Reported Reactions

Drugs › Opioid agonist

Brand name · Loperamide hydrochloride

Imodium A-D: adverse event reports filed with FDA

3,463 reports list it as a suspect or interacting product, 2004–2026. Class: Opioid agonist.

3,463
reports as suspect product
0% of all reports · about 154 a year
68
reports, 12 months to June 2026
67 in the 12 months before
8.6%
marked serious by the reporter
91.7% across the class
0.8%
record death among outcomes, as reported
27 reports · not verified by FDA

3,463 adverse event reports received by FDA list the brand name Imodium A-D (loperamide hydrochloride) as a suspect or interacting product, from January 2004 to June 2026. A further 4,851 reports list it only as a concomitant medication, and those are not counted in the figures on this page.

In the 12 months to June 2026, 68 reports listed it, close to the 67 of the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 154 reports a year and 0% of the 20,646,523 reports in the database, and 0.4% of the reports for the opioid agonist class. How many people take it is not in the data, so a count is not a rate of occurrence.

The MedDRA terms listed most often are drug ineffective (24.7%), incorrect dose administered (16.9%) and expired product administered (7.5%). A report can list several reactions, so shares add to more than 100%; 256 different terms appear across these reports. Drug ineffective is recorded in 24.7% of these reports, a larger share than in the median opioid agonist drug (4%).

8.6% of the reports are marked serious by the reporter (91.7% across the class); 0.8% record death among the outcomes and 1.9% record hospitalisation, as reported. 96.9% of the reports came from consumers, and the largest patient age group is 75 and over (21.2%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

061122Jul 2021: 1Aug 2021: 2Sep 2021: 3Oct 2021: 6Nov 2021: 12Dec 2021: 112022Jan 2022: 9Feb 2022: 6Mar 2022: 8Apr 2022: 5May 2022: 22Jun 2022: 4Jul 2022: 10Aug 2022: 13Sep 2022: 12Oct 2022: 82Nov 2022: 4Dec 2022: 122023Jan 2023: 10Feb 2023: 6Mar 2023: 6Apr 2023: 122May 2023: 8Jun 2023: 6Jul 2023: 6Aug 2023: 8Sep 2023: 28Oct 2023: 9Nov 2023: 7Dec 2023: 92024Jan 2024: 4Feb 2024: 9Mar 2024: 9Apr 2024: 3May 2024: 7Jun 2024: 10Jul 2024: 5Aug 2024: 11Sep 2024: 12Oct 2024: 5Nov 2024: 2Dec 2024: 22025Jan 2025: 3Feb 2025: 4Mar 2025: 4Apr 2025: 5May 2025: 10Jun 2025: 4Jul 2025: 7Aug 2025: 4Sep 2025: 1Oct 2025: 8Nov 2025: 6Dec 2025: 52026Jan 2026: 5Feb 2026: 8Mar 2026: 7Apr 2026: 5May 2026: 4Jun 2026: 8

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

06351,2692004: 1620042005: 202006: 62007: 2520072008: 192009: 342010: 2220102011: 62012: 122013: 1420132014: 32015: 1,2692016: 25320162017: 4762018: 3002019: 26220192020: 922021: 452022: 18720222023: 2252024: 792025: 6120252026: 37

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Imodium A-D reports recording the termmedian drug in opioid agonist

  1. Drug ineffectivethe medicine did not work as expected24.7%856
  2. Incorrect dose administeredthe wrong dose was given16.9%586
  3. Expired product administeredthe product was used past its expiry date7.5%260
  4. Off label useused for a purpose or in a way not on the label5.9%206
  5. Product packaging issuea problem with the packaging5.7%197
  6. Product use issuea problem in how the product was used4.5%157
  7. Constipationconstipation4.3%149
  8. Diarrhoealoose or frequent stools3.9%136
  9. Inappropriate schedule of drug administrationthe medicine was taken at the wrong times3.8%131
  10. Product use in unapproved indicationused for a purpose not on the label3.4%117
  11. Overdosea dose above the recommended amount3.2%110
  12. Wrong technique in product usage processthe product was used in the wrong way3.2%110
  13. Intentional product misusedeliberate use not as intended3.1%106
  14. Intentional product use issuedeliberate use not as intended2.6%89
  15. Dysphagiadifficulty swallowing2.3%78
  16. Wrong technique in drug usage processthe medicine was used in the wrong way2.1%74
  17. Nauseafeeling sick1.9%67
  18. Product package associated injury1.9%66
  19. Abdominal pain upperupper stomach pain1.6%57
  20. Product packaging difficult to open1.5%51
  21. Vomitingbeing sick1.5%51
  22. Dysgeusiaaltered taste1.4%50
  23. Product label issuea problem with the label1.3%44
  24. Dizzinesslight-headedness or unsteadiness1.2%42
  25. Drug administration errora mistake in giving the medicine1.2%41

Top 30 of 256 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 42 drugs in the opioid agonist class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death0.8%27
Life-threatening0.3%9
Hospitalisation (initial or prolonged)1.9%65
Disability0%1
Congenital anomaly0%1
Other serious6.3%219
Not serious91.4%3,166

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 965,051 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 20.2%6
2 to 111.2%40
12 to 170.4%14
18 to 443.4%119
45 to 649%312
65 to 7411.8%407
75 and over21.2%734
Age not given52.9%1,831

Patient sex

Female62.8%2,176
Male28%969
Not given9.2%318

Who reported

Physician1%36
Pharmacist0.2%7
Other health professional1.3%46
Lawyer0.1%2
Consumer or non-health professional96.9%3,354
Not given0.5%18

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 99.2% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Diarrhoea1,25536.2%
Irritable bowel syndrome1213.5%
Antidiarrhoeal supportive care300.9%
Crohn's disease120.3%
Colitis110.3%
Abdominal discomfort70.2%

The indication field is filled in by the reporter and is often blank; shares are of all 3,463 reports.

In context

MeasureImodium A-DOpioid agonistAll reports
Reports as suspect product3,463965,05120,646,523
Share of that pool—0.4%0%
Reports, latest 12 months68—1,332,454
Marked serious8.6%91.7%57.4%
Death recorded among outcomes, per 1,000 reports835791
Hospitalisation recorded, per 1,000 reports19126213
Consumer-filed share96.9%32.5%45.8%
Top term, share of reportsDrug ineffective 24.7%median 4%6.3%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the opioid agonist class

DrugName typeReportsLatest 12 monthsMarked serious
OxyContinbrand146,26358494.6%
Oxycodone hydrochloridegeneric113,2202,59894.7%
Dilaudidbrand64,19117395.7%
Morphine sulfategeneric60,0921,57779.8%
Hydrocodone bitartrate and acetaminophengeneric59,05217096.2%
Percocetbrand57,79319895.4%
Fentanylgeneric53,6563,29286.2%
MS Continbrand52,1285598.7%
Oxycodonegeneric35,6712,85391.8%
Hysingla ERbrand30,703692.1%
Morphinegeneric28,4211,42190.5%
Nucyntabrand27,57512790.4%
Tramadol hydrochloridegeneric27,4471,95292.4%
Oxycodone and acetaminophengeneric24,91911294%
Norcobrand24,6614293.1%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Imodium A-D reports

How many adverse event reports has FDA received for Imodium A-D?

3,463 reports list Imodium A-D as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 68 of them arrived in the latest 12 months. Another 4,851 list it only as a concomitant medication.

What reactions are recorded in Imodium A-D reports?

drug ineffective (24.7%), incorrect dose administered (16.9%), expired product administered (7.5%), off label use (5.9%) and product packaging issue (5.7%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Imodium A-D was responsible.

How serious are the reports?

8.6% are marked serious by the reporter. Among the outcomes recorded, 0.8% of reports include death and 1.9% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

consumer or non-health professional (96.9%), other health professional (1.3%) and physician (1%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Imodium A-D rising?

68 reports in the 12 months to June 2026, close to the 67 of the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Imodium A-D was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Imodium A-D?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Imodium A-D as a suspect or interacting product; reports listing it only as a concomitant medication (4,851) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.