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Antidiarrheal drugs

Generic and Trade Names:

Bismuth subsalicylatePepto-Bismol
Difenoxin/AtropineMotofen
Diphenoxylate/ Atropine Lomotil
Loperamide Imodium
Octreotide Sandostatin



Description:

These agents work in various ways to control diarrhea. Most work by inhibiting peristaltic movement through the colon to stop diarrhea, Bismuth, seems to have antiinflammatory, antisecretory and antimicrobial properties that aid in controlling diarrhea . (Facts and Comparisons 1999)

Nutritional Considerations:

Insure adequate fluid intake and maintain electrolyte balance. (Facts and Comparisons 1999)

Avoid alcohol. (Facts and Comparisons 1999)

Herbal Considerations:

Avoid Buckthorn, Cascara, Cinchona, Dandelion, Fo ti, Senna, Rehmannia (chinese foxglove). (Brinker 1998)

Diarrhea may be laxative-induced (see also cascara sagrada). (Barney 1998)

Newall lists the following herbal laxatives:

Aloe                        
Cascara                        
Eyebright                        
Frangula                        
Horehound                 
Ispaghula                        
Plantain                        
Rhubarb                        
Senna                        
Yellow dock                

One might add Licorice, especially as it may be concealed within chewing tobacco or confectionary.

References

Barney, Paul: Doctor's Guide to Natural Medicine. Woodland Publishing, 1998.

Brinker, Francis Herb Contraindications and Drug Interactions. Eclectic Medical Publications, 1999.

Facts and Comparisons, Clinisphere 2.0, Wolters Kluwer Company, 1999.

Lieberman, S. & Bruning, N.: The Real Vitamin & Mineral Book. Avery, NY.

Newall CA, Anderson LA, Phillipson JD. Herbal Medicines: A Guide for Health-care Professionals. London: The Pharmaceutical Press, 1996.

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