Bell's Healthcare Diarrhoea Relief 2mg Capsules 6s

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

Short term diarrhoea:

• For adults and children aged 12 and over.
• Take two capsules to start treatment.
• Take one capsule after each loose bowel movement.
• Do not take for attacks 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 aged under 12 years.
• You can use this medicine for up to 48 hours. If your attack lasts longer than 48 hours, stop taking Diarrhoea Relief 2mg Capsules and talk to your doctor.

IBS diarrhoea:

• For adults and children aged 18 and over.
• Take two capsules to start treatment.
• Take one capsule (or as advised by your doctor) after each loose bowel movement.
• You can use this medicine for up to  2 weeks for repeated attacks, but do not take for any one attack lasting longer than 48 hours.
• Do not take more than 6 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.

• Active Ingredient: Loperamide 2mg.
• Other Ingredients: Maize starch, lactose, talc and magnesium stearate. The capsule shell contains gelatin, titanium dioxide (E171), quinoline yellow (E104), carmoisine (E122), sunset yellow (E110) and patent blue V (E131). The printing ink contains shellac, dimeticone, titanium dioxide (E171) and propylene glycol (E1520).

• If you are pregnant, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.
• If you are breastfeeding do not take this medicine. Small amounts may get into your milk. Talk to your doctor about a suitable treatment.
• 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.
• 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 rehydration therapy to 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 Diarrhoea Relief 2mg Capsules, have been reported.
• Do not take this product for anything other than its intended use and never take more than the recommended amount. Serious heart problems (symptoms of which include fast or irregular heartbeat) have been reported in patients who have taken too much loperamide, 
• Diarrhoea Relief 2mg Capsules contain lactose. This product contains lactose. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.
  This medicine contains less than 1mmol sodium (23 mg) per capsule, that is to say essentially ‘sodium free'.

Do not take Bell's Healthcare Diarrhoea Relief 2mg Capsules:

• If you are allergic to loperamide or any of the other ingredients of this medicine.
• If it is for a child aged under 12 (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.
• If you are constipated, or your stomach appears swollen (especially in children with severe dehydration).
• If you have acute dysentery, the symptoms of which may include blood in your stools and a high temperature.

Talk to your doctor or pharmacist before taking Bell's Healthcare Diarrhoea Relief 2mg Capsules:

• If you have AIDS and your stomach becomes swollen, stop taking the capsules immediately and contact your doctor.
• If you suffer from liver disease.
• 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.
• If you have severe diarrhoea as your body loses more fluid, sugars and salts than normal.
• If you are taking any other medicines, including:
  • Ritonavir (used to treat HIV),
  • Quinidine (used to treat abnormal heart rhythms or malaria).
  • Oral desmopressin (used to treat excessive urination).
  • Itraconazole or ketoconazole (used to treat fungal infections).
  • Gemfibrozil (used to treat high cholesterol).

Extra warnings for IBS patients.

• Use only if your doctor has previously diagnosed IBS.
• Do not take this medicine if you are aged under 18.
• Talk to your doctor first:
  • If you are aged 40 or over and it is some time since your last IBS attack.
  • If you are aged 40 or over and your IBS symptoms are different this time.
  • If you have recently passed blood from the bowel.
  • If you suffer from severe constipation.
  • If you are feeling sick or vomiting.
  • If you have lost your appetite or lost weight.
  • If you have difficulty or pain passing urine.
  • If you have a fever.
  • If you have recently travelled abroad.