Diarostad for diarrhea 2 mg x10 capsules

DIAROSTAD / DIAROSTAD of the pharmaceutical company Stada is a medicinal product that is used for the symptomatic treatment of diarrhea, unless there is no other prescribed treatment. Long-term use requires medical supervision. It is dispensed without a doctor's prescription. For children from 8 to 12 years old it is dispensed only with a prescription. It is available in a package of 10 capsules.
Ingredients: in 1 capsule: Loperamide hydrochloride (active ingredient) 2 mg. Excipients: gelatin, lactose monohydrate, magnesium stearate, corn starch, talc, dyes E104, E132, E171, E172. 
Usage: Always take Diarostad exactly as your doctor has told you. If you are not sure, ask your doctor or pharmacist. Adults: The initial dose for acute diarrhoea is 2 hard capsules (equivalent to 4 mg loperamide hydrochloride) followed by 1 hard capsule (equivalent to 2 mg loperamide hydrochloride) after each loose stool. The daily dose of 6 hard capsules (equivalent to 12 mg loperamide hydrochloride) should not be exceeded. Children over 12 years of age: The initial dose for acute diarrhoea is 1 hard capsule (equivalent to 2 mg loperamide hydrochloride) followed by 1 hard capsule (equivalent to 2 mg loperamide hydrochloride) after each loose stool. The daily dose of 4 hard capsules (equivalent to 8 mg loperamide hydrochloride) should not be exceeded. Method of administration The capsules should be taken whole, without chewing and with sufficient liquid (e.g. 1 glass of water). If you have taken more Diarostad than you should If you suspect an overdose, please contact your doctor immediately so that he/she can decide what to do. To treat an overdose He/She will apply the necessary countermeasures in accordance with the symptoms of the overdose. Symptoms of an overdose with Diarostad include the following complications: Constipation; Intestinal obstruction (ileus); Toxic effects on the central nervous system (neurotoxicity), such as convulsions, apathy, drowsiness, involuntary movements of the limbs (choreoathetosis), impaired coordination of movements (ataxia) or respiratory depression. Note to the doctor Since Diarostad has a longer duration of action compared to naloxone, repeated administration of naloxone may be necessary; Patients should be monitored for at least 48 hours for possible re-emergence of symptoms of intoxication. Gastric lavage may be useful to remove any unabsorbed drug from the stomach. If you forget to take Diarostad Do not take a double dose to make up for the missed dose. If you stop taking Diarostad Always consult your doctor before stopping this medicine. Otherwise, you may jeopardize the success of the treatment. If you have any further questions on the use of this product, please ask your doctor or pharmacist. Do not take Diarostad: If you are allergic (hypersensitive) to the active substance or to any of the excipients of Diarostad; If you suffer from conditions in which delayed bowel function should be avoided, such as a swollen abdomen, constipation or intestinal obstruction (ileus); In diarrhea caused by certain types of bacteria (bacterial enterocolitis); Children under 12 years of age Take special care when using Diarostad; In diarrhea accompanied by fever and/or bloody stools; In diarrhea occurring during or after taking antibiotics - pseudomembranous (antibiotic-associated) colitis; In an acute attack of ulcerative colitis (inflammatory bowel disease); If you suffer or have had in the past liver disease (the breakdown of loperamide may be delayed in severe liver disease). You can take Diarostad only on prescription in such cases; In chronic diarrhea (again, you can take Diarostad only on prescription). In the last 2 cases, be sure to consult your doctor immediately. Children Children under the age of 2 years should not, in principle, be treated with medicines containing the active substance loperamide. Children aged 2 to 12 years should not be treated with medicines containing the active substance loperamide, unless prescribed by a doctor. Due to the high concentration of the active substance, Diarostad is not suitable for use in children aged 2 to 8 years. For this age group, there are other medicinal forms containing loperamide, available on prescription. Warnings and precautions Diarrhea can lead to significant losses of fluids and salts. The most important measure in diarrhea is to control the significant loss of fluids and salts, especially in children. The recommended dosage of Diarostad and duration of treatment of a maximum of 2 days should not be exceeded, as this can lead to severe constipation. If diarrhea still persists after 2 days of treatment, stop taking Diarostad and contact your doctor. If you have diarrhea, you should be aware that you are losing a lot of fluids. Therefore, you should compensate for the loss by increasing your fluid intake. In the event of a sudden acute attack of diarrhea, Diarostad usually stops the symptoms within 48 hours. Otherwise, stop taking this medicine and contact your doctor. If you have AIDS and are being treated for diarrhea with Diarostad, if you develop any signs of abdominal bloating, stop taking this medicine immediately and tell your doctor. Tell your doctor if you have liver problems, as you may need close medical supervision during treatment with Diarostad. Other medicines and Diarostad Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. Tell your doctor if you are taking: Quinidine (a medicine to treat cardiac arrhythmia - a heart rhythm disorder); Verapamil (a medicine to treat heart failure); Itraconazole, Ketoconazole (medicines to treat fungal infections); Ritonavir (a medicine to treat infections in patients with AIDS); Gemfibrozil (a medicine to treat elevated cholesterol and triglyceride levels in the blood); Desmopressin (a medicine to control the amount of urine excreted). Pregnancy, breast-feeding and fertility If you are pregnant or breast-feeding, think you may be pregnant or are planning to become pregnant, ask your doctor or pharmacist before using this medicine. Since the safe use of Diarostad during pregnancy has not been established and due to the fact that the active substance passes into breast milk, this medicine should not be used during pregnancy and breastfeeding. Driving and using machines No studies have been conducted on the effects on the ability to drive and use machines. The listed side effects may affect your ability to react. Diarostad contains lactose (milk sugar). If your doctor has told you that you have an intolerance to some sugars, contact him before taking this medicine. Duration of treatment: It can be taken for no more than 2 days. Note: Loperamide-containing medicines can be used for more than 2 days only if prescribed by a doctor and under direct medical supervision. Please note that it is necessary to replace the loss of fluids and electrolytes (salts) caused by diarrhea. This is especially important in children! If necessary, ask your doctor or pharmacist how best to replace these losses. If you feel that the effect of Diarostad is too strong or weak, consult your doctor or pharmacist. Keep out of the reach of children.