Information on Lomotil and How to Use It, Precautions and Other Medications to Avoid While Taking

This first section of our medication database entry focuses on basic drug characteristics, uses and benefits, while part two covers side effects, interactions and additional information.

Lomotil Consumer Information

LOMOTIL

Generic Name: atropine and diphenoxylate (AH troe peen and dye fen OCK see late)

Brand Names: Lomocot, Lomotil, Lonox

What is the most important information I should know about atropine and diphenoxylate?

  • Use caution when driving, operating machinery, or performing other hazardous activities. Atropine and diphenoxylate may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.
  • Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while you are taking atropine and diphenoxylate.

What is atropine and diphenoxylate?

  • Atropine produces many effects in the body, including relief from spasms of the gastrointestinal tract (stomach and intestines), the bladder, and the biliary tract.
  • Diphenoxylate is an antidiarrheal medication.
  • The combination, atropine and diphenoxylate, is used to treat diarrhea.
  • Atropine and diphenoxylate may also be used for purposes other than those listed in this medication guide.

What should I discuss with my healthcare provider before taking atropine and diphenoxylate?

  • Before taking this medication, tell your doctor if you have
    • liver disease;
    • kidney disease;
    • a blockage of your urinary tract (difficulty urinating);
    • a blockage in your intestines or ulcerative colitis;
    • glaucoma;
    • myasthenia gravis;
    • Down's syndrome;
    • numbness or tingling in your hands or feet;
    • thyroid problems;
    • high blood pressure, an irregular heartbeat, or any type of heart disease;
    • hiatal hernia or reflux disease;
    • enlargement of the prostate; or
    • asthma, chronic lung disease, or allergies.
  • You may not be able to take atropine and diphenoxylate, or you may require a lower dose or special monitoring during treatment if you have any of the conditions listed above.
  • Atropine and diphenoxylate is in the FDA pregnancy category C. This means that it is not known whether atropine and diphenoxylate will harm an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant.
  • It is not known whether atropine and diphenoxylate passes into breast milk. Do not take atropine and diphenoxylate without first talking to your doctor if you are breast-feeding a baby.
  • The FDA has not approved atropine and diphenoxylate for use by children younger than 2 years of age. Do not use this medication to treat a child of any age without first consulting a doctor. Children may be much more sensitive to the effects of this medication, which could be dangerous.

How should I take atropine and diphenoxylate?

  • Take atropine and diphenoxylate exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
  • Take each dose with a full glass of water.
  • Do not take more of this medication than is prescribed for you. Talk to your doctor if your symptoms are not being controlled.
  • To ensure that you get a correct dose, measure the liquid form of atropine and diphenoxylate with a plastic dropper or with a special dose-measuring spoon or cup, not with a regular tablespoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.
  • Store atropine and diphenoxylate at room temperature away from moisture and heat.

What happens if I miss a dose?

  • Take the missed dose as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medication.

What happens if I overdose?

  • Seek emergency medical attention.
  • Symptoms of an atropine and diphenoxylate overdose include headache; nausea; vomiting; dry mouth; restlessness; flushing; difficulty swallowing; blurred vision; dilated pupils; hot, dry skin; dizziness; drowsiness; confusion; anxiety; seizures; weak pulse; difficulty breathing; and an irregular heartbeat.

What should I avoid while taking atropine and diphenoxylate?

  • Use caution when driving, operating machinery, or performing other hazardous activities. Atropine and diphenoxylate may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.
  • Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while you are taking atropine and diphenoxylate.
  • Avoid becoming overheated in hot weather. Atropine and diphenoxylate increases the risk of heat stroke because it decreases sweating.

Please see the end of this document for relevant limitations, full details of our medication information supplier, and revision date or version number.