FDA Looks At OTC Loperamide Packaging To Curb Opioid-Related Abuse

Ingredient in J&J's Imodium and numerous OTC generics acts on opioid receptors in the gut to slow movement in the intestines and decrease bowel movements, but dosing at much higher than recommended amounts can lead to serious problems including severe heart rhythm problems and death.

FDA is responding to an emerging threat that is an offshoot from the opioid abuse epidemic by suggesting single-dose packaging for OTC loperamide, an anti-diarrhea drug some people are using in significantly high dosages to prevent withdrawal symptoms.

Commissioner Scott Gottlieb said he also will ask online sellers of loperamide "to take voluntary steps to help us address...

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