Page last updated: 2024-10-30

loperamide and Arrhythmias, Cardiac

loperamide has been researched along with Arrhythmias, Cardiac in 28 studies

Loperamide: One of the long-acting synthetic ANTIDIARRHEALS; it is not significantly absorbed from the gut, and has no effect on the adrenergic system or central nervous system, but may antagonize histamine and interfere with acetylcholine release locally.
loperamide : A synthetic piperidine derivative, effective against diarrhoea resulting from gastroenteritis or inflammatory bowel disease.

Arrhythmias, Cardiac: Any disturbances of the normal rhythmic beating of the heart or MYOCARDIAL CONTRACTION. Cardiac arrhythmias can be classified by the abnormalities in HEART RATE, disorders of electrical impulse generation, or impulse conduction.

Research Excerpts

ExcerptRelevanceReference
"High-dose loperamide is often used for the acute management of chemotherapy-induced diarrhea, with a maximum daily dosing of up to 24 mg."8.98Loperamide and cardiac events: Is high-dose use still safe for chemotherapy-induced diarrhea? ( de Lemos, ML; Guenter, J; Kletas, V, 2018)
"Loperamide has been a safe and effective treatment for diarrhea for many years."8.31The Potential Mechanisms behind Loperamide-Induced Cardiac Arrhythmias Associated with Human Abuse and Extreme Overdose. ( Damiano, BP; Gallacher, DJ; Kreir, M; Lu, HR; Rohrbacher, J; Saidov, T; Teisman, A; van der Linde, H, 2023)
"The anti-diarrheal drug loperamide is a mu-opioid agonist with poor systemic bioavailability at standard doses."5.56[Torsade de pointes following repeated massive loperamide ingestions]. ( Carlsson, H; Höjer, J; Myllymäki, L; Westerbergh, J, 2020)
"Loperamide (Imodium) is a non-prescription opioid receptor agonist available over-the-counter for the treatment of diarrhea."5.46Unexpected Serious Cardiac Arrhythmias in the Setting of Loperamide Abuse. ( El Meligy, A; Garas, MK; Minami, T; Parikh, P; Rasla, S; Shah, NR; St Amand, A, 2017)
"High-dose loperamide is often used for the acute management of chemotherapy-induced diarrhea, with a maximum daily dosing of up to 24 mg."4.98Loperamide and cardiac events: Is high-dose use still safe for chemotherapy-induced diarrhea? ( de Lemos, ML; Guenter, J; Kletas, V, 2018)
"Loperamide is a nonprescription opioid widely used for the treatment of diarrhea."4.95Clinical Review: Loperamide Toxicity. ( Juurlink, DN; Wu, PE, 2017)
"The nonprescription drugs loperamide and mitragynine are associated with disproportionate reports of life-threatening ventricular arrhythmia in North America."4.31Ventricular Arrhythmias Associated With Over-the-Counter and Recreational Opioids. ( Haigney, MCP; Kao, DP; Kleiman, RB; Klein, M; Krantz, MJ; Rudo, TJ; Stockbridge, N, 2023)
"Loperamide has been a safe and effective treatment for diarrhea for many years."4.31The Potential Mechanisms behind Loperamide-Induced Cardiac Arrhythmias Associated with Human Abuse and Extreme Overdose. ( Damiano, BP; Gallacher, DJ; Kreir, M; Lu, HR; Rohrbacher, J; Saidov, T; Teisman, A; van der Linde, H, 2023)
" Following treatment for hyperkalemia with calcium, insulin, dextrose, and hypertonic sodium bicarbonate a repeat ECG had a ventricular rate of 66/min, QRS 156 ms, and QT 576 ms."3.83Not your regular high: cardiac dysrhythmias caused by loperamide. ( Biary, R; Hoffman, RS; Howland, MA; Lugassy, D; Rice, B; Wightman, RS, 2016)
"This case series describes several patients with cardiac conduction abnormalities and life-threatening ventricular arrhythmias temporally related to loperamide abuse."3.80Cardiac conduction disturbance after loperamide abuse. ( Hodgman, MJ; Holland, MG; Marraffa, JM; Morgan, BW; Oakes, JA; Sullivan, RW; Wiegand, TJ, 2014)
" Although it is an opioid, it is very poorly absorbed and well tolerated, with no systemic toxicity at standard doses."2.82Loperamide Cardiac Toxicity: Pathophysiology, Presentation, and Management. ( Juurlink, DN; Wu, PE, 2022)
"Loperamide is an over-the-counter medication which is commonly used to treat diarrhoea."1.62Loperamide: an emerging drug of abuse and cause of prolonged QTc. ( Newman, J; Whittaker, G, 2021)
"The anti-diarrheal drug loperamide is a mu-opioid agonist with poor systemic bioavailability at standard doses."1.56[Torsade de pointes following repeated massive loperamide ingestions]. ( Carlsson, H; Höjer, J; Myllymäki, L; Westerbergh, J, 2020)
"Loperamide is an over-the-counter anti-diarrhoeal agent."1.56[A young woman's loperamide abuse for the achievement of euphoric effect]. ( Fiil, S; Kamronn, TM; Livbjerg, S; Petersen, TS, 2020)
"Loperamide is a readily accessible nonprescription medication that is increasingly being used surreptitiously as an opioid substitute to alleviate the symptoms of acute opioid withdrawal."1.51Loperamide misuse to avoid opioid withdrawal and to achieve a euphoric effect: high doses and high risk. ( Alexander, A; Brent, J; Calello, DP; Campleman, S; Lee, VR; Nelson, LS; Ruck, B; Vera, A; Wax, P, 2019)
"Loperamide (Imodium) is a non-prescription opioid receptor agonist available over-the-counter for the treatment of diarrhea."1.46Unexpected Serious Cardiac Arrhythmias in the Setting of Loperamide Abuse. ( El Meligy, A; Garas, MK; Minami, T; Parikh, P; Rasla, S; Shah, NR; St Amand, A, 2017)
" Central nervous system opioid effects are not observed after therapeutic oral dosing because of poor bioavailability and minimal central nervous system penetration."1.46Loperamide Abuse Associated With Cardiac Dysrhythmia and Death. ( Clark, KH; Eggleston, W; Marraffa, JM, 2017)
"Loperamide is an over-the-counter antidiarrheal with opioid-receptor agonist properties."1.43Notes from the Field: Cardiac Dysrhythmias After Loperamide Abuse - New York, 2008-2016. ( Cummings, KR; Eggleston, W; Marraffa, JM; Mercurio-Zappala, M; Schier, JG; Stork, CM; Su, MK; Wightman, RS, 2016)

Research

Studies (28)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's18 (64.29)24.3611
2020's10 (35.71)2.80

Authors

AuthorsStudies
Wu, PE2
Juurlink, DN3
Krantz, MJ2
Rudo, TJ1
Haigney, MCP2
Stockbridge, N2
Kleiman, RB1
Klein, M1
Kao, DP2
Lu, HR1
Damiano, BP1
Kreir, M1
Rohrbacher, J1
van der Linde, H1
Saidov, T1
Teisman, A1
Gallacher, DJ1
Font, J1
Alexandre, J1
Dolladille, C1
Milliez, P1
Ollitrault, P1
Klein, MG1
Myllymäki, L1
Westerbergh, J1
Carlsson, H1
Höjer, J1
Fiil, S1
Kamronn, TM1
Petersen, TS1
Livbjerg, S1
Fayyaz, S1
Aqeel, M1
Wasan, J1
Whittaker, G1
Newman, J1
Simon, M1
Rague, J1
Rasla, S1
Parikh, P1
St Amand, A1
Garas, MK1
El Meligy, A1
Minami, T1
Shah, NR1
Borron, SW1
Watts, SH1
Tull, J1
Baeza, S1
Diebold, S1
Barrow, A1
Antoniou, T1
Eggleston, W4
Marraffa, JM5
Nacca, N2
de Lemos, ML1
Guenter, J1
Kletas, V1
Nattel, S1
Hughes, A1
Hendrickson, RG1
Chen, BC1
Valento, M1
Minhas, AS1
Schulman, SP1
Lee, VR1
Vera, A1
Alexander, A1
Ruck, B1
Nelson, LS1
Wax, P1
Campleman, S1
Brent, J1
Calello, DP1
Holland, MG1
Sullivan, RW1
Morgan, BW1
Oakes, JA1
Wiegand, TJ1
Hodgman, MJ1
Enakpene, EO1
Riaz, IB1
Shirazi, FM1
Raz, Y1
Indik, JH1
Lasoff, DR1
Schneir, A1
Hurtado-Torres, GF1
Sandoval-Munro, RL1
Wightman, RS2
Hoffman, RS1
Howland, MA1
Rice, B1
Biary, R1
Lugassy, D1
Clark, KH1
Stork, CM1
Mercurio-Zappala, M1
Su, MK1
Cummings, KR1
Schier, JG1

Reviews

3 reviews available for loperamide and Arrhythmias, Cardiac

ArticleYear
Loperamide Cardiac Toxicity: Pathophysiology, Presentation, and Management.
    The Canadian journal of cardiology, 2022, Volume: 38, Issue:9

    Topics: Analgesics, Opioid; Arrhythmias, Cardiac; Humans; Long QT Syndrome; Loperamide; Opioid-Related Disor

2022
Clinical Review: Loperamide Toxicity.
    Annals of emergency medicine, 2017, Volume: 70, Issue:2

    Topics: Analgesics, Opioid; Arrhythmias, Cardiac; Diarrhea; Drug Overdose; Humans; Loperamide; Opioid-Relate

2017
Loperamide and cardiac events: Is high-dose use still safe for chemotherapy-induced diarrhea?
    Journal of oncology pharmacy practice : official publication of the International Society of Oncology Pharmacy Practitioners, 2018, Volume: 24, Issue:8

    Topics: Antidiarrheals; Arrhythmias, Cardiac; Diarrhea; Dose-Response Relationship, Drug; Female; Heart Arre

2018

Other Studies

25 other studies available for loperamide and Arrhythmias, Cardiac

ArticleYear
Ventricular Arrhythmias Associated With Over-the-Counter and Recreational Opioids.
    Journal of the American College of Cardiology, 2023, 06-13, Volume: 81, Issue:23

    Topics: Analgesics, Opioid; Arrhythmias, Cardiac; Buprenorphine; Diphenoxylate; Humans; Loperamide; Methadon

2023
The Potential Mechanisms behind Loperamide-Induced Cardiac Arrhythmias Associated with Human Abuse and Extreme Overdose.
    Biomolecules, 2023, 09-06, Volume: 13, Issue:9

    Topics: Animals; Arrhythmias, Cardiac; Cardiotoxicity; Diarrhea; Guinea Pigs; Heart; Humans; Loperamide; Rab

2023
Loperamide-Associated Ventricular Arrhythmias.
    Journal of the American College of Cardiology, 2023, 10-24, Volume: 82, Issue:17

    Topics: Arrhythmias, Cardiac; Drug Overdose; Humans; Loperamide

2023
Reply: Loperamide-Associated Ventricular Arrhythmias.
    Journal of the American College of Cardiology, 2023, 10-24, Volume: 82, Issue:17

    Topics: Arrhythmias, Cardiac; Drug Overdose; Humans; Loperamide

2023
[Torsade de pointes following repeated massive loperamide ingestions].
    Lakartidningen, 2020, 01-28, Volume: 117

    Topics: Antidiarrheals; Arrhythmias, Cardiac; Electrocardiography; Heart Diseases; Humans; Long QT Syndrome;

2020
[A young woman's loperamide abuse for the achievement of euphoric effect].
    Ugeskrift for laeger, 2020, 03-16, Volume: 182, Issue:12

    Topics: Adult; Arrhythmias, Cardiac; Female; Humans; Loperamide; Opioid-Related Disorders

2020
191. Loperamide abuse associated with cardiac dysrhythmia: case report.
    European journal of emergency medicine : official journal of the European Society for Emergency Medicine, 2020, Sep-01, Volume: 27, Issue:Suppl 1

    Topics: Arrhythmias, Cardiac; Humans; Loperamide; Substance-Related Disorders

2020
Loperamide: an emerging drug of abuse and cause of prolonged QTc.
    Clinical medicine (London, England), 2021, Volume: 21, Issue:2

    Topics: Antidiarrheals; Arrhythmias, Cardiac; Drug Overdose; Female; Humans; Loperamide; Pharmaceutical Prep

2021
A Case Report of Torsade de Pointes and Brugada Pattern Associated with Loperamide Misuse and Supratherapeutic Loperamide Concentrations.
    The Journal of emergency medicine, 2021, Volume: 61, Issue:4

    Topics: Adult; Antidiarrheals; Arrhythmias, Cardiac; Humans; Long QT Syndrome; Loperamide; Male; Torsades de

2021
Unexpected Serious Cardiac Arrhythmias in the Setting of Loperamide Abuse.
    Rhode Island medical journal (2013), 2017, 04-03, Volume: 100, Issue:4

    Topics: Adult; Antidiarrheals; Arrhythmias, Cardiac; Drug Overdose; Electrocardiography; Heart Rate; Humans;

2017
Intentional Misuse and Abuse of Loperamide: A New Look at a Drug with "Low Abuse Potential".
    The Journal of emergency medicine, 2017, Volume: 53, Issue:1

    Topics: Adolescent; Adult; Analgesics, Opioid; Arrhythmias, Cardiac; Drug-Seeking Behavior; Female; Humans;

2017
Loperamide abuse.
    CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2017, 06-12, Volume: 189, Issue:23

    Topics: Antidiarrheals; Arrhythmias, Cardiac; Humans; Loperamide; Substance-Related Disorders

2017
In response to: "Loperamide metabolite-induced cardiomyopathy and QTc prolongation".
    Clinical toxicology (Philadelphia, Pa.), 2017, Volume: 55, Issue:9

    Topics: Arrhythmias, Cardiac; Cardiomyopathies; Humans; Loperamide

2017
An Emerging Malignant Arrhythmia Epidemic Due to Loperamide Abuse: Underlying Mechanisms and Clinical Relevance.
    JACC. Clinical electrophysiology, 2016, Volume: 2, Issue:7

    Topics: Anti-Arrhythmia Agents; Antidiarrheals; Arrhythmias, Cardiac; Electrocardiography; Epidemics; Humans

2016
Severe loperamide toxicity associated with the use of cimetidine to potentiate the "high".
    The American journal of emergency medicine, 2018, Volume: 36, Issue:8

    Topics: Adult; Arrhythmias, Cardiac; Cardiotoxicity; Cimetidine; Drug Misuse; Female; Humans; Loperamide; Pa

2018
Syncope With Unusual Wide Complex Arrhythmia in a Young Woman.
    Circulation, 2018, 11-13, Volume: 138, Issue:20

    Topics: Adult; Arrhythmias, Cardiac; Dopamine; Electrocardiography; Female; Fibromyalgia; Humans; Loperamide

2018
Loperamide misuse to avoid opioid withdrawal and to achieve a euphoric effect: high doses and high risk.
    Clinical toxicology (Philadelphia, Pa.), 2019, Volume: 57, Issue:3

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Antidiarrheals; Arrhythmias, Cardiac; Atrioventricular B

2019
Cardiac conduction disturbance after loperamide abuse.
    Clinical toxicology (Philadelphia, Pa.), 2014, Volume: 52, Issue:9

    Topics: Adult; Analgesics, Opioid; Arrhythmias, Cardiac; Electric Countershock; Female; Humans; Isoprotereno

2014
Loperamide toxicokinetics: serum concentrations in the overdose setting.
    Clinical toxicology (Philadelphia, Pa.), 2015, Volume: 53, Issue:5

    Topics: Adult; Arrhythmias, Cardiac; Drug Overdose; Electrocardiography; Half-Life; Heart Rate; Humans; Lope

2015
The long QT teaser: loperamide abuse.
    The American journal of medicine, 2015, Volume: 128, Issue:10

    Topics: Adult; Antidiarrheals; Arrhythmias, Cardiac; Diagnosis, Differential; Electrocardiography; Fatal Out

2015
Ventricular Dysrhythmias from Loperamide Misuse.
    The Journal of emergency medicine, 2016, Volume: 50, Issue:3

    Topics: Arrhythmias, Cardiac; Cimetidine; Heart Conduction System; Humans; Loperamide; Male; Narcotic Antago

2016
An Additional Clinical Scenario of Risk for Loperamide Cardiac-Induced Toxicity.
    The American journal of medicine, 2016, Volume: 129, Issue:4

    Topics: Antidiarrheals; Arrhythmias, Cardiac; Electrocardiography; Female; Humans; Loperamide; Substance-Rel

2016
Not your regular high: cardiac dysrhythmias caused by loperamide.
    Clinical toxicology (Philadelphia, Pa.), 2016, Volume: 54, Issue:5

    Topics: Alcoholism; Arrhythmias, Cardiac; Benzodiazepines; Blood Pressure; Calcium; Central Nervous System;

2016
Loperamide Abuse Associated With Cardiac Dysrhythmia and Death.
    Annals of emergency medicine, 2017, Volume: 69, Issue:1

    Topics: Adult; Arrhythmias, Cardiac; Fatal Outcome; Humans; Loperamide; Male; Opioid-Related Disorders; Rece

2017
Notes from the Field: Cardiac Dysrhythmias After Loperamide Abuse - New York, 2008-2016.
    MMWR. Morbidity and mortality weekly report, 2016, Nov-18, Volume: 65, Issue:45

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Arrhythmias, Cardiac; Child; Databases, Factual; Female;

2016