Loperamide (Imodium, Imodium A-D, Kaopectate II)

Other Medications · Approved since 1976

US FDA Approved Oral 2 Clinical Trials
Mu-opioid receptors

Description

Loperamide is an opioid receptor agonist antidiarrheal medication used as supportive care in colorectal cancer patients to manage treatment-related diarrhea. It is commonly prescribed to control diarrhea caused by chemotherapy, targeted therapies, or immunotherapy-induced colitis. Loperamide helps maintain patient quality of life and allows continuation of cancer treatment by effectively managing gastrointestinal side effects.

Mechanism of Action

Loperamide binds to mu-opioid receptors in the intestinal wall, slowing intestinal motility and increasing water and electrolyte absorption from the bowel. This mechanism reduces stool frequency and improves stool consistency without significant central nervous system effects due to poor blood-brain barrier penetration.

Molecular Targets

Side Effects

Constipation Abdominal cramping Nausea Dizziness Drowsiness Dry mouth Bloating Flatulence

Not all side effects are listed. Side effects vary by individual. Always consult your oncologist.

Clinical Trials

NCT04038619 Phase 1
Recruiting
Fecal Microbiota Transplantation in Treating Immune-Checkpoint Inhibitor Induced-Diarrhea or Colitis in Genitourinary Cancer Patients
United States
NCT04172597 Phase 2
Archived
A Study of Poziotinib in Patients With Epidermal Growth Factor Receptor (EGFR) or Human Epidermal Growth Factor Receptor 2 (HER2) Activating Mutations in Advanced Malignancies
United States