Page 141 - COMMUNITY PHARMACY PRACTICE
P. 141

02/04/2024

                              286

IMMODIUM VS LOMOTIL

ü Doesn’t cross BBB           ü Cross BBB
    thus no CNS sid               with CNS side effects
    effects or addiction          and addiction

   ü 2-3 time more            ü Less potent than
        potent in inhibiting      loperamide
        diarrhea
                               ü Sub therapeutic doses of
286                                 atropine is added to prevent
                                    addiction

                                                                                                                          287

Adsorbents

• Kaolin is the only monograph adsorbent and it helps to
 firm stools within 24 to 48 hours

• Pectin Improve stool consistency (adsorbents, non
 selective)

• Contraindications (not children<12yrs)

• Adv effect (no systemic absorption , constipation, bloating rarely)
• Drug drug interation: ……….

• kapect compound POM?

287

                                                                                                             143
   136   137   138   139   140   141   142   143   144   145   146