Product image of Numark Anti-Diarrhoea (Loperamide Hydrochloride) supplied by GNH India

Numark Anti-Diarrhoea

Active Ingredient:
Loperamide Hydrochloride
Origin:
EU

Numark Anti-Diarrhoea (Loperamide Hydrochloride)

Loperamide Hydrochloride, the active ingredient in Numark Anti-Diarrhoea, is an antidiarrheal presented as a tablet for oral use. It reduces the frequency and urgency of loose stools in adults and children.

GNH India supplies Numark Anti-Diarrhoea as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Galpharm Healthcare Limited

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Indications & Clinical Uses

Loperamide is an antidiarrheal that works on the gastrointestinal motility pathway. It is indicated for:

  • Acute nonspecific diarrhea: decreases stool frequency and improves consistency.
  • Traveler's diarrhea: provides symptomatic relief for short‑term travel‑related loose stools.
  • Chronic diarrhea associated with inflammatory bowel disease: helps control stool output.
  • Ileostomy output reduction: limits excessive fluid loss in patients with an ileostomy.

How It Works

  • Loperamide binds to peripheral μ‑opioid receptors in the myenteric plexus of the intestine, inhibiting acetylcholine release and reducing peristaltic activity. This prolongs intestinal transit time, allowing greater water and electrolyte absorption, and increases sphincter tone, thereby decreasing stool frequency and liquidity.

Side Effects

Loperamide may cause a range of adverse reactions.

Common Side Effects

  • Constipation: reduced bowel movements.
  • Abdominal cramps: mild to moderate discomfort.
  • Nausea: feeling of queasiness.
  • Flatulence: increased intestinal gas.
  • Dizziness: transient light‑headedness.
  • Dry mouth: reduced salivation.

Serious or Rare Side Effects

  • Severe constipation leading to bowel obstruction.
  • Toxic megacolon: dangerous colonic dilation.
  • Allergic reactions: rash, itching, or swelling.
  • Cardiac arrhythmias: QT prolongation or ventricular tachycardia.
  • Central nervous system depression when combined with other opioids.
  • Hepatotoxicity in patients with pre‑existing liver disease.

Precautions & Warnings

Before using Numark Anti‑Diarrhoea, consider the following safety points.

  • Assess hydration status: ensure adequate fluid replacement.
  • Avoid use in infectious diarrhea: may prolong pathogen shedding.
  • Do not exceed recommended dose: follow prescriber instructions.
  • Use with caution in hepatic impairment: metabolism is liver‑dependent.
  • Monitor for constipation: discontinue if severe.
  • Store at room temperature: keep in the original pack, protect from moisture.

Avoid Interactions

Loperamide can interact with several medicines.

Major Interactions (Avoid)

  • CYP3A4 inhibitors (e.g., ketoconazole): increase loperamide plasma levels.
  • CYP2C8 inhibitors (e.g., gemfibrozil): raise systemic exposure.
  • Concurrent antidiarrheals: additive slowing of gut motility.

Moderate Interactions (Monitor Closely)

  • Anticholinergic agents: may exacerbate constipation.
  • Opioid analgesics: additive central opioid effects.
  • Rifampin: may reduce loperamide effectiveness.
  • P-glycoprotein inducers (e.g., St. John’s wort): lower drug concentrations.
  • QT‑prolonging drugs: increase risk of cardiac arrhythmias.

Frequently Asked Questions

Numark Anti-Diarrhoea contains loperamide hydrochloride and is used to relieve symptoms of acute nonspecific diarrhea, traveler's diarrhea, chronic diarrhea linked to inflammatory bowel disease, and to reduce excessive output in patients with an ileostomy. It works by slowing intestinal movement, allowing the body to absorb more fluid.

Loperamide acts on peripheral μ‑opioid receptors in the gut wall, inhibiting the release of acetylcholine and other neurotransmitters that stimulate peristalsis. This reduces the speed of intestinal transit, increases the time for water and electrolytes to be absorbed, and strengthens the anal sphincter, resulting in firmer, less frequent stools.

The exact dose of Numark Anti-Diarrhoea is determined by the prescribing healthcare professional based on the patient’s age, severity of symptoms, and clinical condition. Patients should follow the prescriber’s instructions and not self‑adjust the dosage.

Loperamide is generally classified as Category C for pregnancy, meaning risk cannot be ruled out. It should only be used if the potential benefit justifies the potential risk to the fetus. During breastfeeding, small amounts may pass into milk; use only if clearly needed and after consulting a healthcare provider.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements), and necessary import documentation.

Compared with other over‑the‑counter antidiarrheals such as diphenoxylate‑atropine, loperamide has minimal central nervous system activity because it does not readily cross the blood‑brain barrier. This makes it effective for peripheral gut motility control while reducing the risk of central opioid effects.

Store Numark Anti‑Diarrhoea at room temperature, below 25 °C, in its original packaging to protect it from moisture and light. Keep the product out of reach of children and avoid storing it in humid or excessively hot environments.

Numark Anti‑Diarrhoea is taken orally, usually with a glass of water. The tablet should be swallowed whole and not chewed or crushed. Patients should follow the dosing schedule prescribed by their clinician and may be advised to take the medication after the first loose stool.

Serious risks include severe constipation that can lead to bowel obstruction, toxic megacolon, allergic reactions such as rash or swelling, and cardiac arrhythmias (especially when combined with other QT‑prolonging drugs). Any signs of these conditions require immediate medical attention.

Numark Anti‑Diarrhoea should be avoided in patients with known hypersensitivity to loperamide, those with acute dysentery or colitis caused by invasive bacteria, and individuals with severe hepatic impairment. It is also contraindicated in children under two years of age unless specifically directed by a pediatric specialist.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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