Children’s Imodium: Can Toddlers Take Loperamide?

Last Updated: December 18, 2019

Authored by Olivier George, Ph.D.

Kids Imodium is used to treating diarrhea which has not been caused by a bacterial infection. However, for kids under 12 years old with diarrhea, loperamide should not be administered without a doctor’s consultation. Imodium dosage for children depends both on the weight and the age of the child suffering from diarrhea.

When To Give Imodium For Children

Normally, sudden diarrhea will get better between five and seven days irrespective of age. However, diarrhea leads to dehydration quicker in kids than adults. It is, therefore, recommended to give younger patients a children’s Imodium dosage when they have diarrhea.
However, it is not advisable to give loperamide to children below the age of 2 years old without the permission of a doctor. This is because diarrhea can be fatal in infants below this age. Therefore, the doctor will first determine what is the cause of a child’s diarrhea and then determine the most suitable Imodium pediatric dose.

How To Give Loperamide To Children

Imodium AD for kids is prescribed primarily to treat diarrhea. When parents buy the medication for their child, they should adhere to the directives labeled on the drug and are not supposed to use it for more than 48 hours. However, it’s safer to opt for a doctor’s consultation when giving Imodium for kids under the age of twelve.imodium for kids

Ways Of Administration

Children can take loperamide as an oral solution capsule/tablet or liquid. It takes about one hour after ingestion for it to take effect.

Imodium for kids can be administered in two ways:

  • Tablets and capsules – tables that can be chewed should be taken before eating for the best result. Take the whole of it with water. Tablets and capsules should be administered to those who are over the age of six years.
  • Liquid medication –  normally available when prescribed only.

Imodium Dosage For Children

Dosage of Imodium for children based on age and weight:

  • Kids aged 2-5 years and weigh between 13-20 kilograms should be given the Imodium for 3-year-old liquid formulation and not capsules. However, 7.5 milliliters of the Imodium liquid formulation should be given at the start and not exceed 22.5 milliliters in twenty-four hours.
  • Children between the ages of 6-8 years and weight of between 20-30 kilograms should take 15 mL after the first loose stool. Furthermore, 7.5 mL of children’s Imodium should be administered continually after each subsequent loose stool. However, for this age group, generic Imodium should not pass 30mL within a 24-hour time frame (for the liquid form). For the capsule, give two per day.
  • For kids aged between 8-12 years and are above 30 kilograms, give two milligrams three times a day. For the liquid Imodium AD for kids dose – 15 milliliters at first and 7 additional milliliters every loose stool, but not exceed 45 milliliters in a day (24 hours).
  • Kids between 12-17 years and weigh above 30 kilograms are either given two capsules two times a day or a single capsule four times a day. The Imodium liquid dosage is 30 milliliters at first, 15 milliliters on every loose stool with a maximum of 60 milliliters for 24 hours.

Side Effects in Children

General Side Effects

Children are presumed to react differently to Imodium than adults. Therefore, it is expected that the loperamide side effects for kids will be a little different from those of adults. Listed below are the side effects that parents should be keen to note when giving Imodium AD for children:

  • side effects of kid imodiumitchiness or a rash
  • nausea
  • cramps at the abdomen or stomach pain
  • constant and repeated crying for toddlers
  • stomach enlargement
  • a lot of gas release
  • dry mouth
  • constipation
  • bloating or wind

When the side effects outweigh the benefits, it is better to consider loperamide alternatives.


The most common result of diarrhea is losing a lot of water in the body. This is called dehydration. It is the reason diarrhea in children can be fatal if children’s Imodium is not administered. That’s why it is recommended to give children a lot of water or any other form of liquid. Imodium AD for children works by reducing water and, therefore, electrolyte loss in the child’s body.

Parents should we aware of the following dehydration signs and symptoms:

  • irritation
  • abnormal fever
  • sunken eyes and cheeks
  • lack of tears when crying
  • skull with soft spots
  • baby diapers that are not wet for three hours or more
  • dry tongue and mouth
  • lack of energy

Severe dehydration is a major cause of infant mortality worldwide. It results in about 760,000 deaths each year of children with diarrhea diseases where treatments such as Imodium AD for toddlers are not available.

In most cases, water won’t be enough to alleviate the dehydration. Hence, giving children other liquids such as NaturaLyte in combination with Imodium pediatric dose to boost the electrolyte levels in the body.

Preventing Side Effects Of Kids Imodium

  • children's imodiumDo not give the drug to children who are under 2 years old without consulting a doctor.
  • It is unrecommended to give Imodium for 1-year-old if they have a fever. This worsens the side effects and may even cause death if left untreated. Furthermore, never give the medication for toddlers who may have or are allergic to the drug. Thus, knowing Imodium AD ingredients is important.
  • Replace the fluids lost by the child by giving them plenty of water and other liquids such as NaturaLyte.
  • Make sure to follow the Imodium directions of use as indicated on the label, unless there are no doctor’s instructions.

Know How To Give Medication to Babies

Parents should be cautious whenever they administer children’s Imodium to treat diarrhea. They should consider it in terms of how and when to give a pediatric dose of the drug and the side effects that may arise afterward. Following the instructions on the label is critical as parents should know what loperamide does. However, more importantly is to consult with a doctor before giving loperamide to children.

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Published on: May 6th, 2019

Updated on: December 18th, 2019

About Author

Olivier George, Ph.D.

Olivier George is a medical writer and head manager of the rehab center in California. He spends a lot of time in collecting and analyzing the traditional approaches for substance abuse treatment and assessing their efficiency.


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  • Tahira
    my baby is 10 month old toddler have diarriya i have gave him a small amount of modium capsule without peds advice but now i am so worried . plz can anyone help me