Title
Loperamide oxide for the treatment of chronic diarrhea in Crohn's-disease Loperamide oxide for the treatment of chronic diarrhea in Crohn's-disease
Author
Faculty/Department
Faculty of Medicine and Health Sciences
Publication type
article
Publication
Northampton ,
Subject
Pharmacology. Therapy
Human medicine
Source (journal)
The journal of international medical research. - Northampton
Volume/pages
23(1995) :5 , p. 335-341
ISSN
0300-0605
ISI
A1995RX11600003
Carrier
E
Target language
English (eng)
Affiliation
University of Antwerp
Abstract
Loperamide oxide was compared with placebo for the treatment of chronic diarrhoea in patients with Crohn's disease. After initially receiving 2 mg loperamide oxide or placebo, hospital out-patients with Crohn's disease were instructed to take one tablet of loperamide oxide (1 mg) or placebo after passage of each unformed stool in a 1-week double-blind investigation. Patients who responded to this treatment by passing less than three unformed stools per 24 h continued to receive the drug, twice daily, for a further week. At the end of the initial 1-week treatment phase both the investigator's and the patients' global evaluations of efficacy were significantly in favour of the active treatment (P = 0.025 and P = 0.020, respectively). The investigator's assessment of the change in abdominal pain was significant for loperamide oxide (P = 0.020) but not for placebo. Improvements in patient-rated severity of diarrhoea were significantly greater for loperamide oxide than for placebo (P = 0.046). The mean daily dose of loperamide oxide was 2.7 mg. During the second week, both the investigator's and the patients' assessments of global efficacy and symptom improvement continued to favour loperamide oxide though the differences were not significant. Adverse events were rare. The results suggest that loperamide oxide (3 mg/per day) provides a safe and effective treatment for the chronic diarrhoea associated with Crohn's disease.
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