Brief Answer:
No betterand safer medicines are now available

Detailed Answer:
Hello and Thank you for choosing HealthcareMagic for your query.
I am a Gastroenterologist and would be addressing your query.

No loperamide is not a good drug for long term use.It works by slowing down the movement of the gut. This decreases the number of bowel movements and makes the stool less watery. Risk of permanent paralytic ileus(paralysis of intestines usually irreversible) is usually involved in long term use of imodium.

Now days a number of better and safe drugs are available so as per my advice imodium should not be used as far as possible.

Another OTC medication available is Bismuth sub-salicylate. It belongs to a class of medications called antacids and adsorbents marketed by name of Pepto Bismol. Doses up to 1gram can be taken daily to provide symptomatic relief from diarrhea.

Racecadotril is known as a prodrug. Once inside your body, it is broken down into an active ingredient called thiorphan. Thiorphan reduces the number of watery secretions that are produced by your intestines. This helps to reduce the amount of fluid that your body loses. In turn, this reduces the symptoms of diarrhea and helps reduce the risk of dehydration. Racecadotril can be taken in doses of 100mg thrice daily.Onlyproblem is that its not available in states however you can get it from European or Asian countries(Very safe drug).

Cholestyramine is used to treat high cholesterol (hyperlipidemia) and itching caused by partial bile obstruction (when bile acids can’t easily move between the liver and gallbladder). The most common side effect of this drug is severe constipation.This side effect will help you.

Diphenoxylate and Atropine combination(Lomotil)-Atropine/diphenoxylate is an antidiarrheal and anticholinergic combination. It works by decreasing the motion of muscles in the intestines and prolonging the time it takes to move the contents through the body.

Codeine is often prescribed to relieve pain. When you take the drug as a tablet of codeine sulfate, it can help prevent diarrhea as again constipation as a side effect of codeine.

The above-mentioned medicines can be taken along with one another. Please discuss the options and doses with your Gastroenterologist.

As per your question i would suggest you not to use loperamide on your own.

Hope i answered your query well.
Follow ups are welcome.

Regards.

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