) is taken as a 4 mg single dose, followed by 2 mg after each diarrhea episode up to 16 mg/day.
Rationale 2: Imodium is indicated for diarrhea.
Rationale 3: Imodium has the adverse effect of drowsiness.
Rationale 4: Diarrhea should slow within a few hours of doses.
Rationale 5: If over-the-counter medications are not effective, prescription medications may be necessary. The client should be seen in the clinic.