I used Lomotil the first year I was diagnosed with IBS, but I really didn't like it. I think taking it in combination w/ too many other medications doctors prescribed to help me with IBS (Donnatol, imipramine, Pepto, etc.) constipated me for days and then when I finally went I would have a "complete evacuation" - going and going for hours, feeling like I was going to poop out my intestines or something. Those were some of the worst attacks I've ever had.
Currently, I take 1/2 - 1 Imodium caplet about twice a week, usually as a preventive if I'm going out or feeling those warning rumbles. I'll take 1-2 if I'm actually having an attack, but only if it's a bad attack. I went for years without taking it, but my IBS got worse last year so I used it regularly until I got stable. Now I try to use it only as needed.
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