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Andial (Loperamide)

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Andial is an antidiarrheal medication. It works on the muscles of your intestines (gut) to slow down movements. This allows for a longer period of time between bowel movements and time to make formed stools.

Other names for this medication:
Allexit, Andial, Avistep, Bendiar, Cipromide, Diamode, Diariv, Diarlop, Dylock, Eldoper, Entril, Forasec, Fulomet, Imosec, Imotil, Imozol, Kaopectate, Klassak, Lomin, Lopamide, Loperamide, Loperia, Maalox, Metrofur, Neostep, Norstrep, Ridol, Triogyl

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Also known as: Loperamide


{name} A-D New Formula is used to treat diarrhea.

{name} A-D New Formula is also used to reduce the amount of stool in people who have an ileostomy (re-routing of the bowel through a surgical opening in the stomach).


This section provides information on the proper use of a number of products that contain loperamide. It may not be specific to Andial. Please read with care.

Take this medicine exactly as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. To do so may increase the chance of side effects.

Swallow the capsule whole. Do not crush, break, or chew it.

Drink plenty of water while using this medicine.

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

For acute diarrhea: For oral dosage form (capsules): Adults and children 13 years of age and older—At first, 4 milligrams (mg) (2 capsules) after the first loose bowel movement, then 2 mg (1 capsule) after each loose bowel movement after the first dose has been taken. However, dose is usually not more than 16 mg (8 capsules). Children 8 to 12 years of age weighing more than 30 kilograms (kg)—2 mg (1 capsule) 3 times a day. Children 6 to 8 years of age weighing 20 to 30 kg—2 mg (1 capsule) 2 times a day. Children 2 to 5 years of age weighing 20 kg or less—Use the oral solution. Children younger than 2 years of age—Use is not recommended. For oral dosage form (oral solution): Children 8 to 12 years of age weighing more than 30 kilograms (kg)—2 teaspoonfuls (2 mg) 3 times a day. Children 6 to 8 years of age weighing 20 to 30 kg—2 teaspoonfuls (2 mg) 3 times a day. Children 2 to 5 years of age weighing 13 to 20 kg—1 teaspoonful (1 mg) 3 times a day. Children younger than 2 years of age—Use is not recommended. For oral dosage form (tablets): Adults and teenagers—The usual dose is 4 mg (2 tablets) after the first loose bowel movement, and 2 mg (1 tablet) after each loose bowel movement after the first dose has been taken. No more than 8 mg (4 tablets) should be taken in any 24-hour period. Children 9 to 11 years of age—The usual dose is 2 mg (1 tablet) after the first loose bowel movement, and 1 mg (½ tablet) after each loose bowel movement after the first dose has been taken. No more than 6 mg (3 tablets) should be taken in any 24-hour period. Children 6 to 8 years of age—The usual dose is 2 mg (1 tablet) after the first loose bowel movement, and 1 mg (½ tablet) after each loose bowel movement after the first dose has been taken. No more than 4 mg (2 tablets) should be taken in any 24-hour period. Children up to 6 years of age—Use is not recommended unless directed by your doctor. For chronic diarrhea: For oral dosage form (capsules): Adults—At first, 4 milligrams (mg) (2 capsules) after the first loose bowel movement, then 2 mg (1 capsule) after each loose bowel movement after the first dose has been taken. Your doctor may adjust your dose as needed. However, dose is usually not more than 16 mg (8 capsules) per day. Children 2 years of age and older—Use and dose must be determined by your doctor. Children younger than 2 years of age—Use is not recommended.


Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of loperamide can be fatal.

Overdose symptoms may include fast or irregular heartbeats, or fainting. A person caring for you should seek emergency medical attention if you pass out and are hard to wake up.


Store at room temperature between 15 and 25 degrees C (59 and 77 degrees F) away from moisture and heat. Keep container tightly closed. Throw away any unused medicine after the expiration date. Keep out of the reach of children.

Side effects

The most common side effects associated with Andial are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.


Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of loperamide in the elderly. However, elderly patients are more likely to have heart rhythm problems, which may require caution in patients receiving loperamide.

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Horses were recruited for inclusion if they were determined to be healthy and sound based on clinical and lameness evaluation. At 25 degrees C the Michaelis constant was 33.4 mM, not greatly different from the value for the enzyme in free solution. The shrinkage estimate for the new study integrates the evidence from the other studies. Hybrid Monte Carlo and continuum modeling of electrolytes with concentration-induced dielectric variations. Indeed, this modification is cell cycle-regulated, maintained upon replicative damage in a checkpoint-dependent manner, and is essential for surviving DNA damage. The structure of a new compound was elucidated by MS and NMR as being that of 4-(acetoxyethyl)-1,2-dihydroxybenzene. A total of 36 ICU patients and 23 healthy volunteer subjects (HVS). However, there was no evidence of increased contribution from trunk motion or a lengthening of reach movement time or deceleration time. Best estimates for the solid-liquid distribution coefficients (K(d)) of radiostrontium and radiocaesium for various soil types, were derived from geometric means (GM) calculated from grouping soils by texture and organic matter content, and also using soil cofactors governing soil-radionuclide interaction. Since the renal tubule is the major tissue affected in the course of HUS and Stx2 is known to be toxic to the renal tubular cells (RTC), we attempted to elucidate the mechanism of renal injury in HUS by studying the alteration of cytokines in the RTC evoked by Stx2.

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Evidence from animal studies has associated transforming growth factor (TGF)-beta signaling with both normal and premature cranial suture fusion. Homozygous adenine phosphoribosyltransferase (APRT) deficiency is associated with 2,8-dihydroxyadenine (DHA) nephrolithiasis. Increased iron stores or haemochromatosis gene mutations are not significant risk factors for coronary heart disease. In muscle at 3 weeks after hatching, the initial focal degeneration of myofibrils was recognizable but it was not associated with autophagic vacuoles. Novel approaches to managing this pest have focused on gene silencing of target nematode sequences using RNA interference (RNAi). A developmental effect of age was seen with lower concentrations in younger infants (0-2 months) than in older infants 4-18 months. The possibility of transient acute changes in luteinizing hormone, follicle-stimulating hormone and testosterone after each daily injection was studied in 31 patients treated for more than 1 year. Carcinogenic hydrocarbons in the atmosphere of certain Polish cities.

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