Codeine has an average rating of 8. Compare all medications used in the treatment of Diarrhea.
As no adequate comparison of these widely used drugs has been made, we have performed a double-blind cross-over trial in 30 individuals with chronic diarrhea. Each underwent three randomized treatment periods of 4 wk duration. Patients were instructed to increase the daily dose gradually until control was achieved or side effects became intolerable.
Functional GI and motility disorders which affect the upper GI tract from the esophagus to the stomach. Many other disorders can affect the digestive tract, with uniquely identifying features which differentiate them from functional GI or motility disorders.
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Motility is a term used to describe the contraction of the muscles that mix and propel contents in the gastrointestinal GI tract. Diarrhea is best described as the too frequent and often urgent passage of loose or watery stools, but there is no perfect definition of the disorder.
There are many causes, and diarrhea may be a mild nuisance or a disabling dysfunction with life-threatening consequences. Therefore, if you have anything more than mild, short-term diarrhea, you should consult a physician to obtain a diagnosis and specific treatment.
If you have blood in the stool, s of dehydration, weight loss, or fever such a consultation is urgent. Acute diarrhea is usually short lived.
In the case of viral infection, it must run its course. Antibiotics may shorten the duration of some parasitic and bacterial infections. Sometimes diagnosis is impossible or delayed, there is persistent diarrhea during or despite specific treatment, or intermittent diarrhea is part of irritable bowel syndrome IBS. The symptom of diarrhea can usually be managed until the underlying disease is brought under control.
People often underestimate the dehydrating effect of diarrhea, especially if it from an acute infection in a hot climate. Dehydration may be less noticed in the elderly who often fail to experience appropriate thirst. Fluid losses must be replaced.
For mild episodes, drinking extra water may suffice.
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Your pharmacy will have a commercial version of this solution known as oral replacement therapy ORT. ORT is especially important for young children and the elderly. Severe cases may require fluids administered intravenously. For mild cases, soups and juices may suffice. For some acute diarrheal illnesses, hydration is all that is required.
Although you may have undergone investigation that has excluded dietary causes, you should know that several commonly ingested substances tend to loosen stools. Caffeine is present in coffee, tea and cola drinks. Reduced caffeine intake or decaffeinated drinks may ease your diarrhea.
Beware that sudden cessation of caffeine may cause headaches, so withdraw slowly. Sorbitol, a common artificial sweetener in certain preserves, gum, and candy, has laxative effects and should also be avoided.
Since the ability to absorb lactose milk sugar may be impaired, you should avoid milk products until the diarrhea improves. While reducing food intake may be wise in acute diarrhea, it is important to maintain nutrition if the attack lasts more than a few days. Some soft drinks and sweet juices may contain sugars that are difficult to absorb and therefore may aggravate the diarrhea.
After acute infections, lactose and complex carbohydrates may be ill absorbed and should be avoided for a few days. Psyllium Metamucil, Fybogel, generics — One teaspoonful of psyllium twice daily is often recommended for constipation, so why use it for diarrhea? The answer is that it has a water-holding effect in the intestines that may help bulk up watery stool.
Some doctors recommend it for the variable bowel habit of IBS. It also has the ability to bind some toxins that may be the cause of acute diarrhea. Obviously, psyllium products combined with laxatives should be avoided. Before taking any medication, whether over the counter or prescription, talk to your healthcare provider or pharmacist about dosage, other medicines you are taking, or any other questions you might have about the treatment. Otherwise, carefully follow the directions on the drug package or on your prescription label. It has many disadvantages. The dose is 30ml of the pink liquid every 30 minutes up to 8 times a day.
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It turns the stool black and may interfere with the absorption of other drugs such as diphenoxylate See below and tetracycline. Chronic, excessive use may cause neurological complications and the salicylate component of the drug may cause salicylate toxicity.
Codeine — Codeine 15 mg. If nothing else is handy when stricken with acute diarrhea, two such tablets may help control your acute diarrhea until a regular antidiarrheal drug can be obtained.
Use of antimotility drugs (loperamide, diphenoxylate, codeine) to control prolonged diarrhoea in people with hiv/aids.
Beware that overuse use of an OTC codeine combination could include toxic doses of acetaminophen. Some evidence suggests it also improves anal sphincter tone. Although it has the lowest addiction potential of all opioids, it may cause sedation, nausea, and cramps. It is the best emergency treatment for mild attacks of diarrhea, and when taken preventively it may even help you avoid urgent exits during meetings or other events.
Effect of codeine and loperamide on upper intestinal transit and absorption in normal subjects and patients with postvagotomy diarrhoea
Codeine phosphate generic — The usual therapeutic dose of Codeine is 30 to 60 mg up to every four hours as necessary to control diarrhea. For this, a prescription is required in most jurisdictions. Codeine is potentially addicting, and unsuitable for chronic diarrhea.
It is sedating, and causes nausea, making it a second choice after loperamide. Diphenoxylate Lomotil — Because it is an opiate with some addictive potential, diphenoxylate is available only by prescription. It is combined with atropine so that excessive use will cause dry mouth and other undesirable side effects.
It is useful if other drugs fail.
Double-blind cross-over study comparing loperamide, codeine and diphenoxylate in the treatment of chronic diarrhea
Cholestyramine Questran — Cholestyramine is a powdered codeine with a plastic taste that binds bile salts and has a water-holding effect. When other treatments fail, it may relieve some cases of diarrhea. Rarely, chronic diarrhea occurs after removal of the gall bladder or the lower small intestine ileumand cholestyramine has a beneficial effect. Usually prescribed for patients with high cholesterol blood levels, it is available in 4mg packets and is taken diarrhoea water. Occasionally, a very small dose will improve diarrhea, but for most cases, loperamide is preferable.
In addition to its bad taste, cholestyramine for interfere with the absorption of some drugs and vitamins, and may cause hypersensitivity reactions. No medicine is risk free. Ask a pharmacist or your healthcare professional if you are not sure how much medicine to take, how often to take it, or whether an interaction may occur with any other medicine you are taking.
Always tell your health care professionals about all the medicines you are taking, including OTC and prescription medicines. Special vigilance is required at the extremes of life.
You should use drugs only as necessary, and stop them when the diarrhea stops. In the case of loperamide, you should take the drug after each loose bowel movement. If your social life or business affairs are hampered by unpredictable diarrhea, loperamide may be taken before an event to prevent embarrassing trips to the toilet.
Sedation, severe abdominal cramps, or other unexplained symptoms are indications to stop the drug and seek an explanation from your doctor.
User reviews for codeine to treat diarrhea
Because they delay colon evacuation, opiates may prolong an intestinal infection colitisand in severe colitis, they may precipitate a paralysis of the colon with dire consequences. For anything more than mild, short-lived diarrhea, a diagnosis is necessary in order to properly treat the underlying cause. In every case, adequate hydration must be assured. For a short time, clear fluids may suffice, and ORT is available at any pharmacy for more prolonged or severe cases. Sometimes a bulking agent such as psyllium will help, but for moderately severe acute diarrhea, food must be forgone until the diarrhea subsides, or a doctor can codeine recommendations.
Used as directed, loperamide after loose bowel movements is the for OTC medication for managing diarrhea. The maximum approved daily dose for adults is 8 mg per day for OTC use and 16 mg per day for prescription use. Never take more than recommended doses. A diarrhoea should be consulted if they fail. Severe diarrhea can be life-threatening, so caution is important, especially in the very young and very old.
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My son Sam was diagnosed with dilated cardiomyopathy inunderwent LVAD placement in November of that year, then had a heart transplant in December. I have suffered with severe constipation all my adult life, have visited many specialists, had colonoscopies and other tests done but all seemed ok.
This last. This information is in no way intended to replace the guidance of your doctor. All Rights Reserved.
International Foundation for Gastrointestinal Disorders. GI Disorders. Upper GI Disorders. Lower GI Disorders. Bowel incontinence Chronic constipation Chronic diarrhea Dyssynergic defecation. Other GI Disorders. Abdominal adhesions Anal fistulas Celiac disease Clostridium difficile Congenital sucrase-isomaltase deficiency.
Malabsorption Radiation therapy injury Scleroderma Short bowel syndrome Superior mesenteric artery syndrome. Vovulus Rare diseases. Motility Disorders. Functional GI Disorders. The Digestive System. Reality Report from Miranda A.