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loperamide ("Seldiar")

Marin Golčić · FDA-approved active Small molecule

Loperamide is a mu-opioid receptor agonist that slows intestinal motility and reduces fluid secretion to decrease diarrhea.

Loperamide is a mu-opioid receptor agonist that slows intestinal motility and reduces fluid secretion to decrease diarrhea. Used for Acute diarrhea, Chronic diarrhea, Traveler's diarrhea.

At a glance

Generic nameloperamide ("Seldiar")
Also known asloperamide ("Seldiar"), Standard antidiarrhoeal drug
SponsorMarin Golčić
Drug classOpioid antidiarrheal agent
TargetMu-opioid receptor (μ-OR)
ModalitySmall molecule
Therapeutic areaGastroenterology
PhaseFDA-approved

Mechanism of action

Loperamide binds to mu-opioid receptors in the enteric nervous system, which decreases peristalsis and increases absorption of water and electrolytes in the intestines. It has minimal systemic absorption and does not cross the blood-brain barrier at therapeutic doses, making it a peripherally selective opioid agonist with low abuse potential compared to systemic opioids.

Approved indications

Common side effects

Key clinical trials

Primary sources

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SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results