Posted 11 June 2002 - 09:10 PM
Lomotil & Imodium do work differently. Imodium is now available OTC and it contains an ANTI-SPASMODIC (stops cramping in the bowel). Now that it's available OTC, you can also get it with GAS-X (anti-gas) in it (which helps stop bloating) and in minty chewable form too!From what I know, Lomotil paralyzes the whole GI tract and Imodium only works on the lower. I haven't taken Lomotil in years, but found that it blocks me up to a constipated feeling until I stop taking them.I take 1 Imodium every morning an hour before my breakfast yogurt. If I am working or traveling I take another Imodium in the afternoon.I also have an RX for NULEV and they are WONDERFUL! An RN galpal whose husband has IBS w/ D turned me onto them. Nulev are minty sublinguals and if I have urgency I take 1-2 and if it continues I take more. The generic form is NOT the same, they don't dissolve & taste chemical. The side effect is dry mouth (big deal).If I'm stressed they are a godsend, as they enable me to leave the apartment and drive to work. I highly recommend the combination of an OTC Imodium w/ Gas-X & 1-2 Nulev.I was traveling in the South Pacific and discovered a new diarrhea medicine... SMECTA that works great. Small packets that you mix into a half-glass of water and take 3x per day. I got hit w/ bad traveler's D (INCREDIBLY BAD cramps & horrible smelling D). A double-doses of Imodium w/ Nulev was not working because of the bacterial parasite that was in my GI tract. But, I had to fly, so I had to stop the D & cramping which had me doubled over and moaning in the bathroom. I took 2 packets of SMECTA a few hours apart and it stopped my D by dawn! I then ate the BRATT diet for the next few days. I also took BACTRIM-DS 2x per day for a week to kill the bacteria and it worked so well the D not only stopped, but I managed my 6th day on Bactrim w/ no Imodium at all.I've found this in the past, that Bactrim (usually Rxed for bladder infections) stops my D. HAS ANYONE ELSE EXPERIENCED THIS?