# Acute gastroenteritis - Category: infectious - Review status: reviewed (every claim checked against a document named on this page) - Sources: DailyMed Alinia (nitazoxanide) Tablet / Oral Suspension Package Insert, SetID 8d9b1580-0a25-4c07-9b24-4f9640989d25 · DailyMed Zinc Sulfate Tablet / Supplement Package Insert (DailyMed, NLM) · Egyptian National Drug Formulary - Antimicrobial 2023 (ciprofloxacin monograph) · Egyptian National Drug Formulary - Gastrointestinal Tract 2025 (loperamide monograph) · Egyptian National Drug Formulary - Gastrointestinal Tract 2025 (ondansetron monograph) · IMCI Guidelines Egypt 2020 · MSF Essential Drugs 2024 - paracetamol (oral) · WHO Management of Acute Diarrhoea 2019 · WHO. The treatment of diarrhoea: a manual for physicians and other senior health workers, 4th rev. Geneva: WHO; 2005 · WHO. The treatment of diarrhoea: a manual for physicians and other senior health workers, 4th rev. Geneva: WHO; 2005 (IRIS 10665/43209), section 4.3.1 and Table 2 - Verified date: 2026-08 ## Verified against - DailyMed Alinia (nitazoxanide) Tablet / Oral Suspension Package Insert, SetID 8d9b1580-0a25-4c07-9b24-4f9640989d25 - DailyMed Zinc Sulfate Tablet / Supplement Package Insert (DailyMed, NLM) - Egyptian National Drug Formulary - Antimicrobial 2023 (ciprofloxacin monograph) - Egyptian National Drug Formulary - Gastrointestinal Tract 2025 (loperamide monograph) - Egyptian National Drug Formulary - Gastrointestinal Tract 2025 (ondansetron monograph) - MSF Essential Drugs 2024 - paracetamol (oral) - WHO. The treatment of diarrhoea: a manual for physicians and other senior health workers, 4th rev. Geneva: WHO; 2005 ## Treatment metadata - Zinc sulphate — 20 mg — oral.solid - Ondansetron — 4 mg — oral.solid - Nitazoxanide — 500 mg — oral.solid - Ciprofloxacin — 500 mg — oral.solid - ORS — oral.solution - Paracetamol — 500 mg — oral.solid - Loperamide — 2 mg — oral.solid ## Complete treatment card ```text ACUTE GASTROENTERITIS Sources: DailyMed Alinia (nitazoxanide) Tablet / Oral Suspension Package Insert, SetID 8d9b1580-0a25-4c07-9b24-4f9640989d25 · DailyMed Zinc Sulfate Tablet / Supplement Package Insert (DailyMed, NLM) · Egyptian National Drug Formulary - Antimicrobial 2023 (ciprofloxacin monograph) · Egyptian National Drug Formulary - Gastrointestinal Tract 2025 (loperamide monograph) · Egyptian National Drug Formulary - Gastrointestinal Tract 2025 (ondansetron monograph) · IMCI Guidelines Egypt 2020 · MSF Essential Drugs 2024 - paracetamol (oral) · WHO Management of Acute Diarrhoea 2019 · WHO. The treatment of diarrhoea: a manual for physicians and other senior health workers, 4th rev. Geneva: WHO; 2005 · WHO. The treatment of diarrhoea: a manual for physicians and other senior health workers, 4th rev. Geneva: WHO; 2005 (IRIS 10665/43209), section 4.3.1 and Table 2 Review status: REVIEWED against 6 sources listed above (2026-08) IS IT THIS? - reference only, to read alongside your own examination SYMPTOMS - what the patient reports (9) - Loose or watery stools at least three times in a day [diarrhoea] - Nausea, vomiting, fever or belly pain may come with it [abdominal pain · fever · nausea · vomiting] - Usually settles inside a week, often better after one to three days - Anything still going past two weeks is chronic and not this - Onset is fairly sudden, building over one or two hours - Family members or close contacts often report the same trouble - Low-grade fever and mild belly pain are usual; most but not all vomit [abdominal pain · fever] - High fever, bloody stools, relentless vomiting or severe belly pain point away from a viral cause [abdominal pain · bloody diarrhoea · diarrhoea · fever · vomiting] - Ask about travel, recent antibiotics, exposures at work and immune status SIGNS - what you find (5) - Mild fever is usual, but >39 °C should raise concern for a non-viral cause [fever] - Fast pulse and fast breathing can follow the fever and fluid loss [fever · tachypnoea] - Judging dehydration matters most at the extremes of age or in chronic illness [dehydration] - The belly is mildly and diffusely tender - Marked tenderness, guarding, rebound or one tender spot should send you looking elsewhere [guarding · rebound tenderness] TESTS (7) - Diagnosis is clinical; viral testing is rarely to hand - Blood count may show mild leukocytosis, with inflammatory markers slightly up - Heavy fluid loss shows as haemoconcentration and electrolyte upset - Rising urea and creatinine mean the kidneys have taken a hit - Abdominal imaging is usually normal; CT may show mild diffuse colonic wall thickening - Stool assays in most labs find bacteria only, not the virus - Send stool when there is blood, high fever, severe pain or heavy dehydration IF NOT THIS - what else fits (6) - Food poisoning from bacterial toxins mimics it closely - Bacterial and protozoal gastroenteritis look alike but need other treatment and carry more risk - Salmonella, E coli, Shigella, Campylobacter, Giardia and C difficile when the picture is atypical - Appendicitis, diverticulitis, inflammatory bowel disease, obstruction or cholecystitis - Missed abdominal pathology is often first labelled gastroenteritis - Viral upper respiratory illness and some bacterial pneumonias can look the same Score WHO dehydration classification (child with diarrhoea) - How dehydrated is this child, and which rehydration plan? Source StatPearls "Viral Gastroenteritis" - disease-level clinical article Status traced to the source above Rx: Zinc | Vomiting | If parasitic | If bacterial dysentery | Rehydration | Pain and fever | Anti-diarrhoeal ZINC 1. ZINC SULPHATE [1st line] Adult Not established by WHO for adult gastroenteritis; adult dietary supplement dosing is typically 15-50 mg daily of elemental zinc. x 10-14 days Peds Under 6 months: 10 mg daily for 10 to 14 days 6 months and over: 20 mg daily for 10 to 14 days (10 mg/day under 6 months, 20 mg/day from 6 months, for 10-14 days) Source DailyMed Zinc Sulfate Tablet / Supplement Package Insert (DailyMed, NLM) Why Zinc supplementation supports gut mucosal repair and immune function during and after diarrheal illness; recommended by WHO as a companion to oral rehydration to shorten the episode and reduce recurrence, not as a substitute for fluids. Caution Give full 10-14 day course even after diarrhea stops. May cause mild nausea or abdominal discomfort. Zinc sulphate is a WHO recommended adjunct that reduces duration and severity. Egypt ZINCOSAFE 11 MG 100 CAPS. SAFE PHARMA 50.00 EGP (0.50/unit) -> ? strength differs ZINC STRONG 20 CAPS. NAPCO 29.00 EGP (1.45/unit) -> ? strength differs ARABZINC 50 MG 30 TABS. ARAB CAPS > K... 45.00 EGP (1.50/unit) -> ? strength differs GREEN & LEAN ZINC 50 MG 30 CAPS. > ALTONA HEALTH 48.00 EGP (1.60/unit) -> ? strength differs MONO ZINC 20 F.C. TABS. ARAB CAPS > B... 41.25 EGP (2.06/unit) -> ? strength differs ALL ONE ZINC 50 MG 30 TABS. MOZN PHARMACE... 80.00 EGP (2.67/unit) -> ? strength differs OCTOZINC 25 MG 100*10 CAPS. OCTOBER PHARMA 850.00 EGP (85.00/unit) -> ? strength differs ZINC PICOLINATE 50 MG 120 VEG. CAPS. (NOW) NOW FOODS > SOFICOPHARM 1300.00 EGP -> ? strength differs ZINC SULFATE 10MG/5ML POWDER FOR SYRUP CID 5.00 EGP -> ? strength differs, ? different route - not oral solid ZINC-SEDICO 10MG/5ML PD. FOR ORAL SOL. SEDICO 7.00 EGP -> ? strength differs, ? different route - not oral solid VOMITING 2. ONDANSETRON [2nd line] Adult 4-8 mg single oral dose for persistent vomiting preventing rehydration - single-dose Peds 0.15 mg/kg/dose [child max 8 mg] (Single oral dose to facilitate oral rehydration) 3kg -> 0.45 mg/dose 4kg -> 0.6 mg/dose 5kg -> 0.75 mg/dose 6kg -> 0.9 mg/dose 7kg -> 1.1 mg/dose 8kg -> 1.2 mg/dose 9kg -> 1.3 mg/dose 10kg -> 1.5 mg/dose 11kg -> 1.6 mg/dose 12kg -> 1.8 mg/dose 13kg -> 1.9 mg/dose 14kg -> 2.1 mg/dose 15kg -> 2.2 mg/dose 16kg -> 2.4 mg/dose 17kg -> 2.5 mg/dose 18kg -> 2.7 mg/dose 19kg -> 2.9 mg/dose 20kg -> 3 mg/dose 21kg -> 3.1 mg/dose 22kg -> 3.3 mg/dose 23kg -> 3.4 mg/dose 24kg -> 3.6 mg/dose 25kg -> 3.8 mg/dose 26kg -> 3.9 mg/dose 27kg -> 4 mg/dose 28kg -> 4.2 mg/dose 29kg -> 4.3 mg/dose 30kg -> 4.5 mg/dose 31kg -> 4.6 mg/dose 32kg -> 4.8 mg/dose 33kg -> 5 mg/dose 34kg -> 5.1 mg/dose 35kg -> 5.2 mg/dose 36kg -> 5.4 mg/dose 37kg -> 5.5 mg/dose 38kg -> 5.7 mg/dose 39kg -> 5.8 mg/dose 40kg -> 6 mg/dose 41kg -> 6.1 mg/dose 42kg -> 6.3 mg/dose 43kg -> 6.5 mg/dose 44kg -> 6.6 mg/dose 45kg -> 6.8 mg/dose 46kg -> 6.9 mg/dose 47kg -> 7 mg/dose 48kg -> 7.2 mg/dose 49kg -> 7.3 mg/dose 50kg -> 7.5 mg/dose Source Egyptian National Drug Formulary - Gastrointestinal Tract 2025 (ondansetron monograph) Why Antiemetic that blocks the serotonin receptors driving the vomiting reflex, used to control vomiting so that oral rehydration can succeed instead of failing and requiring intravenous fluids. Caution Do not give repeated doses due to risk of masking surgical abdomen. The formulary's ondansetron dosing covers chemotherapy and radiotherapy nausea, where the adult dose is 8 mg. Use in acute gastroenteritis is a lower dose for a different purpose - enabling oral rehydration - and is not a licensed indication in the formulary. A single dose only is given in the acute setting to allow oral rehydration, and multiple doses carry a risk of QT prolongation. Egypt DANOFRAN 4MG 5 F.C. TAB. UP PHARMA 70.00 EGP (14.00/unit) SETRONOMET 4 MG 4 ORAL DIS. TABS. AVERROES PHARMA 78.00 EGP IDIVOMTRON 4 MG 10 ORALLY DIS. TABS. INTERNATIONAL DRUG AGENCY (IDI) 144.00 EGP EMEREST 4 MG 10 ORO-DISPERSIBLE TABS. GLOBAL PHARMACEUTICAL INDUSTRIES 188.00 EGP IDIVOMTRON 4 MG/5ML SYRUP 50 ML RAMEDA > INTE... 110.00 EGP -> ? strength differs, ? different route - not oral solid IF PARASITIC 3. NITAZOXANIDE [2nd line] Adult 500 mg orally twice daily with food x 3 days Peds Nitazoxanide tablets should not be administered to pediatric patients 11 years of age or younger because a single tablet contains a greater amount of nitazoxanide than the recommended dosing in this pediatric age group. Source DailyMed Alinia (nitazoxanide) Tablet / Oral Suspension Package Insert, SetID 8d9b1580-0a25-4c07-9b24-4f9640989d25 Why Broad-spectrum antiparasitic and antiprotozoal agent used as a second-line option when gastroenteritis is persistent or a less common pathogen is suspected. Caution Take with food. Urine discoloration may occur. Nitazoxanide is a broad spectrum agent for persistent gastroenteritis. Egypt UNINITAPROZAX 500MG 12 F.C. TAB. UNIPHARMA CO.... 16.00 EGP (1.33/unit) CRYPTOPER 500MG 30 F.C. TAB. EGPI > TAG PH... 56.00 EGP (1.87/unit) XEROVIRINC 500MG 18 F.C. TAB. MINA PHARM 42.00 EGP (2.33/unit) PARAZOXANIDE 500 MG 18 CAP. MISR > PHARMA... 63.00 EGP (3.50/unit) TRUSTNAL 500 MG 10 F.C. TABS. ADWIA 40.00 EGP (4.00/unit) NIT CLEAN 500MG 12 F.C. TABS. WESTERN PHARM... 72.00 EGP (6.00/unit) CRYPTONAZ 500MG 12 F.C.TAB. COPAD PHARMA 82.00 EGP (6.83/unit) NIT CLEAN 500MG 5*6 F.C. TABS. WESTERN PHARM... 180.00 EGP (30.00/unit) UNINITAPROZAX 100MG/5ML SUSP. 60ML UNIPHARMA CO. > UNIPHARMA 6.00 EGP -> ? strength differs, ? different route - not oral solid ZOLIFUTAL 100MG/5ML SUSP. 60 ML FUTURE PHARMA... 13.50 EGP -> ? strength differs, ? different route - not oral solid IF BACTERIAL DYSENTERY 4. CIPROFLOXACIN [2nd line] Adult 500 mg every 12 hours - bloody diarrhoea only x 3 days Peds 10-15 mg/kg/dose [child max 500 mg] (10-15 mg/kg per dose twice daily for 3 days, maximum 500 mg per dose. The low end and the per-dose maximum are the Egyptian formulary's general paediatric dosing for mild to moderate infection; the 15 mg/kg figure and the 3-day duration are WHO's dysentery regimen.) 3kg -> 30-45 mg/dose 4kg -> 40-60 mg/dose 5kg -> 50-75 mg/dose 6kg -> 60-90 mg/dose 7kg -> 70-105 mg/dose 8kg -> 80-120 mg/dose 9kg -> 90-135 mg/dose 10kg -> 100-150 mg/dose 11kg -> 110-165 mg/dose 12kg -> 120-180 mg/dose 13kg -> 130-195 mg/dose 14kg -> 140-210 mg/dose 15kg -> 150-225 mg/dose 16kg -> 160-240 mg/dose 17kg -> 170-255 mg/dose 18kg -> 180-270 mg/dose 19kg -> 190-285 mg/dose 20kg -> 200-300 mg/dose 21kg -> 210-315 mg/dose 22kg -> 220-330 mg/dose 23kg -> 230-345 mg/dose 24kg -> 240-360 mg/dose 25kg -> 250-375 mg/dose 26kg -> 260-390 mg/dose 27kg -> 270-405 mg/dose 28kg -> 280-420 mg/dose 29kg -> 290-435 mg/dose 30kg -> 300-450 mg/dose 31kg -> 310-465 mg/dose 32kg -> 320-480 mg/dose 33kg -> 330-495 mg/dose 34kg -> 340-500 mg/dose (upper capped) 35kg -> 350-500 mg/dose (upper capped) 36kg -> 360-500 mg/dose (upper capped) 37kg -> 370-500 mg/dose (upper capped) 38kg -> 380-500 mg/dose (upper capped) 39kg -> 390-500 mg/dose (upper capped) 40kg -> 400-500 mg/dose (upper capped) 41kg -> 410-500 mg/dose (upper capped) 42kg -> 420-500 mg/dose (upper capped) 43kg -> 430-500 mg/dose (upper capped) 44kg -> 440-500 mg/dose (upper capped) 45kg -> 450-500 mg/dose (upper capped) 46kg -> 460-500 mg/dose (upper capped) 47kg -> 470-500 mg/dose (upper capped) 48kg -> 480-500 mg/dose (upper capped) 49kg -> 490-500 mg/dose (upper capped) 50kg -> 500 mg/dose (capped) AWaRe WATCH group - carries resistance cost. Egyptian EML 2025. Source Egyptian National Drug Formulary - Antimicrobial 2023 (ciprofloxacin monograph) Why The Egyptian EML 2025 names ciprofloxacin the first choice for acute invasive bacterial diarrhoea / dysentery, and the WHO pocket book gives 15 mg/kg twice a day for 3 days for a child with dysentery when sensitivity is unknown. The adult figure of 500 mg every 12 hours is the formulary's tabulated GI dose; the 3-day duration is WHO's. Caution For bloody diarrhoea with fever only. Most acute gastroenteritis is viral and needs ORS and zinc, not this. Watch group on the Egyptian EML - do not use it for watery diarrhoea. Quinolone class risks: tendinitis and tendon rupture, QT prolongation, glycaemic swings. Antacids, iron, calcium and zinc block absorption - and zinc is being given in this same condition, so separate them by 2 hours. Not routinely first-line in children; the formulary says use it after weighing risks and benefits. Egypt QUINOLOROX 500MG 10 F.C. TAB. EPCI > ROXXEN 10.00 EGP (1.00/unit) ECACIPROFLOX 500 MG 20 F.C. TABS. FUTURE PHARMACEUTICAL INDU... 27.00 EGP (1.35/unit) ELMODOXACIN 500MG 10 F.C.TAB. EGPI > SEA PHARM 20.00 EGP (2.00/unit) CIPROQUIN 500MG 10 F.C. TAB. UNIPHARMA 50.00 EGP (5.00/unit) CIPROFLOXACIN-ORGANO 500 MG 10 F.C.TABS. ORGANOPHARMA > ORGANO 63.00 EGP (6.30/unit) CIPROFAR 500MG 10 F.C.TAB. PHARCO 69.00 EGP (6.90/unit) CIPROMEGA XL 500MG 10 EXT. REL. F.C.TABS. MASH PREMIERE 48.00 EGP HEROXACIN 500MG 10 SCORED F.C. TAB. EGPI > HERO PHARM 69.00 EGP REHYDRATION - give alongside 5. ORS [add-on - not a substitute] Adult Plan A (no dehydration): Drink as much fluid/ORS as desired after each loose stool. Plan B (some dehydration): 2,200 to 4,000 mL over the first 4 hours. x 3-5 days Peds Under 2 years: 50 to 100 mL of ORS after each loose stool (Plan A, no dehydration). With some dehydration, Plan B is by weight at any age. 2 to 10 years: 100 to 200 mL of ORS after each loose stool (Plan A, no dehydration). With some dehydration, Plan B is by weight at any age. (Plan B (some dehydration): weight (kg) x 75 mL ORS over first 4 hours, then reassess. Plan A (no dehydration): 50-100 mL after each loose stool under 2 years, 100-200 mL from 2 to 10 years.) Source WHO. The treatment of diarrhoea: a manual for physicians and other senior health workers, 4th rev. Geneva: WHO; 2005 Why Oral rehydration solution replaces the fluid and electrolytes lost through diarrhea and vomiting, which is what prevents dehydration; supportive rehydration rather than treatment of the underlying infection, and given alongside zinc rather than instead of it. Caution Given WITH the other, not instead of it. WHO pairs oral rehydration and zinc for childhood diarrhoea - the fluid keeps the child alive and the zinc shortens the illness and reduces the next one. Dissolve 1 sachet in clean water. Does not stop diarrhea but replaces lost fluid and electrolytes. Oral rehydration salts are the mainstay of acute gastroenteritis and prevent dehydration. Egypt GLUCOHYDRAN 10 SACHET. ARAB DRUG COM... 1.75 EGP REHYDRAN N 10 SACHET CID 4.50 EGP REHYDRO ZINC 10 SACHETS CID 7.00 EGP ORS 20 SACHETS PHAROPHARMA 40.00 EGP ELECTRO MASH SYRUP 200 ML MASH PREMIERE 60.00 EGP FLEXOLYTE ORAL REHYDRATION SOL. 240 ML KEMPETRO FOR CHEMICAL INDUSTRIES 65.00 EGP HERO ORS 200 ML HERO > HERO M... 120.00 EGP SANSO ORS SYRUP 140 ML AUG PHARMA 400.00 EGP PAIN AND FEVER - give alongside 6. PARACETAMOL [add-on - not a substitute] Adult 1 g three or four times daily, maximum 4 g in 24 hours - while febrile, usually 1-3 days Peds 15 mg/kg/dose [child max 500 mg] (Child 1 month and over: 15 mg/kg 3 or 4 times daily (max. 60 mg/kg daily)) 3kg -> 45 mg/dose 4kg -> 60 mg/dose 5kg -> 75 mg/dose 6kg -> 90 mg/dose 7kg -> 105 mg/dose 8kg -> 120 mg/dose 9kg -> 135 mg/dose 10kg -> 150 mg/dose 11kg -> 165 mg/dose 12kg -> 180 mg/dose 13kg -> 195 mg/dose 14kg -> 210 mg/dose 15kg -> 225 mg/dose 16kg -> 240 mg/dose 17kg -> 255 mg/dose 18kg -> 270 mg/dose 19kg -> 285 mg/dose 20kg -> 300 mg/dose 21kg -> 315 mg/dose 22kg -> 330 mg/dose 23kg -> 345 mg/dose 24kg -> 360 mg/dose 25kg -> 375 mg/dose 26kg -> 390 mg/dose 27kg -> 405 mg/dose 28kg -> 420 mg/dose 29kg -> 435 mg/dose 30kg -> 450 mg/dose 31kg -> 465 mg/dose 32kg -> 480 mg/dose 33kg -> 495 mg/dose 34kg -> 500 mg/dose (capped) 35kg -> 500 mg/dose (capped) 36kg -> 500 mg/dose (capped) 37kg -> 500 mg/dose (capped) 38kg -> 500 mg/dose (capped) 39kg -> 500 mg/dose (capped) 40kg -> 500 mg/dose (capped) 41kg -> 500 mg/dose (capped) 42kg -> 500 mg/dose (capped) 43kg -> 500 mg/dose (capped) 44kg -> 500 mg/dose (capped) 45kg -> 500 mg/dose (capped) 46kg -> 500 mg/dose (capped) 47kg -> 500 mg/dose (capped) 48kg -> 500 mg/dose (capped) 49kg -> 500 mg/dose (capped) 50kg -> 500 mg/dose (capped) Source MSF Essential Drugs 2024 - paracetamol (oral) Why The WHO diarrhoea chapter says to give paracetamol if the child has a distressing fever of 39 C or more - and to consider severe bacterial infection at the same time. The dose is the MSF drug reference's. Caution A high fever in a child with diarrhoea is WHO's cue to consider severe bacterial infection - treat the fever and reassess the child, do not just treat the fever. Paracetamol rather than an NSAID: the child is fluid-depleted, and NSAIDs are nephrotoxic in dehydration. Check other products for paracetamol content. Reduce the maximum in liver disease or severe acute malnutrition. 500 mg is the per-dose ceiling used here for a child. 1000 mg is the adult dose and does not belong in a weight calculation - the daily 60 mg/kg limit is the one that binds first in any case. Egypt FEBRIMOL 500 MG 20 TAB. PHARCO 3.50 EGP (0.17/unit) CETAMOL 500 MG 20 TABS. MEMPHIS 8.00 EGP (0.40/unit) PARACETAMOL-MUP 500MG B.P. 20 TABS. MUP 13.00 EGP (0.65/unit) CETAL 500 MG 20 TABS. EIPICO 24.00 EGP (1.20/unit) ARKADOLOW 500 MG 30 F.C. TABS. UTOPIA 42.00 EGP (1.40/unit) PARAMOL 500MG 20 TAB. MISR 38.00 EGP (1.90/unit) ADOL 500MG 24 CAPLETS JULPHAR 32.00 EGP AUGICETAMIDE 500 MG 20 SACHETS AUG PHARMA 50.00 EGP FEBRIMOL ORAL DROPS 20 ML PHARCO 4.00 EGP -> ? strength differs, ? different route - not oral solid THERA-LO 3.2G/100ML ORAL SUSP. 100 ML PHAROPHARMA 5.00 EGP -> ? strength differs, ? different route - not oral solid ANTI-DIARRHOEAL - give alongside 7. LOPERAMIDE [add-on - not a substitute] Adult 4 mg initially, then 2 mg after each loose stool; maximum 12-16 mg in 24 hours x up to 2 days Peds Some have dangerous, and sometimes fatal, side-effects. These drugs should never be given to children below 5 Source Egyptian National Drug Formulary - Gastrointestinal Tract 2025 (loperamide monograph) Why Loperamide is on the Egyptian EML 2025 under medicines for diarrhoea, and the Egyptian formulary's own indication is symptomatic treatment of acute diarrhoea in adults and children 12 years and over. It is the drug an adult is actually asking for when they have to travel or work. Caution Contraindicated in acute dysentery - blood in the stools with high fever - and in invasive bacterial enteritis (Salmonella, Shigella, Campylobacter). Contraindicated in abdominal pain without diarrhoea, in acute ulcerative colitis, and in antibiotic-associated colitis. It does not replace fluid. ORS remains the priority even while it is being taken. Stop and reassess if diarrhoea lasts more than 2 days, or if the abdomen distends. Above the recommended dose it prolongs the QT interval and has caused fatal arrhythmia; it is also misused as an opioid substitute. Egypt MOTIJUST 2 MG 30 CAPS INTERNATIONAL... 27.00 EGP (0.90/unit) STOPRRHEA 2 MG 10 ORODISPERSIBLE TABS. WESTERN PHARMACEUTICALS INDUSTRIE... 10.00 EGP IMODIUM INSTANT 2MG 6 ORODISPERSIBLE TABS. MCNEIL PRODUCTS LTD. > JOHNSO... 80.00 EGP STOPRRHEA 2 MG 30 ORODISPERSIBLE TABS. WESTERN PHARMACEUTICALS INDUSTRIE... 96.00 EGP Prices are indicative (dataset snapshot 2026-06); verify with the pharmacy. ``` --- Dawaa Reference is a reference for prescribers, not a medical device, and does not replace clinical judgement. [Privacy policy](/privacy)