Reported Reactions

Drugs › Opioid agonist

Brand name · Loperamide hydrochloride

Imodium: adverse event reports filed with FDA

5,968 reports list it as a suspect or interacting product, 2004–2026. Class: Opioid agonist. Also reported as Imodium /00384302/.

5,968
reports as suspect product
0% of all reports · about 265 a year
326
reports, 12 months to June 2026
500 in the 12 months before
49.1%
marked serious by the reporter
91.7% across the class
6.4%
record death among outcomes, as reported
383 reports · not verified by FDA

Between January 2004 and June 2026, 5,968 adverse event reports received by FDA list the brand name Imodium (loperamide hydrochloride) as a suspect or interacting product. Reports that mention it only as a concomitant medication (20,381) are left out of every figure here.

In the 12 months to June 2026, 326 reports listed it, down 35% from 500 in 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 265 reports a year and 0% of the 20,646,523 reports in the database, and 0.6% 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.

Reporters most often recorded diarrhoea (19.5%), drug ineffective (16.3%) and constipation (14.9%). A report can list several reactions, so shares add to more than 100%; 879 different terms appear across these reports. Diarrhoea is recorded in 19.5% of these reports, a larger share than in the median opioid agonist drug (1.1%).

49.1% of the reports are marked serious by the reporter (91.7% across the class); 6.4% record death among the outcomes and 24.3% record hospitalisation, as reported. 61.9% of the reports came from consumers, and the largest patient age group is 45 to 64 (16.5%). 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

0141282Jul 2021: 42Aug 2021: 27Sep 2021: 31Oct 2021: 12Nov 2021: 22Dec 2021: 302022Jan 2022: 19Feb 2022: 37Mar 2022: 42Apr 2022: 38May 2022: 30Jun 2022: 38Jul 2022: 43Aug 2022: 60Sep 2022: 36Oct 2022: 60Nov 2022: 44Dec 2022: 342023Jan 2023: 36Feb 2023: 54Mar 2023: 56Apr 2023: 282May 2023: 63Jun 2023: 30Jul 2023: 41Aug 2023: 33Sep 2023: 35Oct 2023: 44Nov 2023: 33Dec 2023: 402024Jan 2024: 34Feb 2024: 41Mar 2024: 28Apr 2024: 33May 2024: 39Jun 2024: 27Jul 2024: 43Aug 2024: 76Sep 2024: 46Oct 2024: 23Nov 2024: 51Dec 2024: 412025Jan 2025: 49Feb 2025: 37Mar 2025: 41Apr 2025: 32May 2025: 27Jun 2025: 34Jul 2025: 26Aug 2025: 23Sep 2025: 27Oct 2025: 33Nov 2025: 27Dec 2025: 292026Jan 2026: 31Feb 2026: 32Mar 2026: 17Apr 2026: 40May 2026: 23Jun 2026: 18

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

03747472004: 2520042005: 352006: 322007: 4520072008: 732009: 502010: 8920102011: 512012: 622013: 5920132014: 812015: 5072016: 24120162017: 3732018: 5032019: 47520192020: 5432021: 4682022: 48120222023: 7472024: 4822025: 38520252026: 161

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Imodium reports recording the termmedian drug in opioid agonist

  1. Diarrhoealoose or frequent stools19.5%1,162
  2. Drug ineffectivethe medicine did not work as expected16.3%971
  3. Constipationconstipation14.9%889
  4. Nauseafeeling sick7.8%463
  5. Somnolencedrowsiness6.5%387
  6. Off label useused for a purpose or in a way not on the label6.5%386
  7. Vomitingbeing sick5.5%326
  8. Coma5.3%318
  9. Fatiguetiredness5%296
  10. Pneumonia aspirationlung infection from breathing in material4.9%294
  11. Incorrect dose administeredthe wrong dose was given4.6%277
  12. Weight decreasedweight loss4.1%246
  13. Abdominal painstomach or belly pain4.1%242
  14. Dyspnoeashortness of breath3.6%214
  15. Abdominal pain upperupper stomach pain3.5%211
  16. Decreased appetitereduced appetite3.4%205
  17. Dizzinesslight-headedness or unsteadiness3.4%200
  18. Headachehead pain3.4%200
  19. Product use in unapproved indicationused for a purpose not on the label3.2%188
  20. Malaisegeneral feeling of being unwell3.1%184
  21. Overdosea dose above the recommended amount2.9%174
  22. Pyrexiafever2.9%172
  23. Painpain, site not specified2.8%170
  24. Astheniaweakness or lack of energy2.5%147
  25. Abdominal discomfortstomach discomfort2.4%146
  26. Drug abusemisuse of a medicine2.4%145
  27. Abdominal distensiona bloated abdomen2.4%143
  28. Coughcough2.4%141

Top 30 of 879 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

Death6.4%383
Life-threatening3.2%189
Hospitalisation (initial or prolonged)24.3%1,452
Disability0.7%39
Congenital anomaly0.2%10
Other serious32.6%1,943
Not serious50.9%3,037

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 20.5%32
2 to 110.9%52
12 to 171.1%65
18 to 449.5%565
45 to 6416.5%982
65 to 7411.5%685
75 and over9.4%561
Age not given50.7%3,026

Patient sex

Female54.2%3,232
Male29.6%1,764
Not given16.3%972

Who reported

Physician11.8%707
Pharmacist3.7%223
Other health professional21.5%1,284
Lawyer0.1%8
Consumer or non-health professional61.9%3,697
Not given0.8%49

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 65.4% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Diarrhoea2,23737.5%
Irritable bowel syndrome1001.7%
Prophylaxis against diarrhoea240.4%
Crohn's disease230.4%
Euphoric mood170.3%
Gastrointestinal disorder160.3%

The indication field is filled in by the reporter and is often blank; shares are of all 5,968 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Imodium reports
Prednisone5389%
Ergocalciferol4467.5%
Potassium chloride4297.2%
Furosemide3976.7%
Zopiclone3515.9%
Lyrica3065.1%
Calcium carbonate2995%
Ofev2844.8%
Ativan2784.7%
Zantac2634.4%

Other products listed in reports where Imodium is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureImodiumOpioid agonistAll reports
Reports as suspect product5,968965,05120,646,523
Share of that pool—0.6%0%
Reports, latest 12 months326—1,332,454
Marked serious49.1%91.7%57.4%
Death recorded among outcomes, per 1,000 reports6435791
Hospitalisation recorded, per 1,000 reports243126213
Consumer-filed share61.9%32.5%45.8%
Top term, share of reportsDiarrhoea 19.5%median 1.1%3.1%

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 reports

How many adverse event reports has FDA received for Imodium?

5,968 reports list Imodium as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 326 of them arrived in the latest 12 months. Another 20,381 list it only as a concomitant medication.

What reactions are recorded in Imodium reports?

diarrhoea (19.5%), drug ineffective (16.3%), constipation (14.9%), nausea (7.8%) and somnolence (6.5%). 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 was responsible.

How serious are the reports?

49.1% are marked serious by the reporter. Among the outcomes recorded, 6.4% of reports include death and 24.3% 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 (61.9%), other health professional (21.5%) and physician (11.8%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Imodium rising?

326 reports in the 12 months to June 2026, down 35% from 500 in 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 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?

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 as a suspect or interacting product; reports listing it only as a concomitant medication (20,381) 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.