Hi, I had a tumour removed from my bowel back in 2010. Since then I have been on codeine to control diarrhoea. In the last year I have had to up my dose to 6 x 30mg tablets a day, to keep things under control. I went to see my gp about changing to Imodium, as I was worried about how much codeine I was taking. I was put on Imodium to take alongside the codeine. Within 4 days I was extremely ill, pain and bad diarrhoea. This went on for 5 days, so I had to come off the Imodium. I believe I will be on the codeine forever, so will just have to get on with it. Has anyone else had experience of long term codeine use?
Hi and welcome to the board. Gosh 9 years is a long time to be on codeine. I know that it is common practice to use it to control diarrhoea but it’s not something that I personally would be happy with so I can understand your concerns. I’m glad to see that you’ve posted this in the Ask the Nurse board as I think they would be the best place to offer advice - doctors are all well and good but sometimes a bit of specialist insider knowledge is required.
I know the normal doseage of immodium/loperamide is 8 a day but I think you can take a lot more than that if required but you would need to be medically guided about that. Your doctor would also need to manage you coming off the codeine. Presumably you have now been signed off from the hospital but I wonder if your doctor could refer you to a dietician or nutritionist? It seems so unfair that you’re still struggling so long after surgery and everything.
Im sorry to see from your profile that you’re still struggling to enjoy life after your treatment. 9 years clear is a great achievement but unfortunately people who haven’t walked in your shoes can’t always understand the long term effect it can have both mentally and physically on you. Do you have any Maggie’s support centres near you or have you considered some form of counselling?
Ive attached a link to an article which has helped others in the past and I hope it helps you too or even just helps you realise that your emotions and feelings are not unusual
https://bowelcancerorguk.s3.amazonaws.com/Publications/Living%20well.pdf
Take care
Karen x
Whatever cancer throws your way, we’re right there with you.
We’re here to provide physical, financial and emotional support.
© Macmillan Cancer Support 2025 © Macmillan Cancer Support, registered charity in England and Wales (261017), Scotland (SC039907) and the Isle of Man (604). Also operating in Northern Ireland. A company limited by guarantee, registered in England and Wales company number 2400969. Isle of Man company number 4694F. Registered office: 3rd Floor, Bronze Building, The Forge, 105 Sumner Street, London, SE1 9HZ. VAT no: 668265007