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Loperamide Hydrochloride 2mg leaflet – patient leaflet, side effects, dosage

Last updated: · Text from the MHRA, as of · About this document

Medicine status: Prescription only (POM) Details

Medicine strength:
2 mg
Contains active substance:
ATC code:

Patient leaflet - Loperamide Hydrochloride 2 mg capsules hard

1. What Loperamide

Hydrochloride 2mg capsules is and what it is used for

Loperamide Hydrochloride 2mg

capsules, are used to treat two

types of diarrhoea. The two types

have different age limits.

  • Short-term diarrhoea

    • For adults and children aged

      12 and over.

    • To treat attacks that last up to

      48 hours.

    • If your attack lasts longer than

      48 hours, talk to your doctor.

  • IBS diarrhoea

    • For adults and young people

      aged who have

      18 and over

      been diagnosed with IBS

      (Irritable Bowel Syndrome).

    • To treat attacks that last up to

      48 hours

    • You can use this medicine for

      up to for repeated

      2 weeks

      attacks, but if any one attack

      lasts continuously for longer

      than 48 hours, talk to your doctor

The capsules contain loperamide

hydrochloride, a substance that

helps reduce diarrhoea by slowing

down an overactive bowel. This

allows water and salts that are

usually lost in diarrhoea to be

absorbed by the body.

2 What you need to know before

.

you take Loperamide

Hydrochloride 2mg capsules

Warnings for everyone

This medicine is suitable for most

people, but a few people should not

use it:

Do not take this medicine...

  • bad

    if you have ever had a

    reaction to any of the other

    ingredients.

  • under 12

    if it is for a child aged

    (or under 18 for an IBS patient).

  • if you have

    severe diarrhoea

    after taking antibiotics.

  • if you are having a flare-up of an

    inflammatory bowel condition

    like ulcerative colitis.

  • constipated

    if you are , or your

    stomach appears swollen

    (especially in children with severe

    dehydration).

  • acute dysentery

    if you have , the

    symptoms of which may include

    blood in your stools high

    and a

    temperature.

If any of these applies to you, talk

to a doctor or pharmacist and do not take Loperamide

Hydrochloride 2mg capsules.

Talk to your doctor first...

  • AIDS

    if you have and your

    stomach becomes swollen, stop

    taking the capsules immediately

    and contact your doctor.

  • liver disease

    if you suffer from .

  • if you have diarrhoea that lasts for

    more than 48 hours.

  • if you have been told by your

    doctor that you have an

    intolerance to some sugars.

  • severe diarrhoea

    if you have as

    your body loses more fluid, sugars

    and salts than normal.

  • other

    if you are taking any

    medicines,including:

    • HIV

      ritonavir(used to treat ).

    • quinidine (used to treat

      abnormal heart rhythm or

      malaria)

    • oral desmopressin (used to

      treat ).

      excessive urination

    • itraconazole or ketoconazole

      (used to treat fungal

      infections)

      • high

        gemfibrozil (used to treat cholesterol).

If you are unsure about any of the medicines you are taking, show the bottle or pack to your pharmacist. If any of these applies to you (now or in the past), talk to a doctor or pharmacist.

Pregnancy or breast-feeding

  • If you are pregnant, think you are pregnant or planning a pregnancy: ask your doctor or pharmacist for advice before taking this medicine.
  • If you are breast-feeding do not take this medicine. Small amounts may get into your milk. Talk to your doctor about a suitable treatment.

Driving and using machines

  • This medicine may make you feel dizzy, tired or sleepy. You may feel less alert, feel faint or pass out. If you're affected do not drive, cycle or use machines.

Special warnings about this medicine

  • Your body can lose large amounts of fluids and salts when you have diarrhoea. You need to replace the fluid by drinking more liquid than usual. Ask your pharmacist about to

    rehydration therapy replace lost salts. This is

    especially important for children, and frail or older people.

  • Consult with a doctor if you have a history of drug abuse.
  • Loperamide is a type of opioid that acts directly on the gut when used as recommended but can cause other opioid effects when misused at high doses. Addiction is observed with opioids as a class.
  • Abuse and misuse of loperamide, the active ingredient in

    Loperamide Hydrochloride 2mg capsules, have been reported. Do not take this product for anything other than its intended use (see section 1) and never take more than the recommended amount (see section 3).

  • 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 Loperamide Hydrochloride 2mg capsules.

Some of the ingredients can cause problems

  • This medicine contains lactose. If you have been told by your doctor that you have an

    intolerance to some sugars contact your doctor before taking this medicine.

  • This medicine contains less than 1 mmol sodium (23 mg) per capsule, that is to say essentially 'sodium-free'.

Extra warnings for IBS patients

Use only if your doctor has previously diagnosed IBS. Check the following:

Do not take this medicine...

  • under 18 If you are aged .

Talk to your doctor first...

  • If you are aged and it

    40 or over

    is some time since your last IBS attack.

  • If you are aged and

    40 or over

    your IBS symptoms are different this time.

  • If you have recently passed blood from the bowel.
  • severe If you suffer from

    constipation.

  • sick or vomiting If you are feeling . · If you have lost your appetite or lost weight.
  • If you have difficulty or pain passing urine.
  • fever

    If you have a .

  • If you have recently travelled abroad.

If any of these applies to you, talk to your doctor before taking Loperamide Hydrochloride 2mg capsules.

3. How to take Loperamide Hydrochloride 2mg capsules

Always take this medicine exactly as described in this leaflet or as your doctor or pharmacist has told you. Check with your doctor or

pharmacist if you are not sure.

Check the tables below to see how much medicine to take.

  • Swallow the correct number of capsules whole with a drink of water. For oral use only.
  • Do not use more than the dose shown in the tables.
  • The capsules are not for long-term treatment.

Package leaflet: Information for the patient

Loperamide Hydrochloride

2mg Capsules

In House:

P:\Generic and Domestic\Generic Open\Ipca UK\Loperamide 2mg

120mm

Back

Short-term diarrhoea

Age Dose

Adults and Take two capsules children aged to start treatment. 12 and over Take one capsule after each loose bowel movement.

  • Do not take for attacks lasting longer than 48 hours.
  • six Do not take more than

    capsules in a 24-hour period. · Replace lost fluid by drinking more liquid than usual.

  • Not for children aged under 12.

How long to take Loperamide Hydrochloride 2mg capsules for short-term diarrhoea

You can use this medicine for up to 48 hours.

If your attack lasts longer than 48 hours, stop taking Loperamide Hydrochloride 2mg capsules and talk to your doctor.

IBS diarrhoea

Age Dose

Adults aged Take two capsules 18 and over to start treatment. Take

one capsule

after each loose bowel movement (or as advised by your doctor).

  • up You can use this medicine for to 2 weeks for repeated attacks, but do not take for any one attack lasting .

    longer than 48 hours

  • Do not take more than six capsules in a 24-hour period. · Replace lost fluid by drinking more liquid than usual.
  • Not for children and young people aged under 18.

Talk to your doctor and stop taking this medicine:

  • If you have been using this medicine continuously for 48 hours.
  • If you develop new IBS

    symptoms.

  • If your IBS symptoms get worse. · If your IBS symptoms have not improved after 2 weeks.

How long to take Loperamide Hydrochloride 2mg capsules for IBS diarrhoea

You can use this medicine for up to 2 weeks for repeated attacks of IBS diarrhoea. But if any one attack lasts for stop

longer than 48 hours

taking Loperamide Hydrochloride 2mg capsules and talk to your doctor.

If anyone takes too much of this medicine

If you have taken too many Loperamide Hydrochloride 2mg capsules immediately contact a doctor or hospital for advice. Symptoms may include: increased heart rate, irregular heartbeat, changes to your heartbeat (these symptoms can have potentially serious, life-threatening

consequences), muscle stiffness, uncoordinated movements, drowsiness, difficulty urinating, or weak breathing.

Children react more strongly to large amounts of Loperamide Hydrochloride 2mg capsules than adults. If a child takes too much or shows any of the above symptoms, call a doctor immediately.

If you forget to take the medicine

You should only take this medicine as you need it, following the dosage instructions above carefully. If you forget to take a dose, take a dose after the next loose stool (bowel movement). take a double

Do not

dose.

4. Possible side effects

Loperamide Hydrochloride 2mg capsules can have side effects, like all medicines, although these don't affect everyone and most are usually mild.

Get medical help at once

Rare (may affect up to 1 in 1,000 people):

  • Allergic reactions including unexplained wheezing, shortness of breath, passing out or swelling of face and throat.
  • Skin rashes, which may be severe and include blistering or peeling skin.
  • Loss of consciousness or reduced level of consciousness (passing out, feeling faint or less alert), uncoordinated movements.
  • Not known (frequency cannot be estimated from the available data): Upper abdominal pain, abdominal pain that radiates to back, tenderness when touching the abdomen, fever, rapid pulse, nausea, vomiting, which may be symptoms of inflammation of the pancreas (acute pancreatitis).

If you get any of these, stop using

the medicine and get medical help at once.

Talk to a doctor as soon as possible

Uncommon (may affect up to 1 in 100 people):

  • Itchiness or hives.
  • Stomach pain or swollen stomach.

Rare: (may affect up to 1 in 1,000 people)

  • Difficulties passing water. · Severe constipation.
  • Miosis (narrowing of the pupils of the eye).
  • Hypertonia (muscle tension). · Coordination abnormality (uncoordinated movements).

If you notice any of the above, stop using the medicine and talk to a doctor.

Other side effects that may occur Common (may affect up to 1 in 10 people)

  • Feeling sick, constipation or wind. · Headache.

Uncommon (may affect up to 1 in 100 people):

  • Dizziness or drowsiness.
  • Vomiting, indigestion.
  • Dry mouth.

Rare (may affect up to 1 in 1,000 people):

  • Tiredness.

Reporting of side effects

If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects you can help provide more information on the safety of this medicine.

5. How to Store Loperamide Hydrochloride 2mg capsules

Keep this medicine out of the sight and reach of children.

Do not store above 25ºC.

Store in the original package. Do not use this medicine after the expiry date which is stated on the carton. The expiry date refers to the last day of that month.

Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help to protect the environment.

6. Contents of the pack and other information

What Loperamide Hydrochloride 2mg capsules contains

The active substance is loperamide hydrochloride.

Each hard gelatin capsule contains loperamide hydrochloride 2 mg

The other ingredients are: Lactose anhydrous, Maize starch,

Polysorbate 80, Talc, Magnesium stearate, Silica colloidal anhydrous.

Capsule cap:

Gelatin, Sodium laurylsulfate, Iron oxide yellow, Indigo carmine, Titanium dioxide.

Capsule body:

Gelatin, Sodium laurylsulfate, Erythrosine, Iron oxide black, Titanium dioxide.

Imprinting Ink:

Shellac, Ethanol, anhydrous, Isopropyl alcohol, Butanol, Propylene glycol, Ammonia solution concentrated, Iron oxide black, Potassium hydroxide .

What Loperamide Hydrochloride 2mg capsules look like and contents of the pack

Green/Grey colored size '4' hard gelatin capsules imprinted with “C” on the cap and '24' on the body, filled with white to off white powder.

Loperamide Hydrochloride 2mg capsules are supplied in clear PVC/Aluminium blister of 10 and 14 capsules. Pack size: 28, 30, 50, 56, 84 and 100 capsules.

Not all pack sizes may be marketed.

Marketing Authorisation Holder and Manufacturer:

Ipca Laboratories UK Ltd.

Unit 97-98, Silverbriar,

Sunderland Enterprise Park East, Sunderland, SR5 2TQ

United Kingdom

This leaflet was last revised in 09/2026.

About this document

Source: MHRA - Medicines and Healthcare products Regulatory Agency (products.mhra.gov.uk) · Marketing authorisation: PL 28278/0046

Last revision stated in the text: September 2026 · MHRA data as of 13 October 2026

Found a mistake? Tell us on the contact page.

The information on this site does not replace the advice of a doctor or pharmacist.

Facts about Loperamide Hydrochloride 2 mg capsules hard

Prescription needed? Yes, prescription-only medicine (POM)
Active substance Loperamide
Strength 2 mg
Pharmaceutical form Oral capsule
Green/Grey colored size ‘4’ hard gelatin capsules imprinted with “C” on the cap and ‘24’ on the body, filled white to off white powder.
How is it taken Oral
Excipients Lactose Anhydrous, Maize starch, Polysorbate 80, Talc, Magnesium stearate, Silica Colloidal Anhydrous, Gelatin, Sodium laurilsulfate, Iron Oxide Yellow, Indigo Carmine (E132), Titanium Dioxide, Erythrosine (E127), Iron Oxide black, Shellac, Propylene Glycol, Iron Oxide Black, Potassium Hydroxide, Purified Water
Pack sizes 30 capsule
Is it available? Listed as available (NHS Dictionary of Medicines and Devices – not a record of current supplies)
Shelf life 3 years.
Storage Do not store above 25°C
Drug group (ATC) Antipropulsives
  1. A Alimentary tract and metabolism drugs
    1. A07 Antidiarrheals, intestinal antiinflammatory/antiinfective agents
      1. A07D Antipropulsives
        1. A07DA Antipropulsives
          1. A07DA03 loperamide
Marketing authorisation PL 28278/0046 (first authorised 25 March 2025)
Marketing authorisation holder Ipca Laboratories UK Ltd
Codes GTIN 5060777420017 · BNF 01040200

Sources: the MHRA product information (products.mhra.gov.uk) and the NHS Dictionary of Medicines and Devices (dm+d), release 10.1.0 of 12 October 2026, NHS Business Services Authority. Contains public sector information licensed under the Open Government Licence v3.0.