codeine for D?

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Regular Member

Date Joined Feb 2008
Total Posts : 493
   Posted 10/8/2008 8:06 PM (GMT -6)   
I finally agreed to take codeine to help with the D. Immodium is just not doing the trick. GI gave me 15mg tablets and said to take 2-3 a day. Just took the first and it didn't seem to knock me out --did stop the D. yay. Any advice/experience would be appreciated. I looked it up on healingwell, medscape, and a few others but didn't find much.

Also, I'm in a wedding on Friday afternoon/night and wondering what I should be planning to take--immodium or codeine? Codeine in the am and then immodium so I can have a drink? I just don't want to poop on the dress!
23 years with moderate Crohn's/colitis; fistulizing crohn's; pentasa, just started humira

Veteran Member

Date Joined Jul 2005
Total Posts : 733
   Posted 10/8/2008 8:38 PM (GMT -6)   
I'm assuming that since you just started Humira that the codeine is just to "hold you over" until the Humira kicks in? Narcotics like that definitely slow down the D at first for me, but the effect fades away after a few weeks and you might find yourself inclined to take more to achieve the same effect. Don't fall for it. A small amount to get you through a "gap" in meds might work, just keep in mind how addictive they are without actually HEALING or solving anything.

If I were in your shoes, I would opt for the codeine for the wedding and skip the drink (yes, I'm advocating narcotics instead of a beer in a round about way). I just think that the codeine will not only help your gut, but it will also help your nerves, which in turn will help your gut. But if you're not a nervous nelly like me - and you honestly think you can get through the event with just an immodium - then screw it - have a drink! Either way, I would weigh in your psychological "comfort" as much as your physical on that situation.

Good luck to ya.
26f, dx'd CD July '05 after 6 fistula/abscess surgeries
Currently running on Humira and Hope.
(miscarried at 13 weeks, now waiting to heal before trying again)

"Our greatest fear is not that we are inadequate, but that we are powerful beyond measure."

~Marianne Williamson

Regular Member

Date Joined Jun 2008
Total Posts : 56
   Posted 10/8/2008 9:44 PM (GMT -6)   
Hey Sammies, I take codiene quite often for D. (I take 30mg pills tho) I find it helps the D and cramping alot and I even have an occasional drink with it. I can only tolerate spritzers usually (white wine & club soda) so it is not a strong drink. Just watch while taking the codiene 'cuz it will cause constipation. I end up sometime having to take a softener and/or laxative after afew days of taking them. Good Luck!
IBD(undetermined) 04-'07....Gastritis 04-'08....Fibro & CFS dx 06-'08....
 Asacol & Buscopan-IBDPantoloc-Gastritis, Nortriptyline-Fibro/CFS, Pramipexole-Fibro,  
Diazepam, demerol, codiene for pain
b12 inj, fish oil, folic acid, acidophilus. 

Regular Member

Date Joined Aug 2008
Total Posts : 320
   Posted 10/9/2008 12:10 PM (GMT -6)   
I have used codeine for D. It works well. I have chronic D that never stops, so in my case the GI gives me Lomotil. It is a narcotic form of Immodium. Immodium to me is like taking M&M's for D! It just doesn't work. BTW, you should consider wearing a large menstrual pad. If you have an accident, it won't get on your clothes! I wear one to bed every night.
150mg Azathioprine, Lomotil, Iron, Nexium 2/day, Fentanyl patch, Oxycodone, Baclofin
Crohn's, Fibromyalgia, Several bulging discs, Bone spurs, Osteoarthritis, Osteopenia, Reflux, Stenosis, Strictures, Dengenerating facet joints
2 resections
When I am weak, then am I strong

Veteran Member

Date Joined Mar 2005
Total Posts : 1115
   Posted 10/9/2008 1:32 PM (GMT -6)   

When I had severe diarrhea and tenesmus, the doctor told me it would slow the bowel down and stop the cramping.  It was effective.  Immodium did not work at that time.


Forum Moderator

Date Joined Nov 2003
Total Posts : 7056
   Posted 10/9/2008 5:25 PM (GMT -6)   
My GI also prescribed codeine for diarrhea when I was having that problem. Worked well.
Moderator Crohn's Disease Forum
CD, Ankylosing Spondylitis, lupus, small fiber peripheral neuropathy, avascular necrosis, peripheral artery disease, degenerative disc disease, and a host of other medical problems.

Regular Member

Date Joined Dec 2007
Total Posts : 414
   Posted 10/10/2008 6:19 AM (GMT -6)   
I have been taking codeine for D for 6 years, it was by accident that it got prescribed like that to me I was originally given it for pain but ended up helping my D. Even when I'm in remission I have D (the best way to describe it is that I just no longer have an "off switch", I allow myself to make a few BMs in the morning so I don't end up "blocked up" but if I don't take codeine I will just keep on going and going til its just yellow liquid) my GI is quite happy for me to do this as I can't take immodium and it allows me to be live a totally normal life, I usually a 60mg dose in the morning which will keep my stomach settled until the following morning, however if I go out drinking I'll either take another dose or take some pills out with me as alcohol can make me need to go. I remember when I first started taking it I used to get very spacey but now my bodys used to it so it doesn't anymore. Total lifesaver for me!

Regular Member

Date Joined Feb 2008
Total Posts : 493
   Posted 10/11/2008 9:42 PM (GMT -6)   
thanks to everyone for all the responses and great advice. The codeine really helped me out and I was fine for the wedding--did not soil my bridesmaid dress and actually enjoyed some wedding food. It seems to start working in about 15 mins. I don't feel tired or any calming effects at all. It did "stop me up" two nights but then the next day I decided to finally try a few vegetables--worked well. However, it does "wear off" and then my D faucet begins again.
23 years with moderate Crohn's/colitis; fistulizing crohn's; pentasa; started humira 7/1/08

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