Full Prescribing Info
Loperamide hydrochloride.
One capsule contains 2 milligrams of loperamide hydrochloride.
Excipients/Inactive Ingredients: lactose monohydrate, starch, talc and magnesium stearate. The capsule itself is made from gelatin, sunset yellow, brilliant blue, erythrosine and titanium dioxide.
Vacontil is used to treat diarrhea, Vacontil makes the stools more solid and less frequent.
The patient can take Vacontil for sudden (acute) diarrhea or long-lasting (chronic) diarrhea.
The patient may also be given Vacontil if the patient has part of the intestines removed, as this often causes diarrhea.
Dosage/Direction for Use
The dose of Vacontil that you will need to take will depend on your age and the type of diarrhea.
Vacontil is to be taken by mouth.
The patient can take Vacontil at any time of day.
The capsules should be taken with liquid.
Adults (including elderly): for sudden (acute) diarrhea, take 2 capsules at once, then take 1 capsule after every loose stool. If the patient has a solid or hard stool, or if the patient go for 24 hours without a bowel movement, do not take any more capsules.
For long-lasting (chronic) diarrhea, the right dose should be worked out with the doctor.
Do not take more than 8 capsules in any 24 hour period.
Children aged 6 years and over: For sudden (acute) diarrhea, take 1 capsule to begin with, then 1 capsule after each loose stool. If the child has a solid or hard stool or goes for 24 hours without a bowel movement, do not give any more capsules.
For long-lasting (chronic) diarrhea, the right dose should be worked out in consultation with the doctor.
Never give more than the maximum recommended dose per day and per kilogram of the child's weight. (See table.)

Click on icon to see table/diagram/image
If the patient has taken too much Vacontil, immediately contact a doctor or hospital for advice if the patient has any of the following symptoms: increased heart rate, irregular heartbeat, changes to the heartbeat (these symptoms can have potentially serious, life threatening consequences), muscle stiffness, uncoordinated movements, drowsiness, difficulty urinating or weak breathing.
Children react more strongly to large amounts of Vacontil than adults. If a child takes too much or shows any of the above symptoms, call a doctor immediately.
Do not give Vacontil to children under 2 years.
Do not use Vacontil: if there is blood in the stools or the patient has a high temperature; if the patient has inflammation of the lower bowel (for example, ulcerative colitis or pseudomembranous colitis as a result of using antibiotics); if the doctor has told the patient that he/she has a condition where slowing of the intestine should be avoided, for example, if the patient is constipated or the abdomen is swollen; if the patient know that he/she is allergic (hypersensitive) to loperamide HCl or one of the other ingredients.
If in doubt, ask the pharmacist or doctor for advice.
Special Precautions
Although Vacontil stops diarrhea, it will not treat the cause of it. Whenever possible, the cause of the diarrhea should also be treated.
When the patient has diarrhea, the patient will lose a lot of fluids. The patient should therefore replace lost fluids by taking much more liquid than he/she normally would. This is especially important for small children. The pharmacist will be able to supply a special powder that contains sugar and salts. When added to water, it will also replace the salts that are lost during a bout of diarrhea. This solution is particularly suitable for children.
For sudden (acute) diarrhea, Vacontil will usually stop the symptoms within 48 hours. If it does not, stop taking the medicine and see the doctor.
If the patient has AIDS and are being treated with Vacontil for diarrhea and if the patient has any signs of abdominal swelling or bulging, stop taking Vacontil immediately and tell the doctor.
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, the active ingredient in Vacontil.
Do not abuse and misuse Vacontil.
Driving or operating machinery: Tiredness, dizziness, or drowsiness can be seen with diarrhea. If this happens, do not drive or use any machines.
Children: Vacontil should not be given to children under 2 years and should only be given to children under 6 year if the doctor has prescribed it.
Use In Pregnancy & Lactation
Pregnancy: If the patient think or may be, pregnant, the patient should inform the doctor, who will decide if she can take Vacontil.
Breast-feeding: The patient is advised not to take Vacontil if she is breast-feeding, because small amounts of Vacontil can end up in her milk.
Adverse Reactions
Like all medicines, Vacontil can cause side effects, although not everybody gets them.
Stop using Vacontil and tell the doctor straight away if the patient notices or suspect any of the following. The patient may need urgent medical treatment.
Sudden swelling of the face, lips or throat, shortening of breath, hives (also known as nettle rash or urticaria), severe irritation, reddening or blistering of your skin. These may be signs of a severe hypersensitivity or allergic reaction; Extreme tiredness, being unable to move in a coordinated way, loss of consciousness; Severe stomach pain, stomach bulging or swelling or fever which may be due to a blocked or enlarged bowel.
Tell the doctor if the patient notices any of the following side effects while using Vacontil: Dry mouth, Indigestion, Stomach pain, Discomfort or Bloating, Feeling sick, Vomiting, Passing wind, Constipation; Headache, Feeling dizzy, feeling sleepy or tired, feeling weak; Rash; Urinary retention (being unable to pass urine or empty the bladder completely); Constricted pupils.
If any of the side effects gets serious, or if the patient notice any side effects not listed, please tell the doctor or pharmacist.
Drug Interactions
Tell the doctor or pharmacist if the patient is taking or have recently taken any other medicines.
This includes medicines that the patient buy without a prescription or herbal medicines. In particular, tell the doctor or pharmacist if the patient is taking any of the following: ritonavir (used to treat HIV); quinidine (used to treat abnormal heart rhythms); oral desmopressin (used to treat excessive urination); itraconacole or ketoconazole (used to treat fungal infections); gemfibrozil (used to lower cholesterol).
Liver problems: Tell the doctor if the patient has liver problems; the patient may need close medical supervision while he/she is taking Vacontil.
Store below 25°C in a dry place protected from light. Keep out of reach of children.
This medicine can be kept for only a limited period.
MIMS Class
ATC Classification
A07DA03 - loperamide ; Belongs to the class of antipropulsives. Used in the treatment of diarrhea.
Cap 2 mg (grey and green) x 100 x 10's.
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