loperamide Side Effects
Also known as: Imodium
Analysis of 42,665 adverse event reports submitted to the FDA from 1999 to 2025.
Total Reports
42,665
Death-Related
3,775
8.8% of reports
Hospitalizations
15,486
36.3% of reports
Top Indication
Product Used For Unknown Indication
Most Reported Adverse Reactions
Who Reports Side Effects
Gender Distribution
Age Distribution
Reporting Trend by Year
Reactions in Death Reports
Top reactions reported in 3,775 reports where death was an outcome. These are voluntarily reported and do not establish causation.
| Reaction | Reports |
|---|---|
| DEATH | 1,282 |
| DIARRHOEA | 588 |
| NAUSEA | 301 |
| PNEUMONIA | 291 |
| FATIGUE | 270 |
| OFF LABEL USE | 230 |
| DYSPNOEA | 226 |
| VOMITING | 224 |
| ASTHENIA | 214 |
| SEPSIS | 202 |
| DECREASED APPETITE | 200 |
| TOXICITY TO VARIOUS AGENTS | 200 |
| MALIGNANT NEOPLASM PROGRESSION | 173 |
| ANAEMIA | 172 |
| DISEASE PROGRESSION | 167 |
| ABDOMINAL PAIN | 165 |
| DEHYDRATION | 165 |
| PYREXIA | 157 |
| CARDIAC ARREST | 156 |
| HYPOTENSION | 155 |
Reactions in Hospitalization Reports
Top reactions in 15,486 reports where hospitalization was an outcome.
| Reaction | Reports |
|---|---|
| DIARRHOEA | 3,268 |
| NAUSEA | 1,982 |
| VOMITING | 1,533 |
| FATIGUE | 1,413 |
| PNEUMONIA | 1,314 |
| DEHYDRATION | 1,200 |
| PYREXIA | 1,064 |
| DYSPNOEA | 1,063 |
| OFF LABEL USE | 1,018 |
| WEIGHT DECREASED | 996 |
| ABDOMINAL PAIN | 986 |
| ASTHENIA | 915 |
| DECREASED APPETITE | 815 |
| ANAEMIA | 772 |
| PAIN | 757 |
| HEADACHE | 728 |
| DRUG INEFFECTIVE | 706 |
| CONSTIPATION | 689 |
| MALAISE | 673 |
| DIZZINESS | 654 |
Nearby — Related Medications
What the FAERS Data Reveals About loperamide Side Effects
The FDA Adverse Event Reporting System (FAERS) contains 42,665 voluntary reports linked to loperamide and its brand equivalents (Imodium), spanning 1999 through 2025. Of those, 3,775 (8.8%) listed death as an outcome and 15,486 (36.3%) involved hospitalization. The most common indication reported alongside adverse events was Product Used For Unknown Indication.
Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 62% were female and 38% male; age distribution skews toward 45-64, with 8,862 reports in that bracket. The single most reported reaction is diarrhoea with 8,463 submissions, followed by nausea and drug ineffective.
FAERS is a signal-detection tool, not a scorecard. Reports are voluntary, and a single case may list multiple suspect drugs, so numbers above should not be read as incidence rates or per-patient risk. Widely prescribed drugs naturally accumulate more reports than niche therapies even when individual risk is low. These aggregates are useful for spotting patterns that merit further pharmacovigilance, not for choosing between medications. This page is for educational reference only and is not medical advice — speak with a licensed clinician about any side-effect concerns.
Read our methodology — how this data is sourced, computed, and verified.