Consider Loperamide Overdose in Patients With Unexplained Cardiac Toxicity

Please see the January 2018 FDA notice concerning new packaging for loperamide designed to limit abuse.

Abuse of OTC loperamide (Imodium A-D, etc) is skyrocketing...and is being linked to serious arrhythmias and deaths.

Loperamide went OTC in the 1980s...since its abuse potential was thought to be very low.

Fast-forward to 2016 and loperamide has earned the nickname "poor man's methadone"...because high doses can lead to opioid-like effects.

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