Compare Imodium vs. Pepcid

Head-to-head comparisons of medication uses, side effects, ratings, and more.

Imodium
(loperamide)

Pepcid
(famotidine)

Treats diarrhea. One day is too many days to have diarrhea. Having Imodium (Loperamide) on hand to relieve your symptoms can be a life-saver.Relieves heartburn. Pepcid (Famotidine) works well for heartburn but may not last as long or start working as quickly as other antacids.
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Prices and coupon for 240 (2mg) capsules of loperamide
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Prices and coupon for 60 (20mg) tablets of famotidine
Reviews & ratings
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Filter group. All currently selected
5.75Imodium
Reviews for Imodium (loperamide)
89%
of people (All ages) say Imodium (loperamide) is worth it
65%
say it works well
6%
say it's a big hassle
285 reviews
Have you used Imodium (loperamide)?
Worth itNot sureNot worth it
Reviews for Pepcid (famotidine)
75%
-14% worse vs. Imodium (loperamide)
41%
-24% worse vs. Imodium (loperamide)
8%
-2% worse vs. Imodium (loperamide)
853 reviews
Have you used Pepcid (famotidine)?
Worth itNot sureNot worth it
Side effects
ImodiumPepcid
  • Constipation 3%
  • Nausea 3%
  • Abdominal cramp 3%
More Imodium side effects »
  • Headache 5%
  • Diarrhea 2%
More Pepcid side effects »
How it works
ImodiumPepcid
Imodium (Loperamide) is an antidiarrheal medicine. It's actually an opioid related to morphine, though it doesn't affect the brain like opioid pain medicines do. Instead, it works directly on muscles in your large intestine to stop contractions and increase the time it takes for stool to move through. The result is less diarrhea and more formed stool.Pepcid (Famotidine) is a type of antacid called an H2 blocker. It blocks the chemical histamine, which lowers acid production in your stomach. This treats heartburn and helps ulcers heal.
Type of medication
ImodiumPepcid
Over-the-counter
Prescription or OTC
Available as
ImodiumPepcid
  • Pill
  • Chewable tablet
  • Liquid
  • Pill
  • Chewable tablet
  • Liquid
Used for
ImodiumPepcid
Risk factors for serious side effects
ImodiumPepcid
  • Allergy to loperamide
  • Taking with alcohol
  • Taking other medicines that make you less alert
  • Current liver problems
  • Taking HIV medicines
  • Active infectious colitis
  • Women of childbearing age
Detailed Imodium (loperamide) risks & warnings »
    • Current kidney disease
      Detailed Pepcid (famotidine) risks & warnings »
      Pregnancy

      Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

      Research studies with animals haven’t found a risk to unborn babies, but it hasn’t been properly studied in humans.

      Interactions
      ImodiumPepcid
      No interactions related info.
      • Few drug interactions.
      Kidneys and liver
      ImodiumPepcid
      • Ask your doctor before taking Imodium if you have a fever, liver problems, mucus in your stool or are taking antibiotics.
      • Can cause more serious side effects for people with kidney disease. Ask your doctor to give you a lower dose or choose a different option.
      • Because Pepcid (Famotidine) is processed by the kidney it can cause some worrisome side effects for people with kidney problems. These include confusion, delirium, and a dangerous irregular heartbeat known as QT prolongation. If you have kidney problems, you may need a different dose to prevent this increased risk for side effects.
      Pain
      ImodiumPepcid
      • Do not use if you have diarrhea with a high fever, blood in your stool, pain, swelling or bulging in your belly. People taking HIV medicine together with Imodium (Loperamide) can have a serious intestinal problem called toxic megacolon. Call your doctor or get medical care right away if you develop these symptoms or your diarrhea gets worse after 2 days.
      No pain related info.
      Weight
      ImodiumPepcid
      • The correct dose of Imodium may be different depending on age. Use the dosing chart to find the right amount of medicine based on age and weight.
      No weight related info.
      Upsides and benefits
      ImodiumPepcid
      • Most people who take Imodium feel there's no hassle and it's definitely worth it!
      • Non-habit forming and available over-the-counter.
      • It comes in caplets, liquid, and chewable tablets so you can use it anywhere you need it.
      • Imodium is used for short-term, chronic and traveler's diarrhea. It's also used for people who have diarrhea caused by cancer or certain medicines that treat cancer.
      • Most people can take Famotidine without any noticeable day-to-day side effects.
      • Famotidine lasts longer than many other antacids like Maalox and Tums, and you only need to take it once or twice a day.
      • You can take it in combination with a quick-acting antacid (like Maalox or Tums) if you need relief right away.
      • Available as both a generic and over-the-counter option, so it's pretty affordable.
      • Few drug interactions.
      Downsides and risks
      ImodiumPepcid
      • Imodium only treats your diarrhea symptoms. Diarrhea may be caused by a number of conditions and will need specific treatment that deals with the underlying issue.
      • Studies in people taking Imodium for chronic diarrhea showed if the maximum number of doses didn't relieve symptoms in 10 days, then it probably won't work for that condition. You can talk to your doctor about other treatment options.
      • Other antacids like Maalox, Tums, or Rolaids often start to work more quickly than Famotidine.
      • Medication like omeprazole (proton pump inhibitors) works better at healing and preventing stomach ulcers than medication like Famotidine (H2 blockers).
      • Can cause more serious side effects for people with kidney disease. Ask your doctor to give you a lower dose or choose a different option.
      Tips from our pharmacists for people taking the medication
      ImodiumPepcid
      • Try to drink plenty of clear liquids. Having diarrhea can make you dehydrated.
      • The correct dose of Imodium may be different depending on age. Use the dosing chart to find the right amount of medicine based on age and weight.
      • Shake Imodium liquid well before using. Use dosing cup that comes with bottle to get the best dose.
      • Imodium lowers your ability to focus, think, and react. Avoid activities that require you to be alert, such as driving a car or operating machinery, until you know how this medication affects you.
      • Check with your baby doctor before using if you're breastfeeding.
      • Ask your doctor before taking Imodium if you have a fever, liver problems, mucus in your stool or are taking antibiotics.
      • Don't use if you have blood in your stool or it's dark or black in color.
      • Stop using Imodium and call your doctor if you have pain, swelling or bulging in your belly or your symptoms get worse after 2 days. This could be serious.
      • Short-term treatment of ulcers and acid reflux.
      Learn more
      More about ImodiumSide effectsReviews & ratingsAlternativesFDA package insert
      Have you used Imodium (loperamide)?
      Worth itNot sureNot worth it
      More about PepcidSide effectsReviews & ratingsAlternativesFDA package insert
      Have you used Pepcid (famotidine)?
      Worth itNot sureNot worth it