Comment by ceejayoz

5 years ago

It's the same in the US; you can buy it without a prescription, but you have to have your ID logged.

There's also an age minimum. My freshman year of college I had the sniffles and a bad cough. I went to the pharmacy to get some Sudafed but couldn't purchase since I was still 17. Went to the school's health center where the doctor happily prescribed me opioids (the infamous purple drank).

And there's a limit on how much you can buy at a time, you can only get 15 24-hour pills every 15 days, which means you need a regular pharmacy trip

  • FDA pressured loperamide manufacturers to stop selling large quantity bottles because people thought eating a whole bottle was a good idea.

    Problem: taking massive amounts of loperamide to get an opiate effect is a myth

    Of course, the manufacturers were all happy to fall in line anyway and dramatically raise per-tablet prices (and packaging!)

    Except one manufacturer.

    Several years ago, I bought a 200-ct bottle for US$9 shipped to Canada. Now it's US$36.

    • It’s not a myth so much as it’s not particularly effective: large doses of it (dangerously so, I might add, people should not do this) are quite effective in getting rid of opioid withdrawals — and not just the peripheral effects.

      In extremely large doses it has a distinctly weird feeling. I wouldn’t call it getting high, so I’d suppose that is indeed a myth, but gosh it feels hard on your heart at those doses.

      Typically it’s addicts trying to avoid withdrawals (and who felt they did not have access to other opioid replacement therapies for various reasons) that tried that. Some died.

    • Problem: taking massive amounts of loperamide to get an opiate effect is a myth.

      A decade or so ago I was reading a drug forum where an addict-chemist reported that acylating loperamide extracted from OTC pills allowed it to pass the blood brain barrier and deliver a true opiate high. His only reported test subject was himself, so I don't know if it was a genuine effect or not. And I haven't kept up with drug forums in recent years to see if this idea/technique spread. If so, it could explain the pill quantity restrictions; pseudoephedrine went through many years of changes in packaging/formulation as manufacturers tried to keep their products OTC while placating governments that didn't want those pills used as illicit drug precursors.

    • Tell me who needs 200-ct bottles of imodium. People who observe proper hygiene have food poisoning maybe once in 10 years (and whether a motility agent is a good idea in such cases is another question).

      6 replies →

That really surprised me once. I was traveling in the states and wanted to buy pseudoephedrine, and the guy asked me for my id, asked me to sign a log book, and then proceeded to unlock a giant safe behind him.