Loperamide and Eluxadoline Interaction

Drug interaction information between Loperamide and Eluxadoline.

Loperamide and Eluxadoline have a documented moderate interaction in FDA labeling.

FDA drug labeling documents a moderate-severity interaction between Loperamide and Eluxadoline. This page displays the available source-record category and label text. The category is not an individual risk estimate or medication-combination direction.

Drug A

Loperamide

Antidiarrheal (Opioid Receptor Agonist)

Drug B

Eluxadoline

Mu-Opioid Receptor Agonist (IBS-D)

How They Interact

These medicines both work to slow down your bowels, and using them together can cause dangerous levels of constipation.

FDA Label Information

Examples: cyclosporine, gemfibrozil, antiretrovirals (atazanavir, lopinavir, ritonavir, saquinavir, tipranavir), rifampin, eltrombopag Drugs that Cause Constipation Clinical Impact: Increased risk for constipation related adverse reactions and potential for constipation related serious adverse reactions Intervention: Avoid use with other drugs that may cause constipation (see below); loperamide may be used occasionally for acute management of severe diarrhea but avoid chronic use. Discontinue loperamide immediately if constipation occurs.

Loperamide Also Interacts With

View all Loperamide interactions →

Frequently Asked Questions

What SPL severity band is on file for Loperamide + Eluxadoline?

Compiled FDA labeling labels this pair moderate. That is a source-record field, not an individual medication-combination decision.

Which drug in this pair has the larger labeled-interaction portfolio?

Eluxadoline has 6 labeled pairs on file vs Loperamide's 2. In the moderate band specifically: Loperamide has 1; Eluxadoline has 4 (also Rosuvastatin, Rifampin, Gemfibrozil).

What mechanism field is on file for Loperamide and Eluxadoline?

These medicines both work to slow down your bowels, and using them together can cause dangerous levels of constipation.

Eluxadoline's labeled portfolio outnumbers Loperamide

SPL source-record counts only. This page's band is moderate · classes on file: Loperamide (Antidiarrheal (Opioid Receptor Agonist)); Eluxadoline (Mu-Opioid Receptor Agonist (IBS-D)).

Loperamide

0 major · 1 moderate · 1 minor · 2 total

Loperamide has no other moderate-band peer in this dataset besides Eluxadoline.

Eluxadoline

0 major · 4 moderate · 2 minor · 6 total

Sources: FDA Drug Labels (SPL) via openFDA (2026). This is for informational purposes only and is not medical advice. This registry does not provide individual medication-combination directions.