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Lomotil Side Effects

Generic Name: atropine / diphenoxylate

Note: This document contains side effect information about atropine / diphenoxylate. Some of the dosage forms listed on this page may not apply to the brand name Lomotil.

For the Consumer

Applies to atropine / diphenoxylate: oral solution, oral tablet

Along with its needed effects, atropine/diphenoxylate may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur while taking atropine/diphenoxylate:

Incidence not known
  • Bloating
  • confusion
  • constipation
  • cough
  • decrease in the frequency of urination
  • decrease in urine volume
  • diarrhea
  • difficulty in passing urine (dribbling)
  • difficulty swallowing
  • discouragement
  • dizziness
  • drowsiness
  • dry skin and mouth
  • extremely high fever or body temperature
  • false or unusual sense of well-being
  • fast, shallow breathing
  • fast, weak heartbeat
  • feeling of warmth
  • feeling sad or empty
  • headache
  • hives, itching, skin rash
  • irritability
  • loss of appetite
  • loss of interest or pleasure
  • muscle cramps
  • nausea
  • numbness of the arms and legs
  • painful urination
  • pale, clammy skin
  • puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
  • redness of the face, neck, arms and occasionally, upper chest
  • restlessness
  • seeing, hearing, or feeling things that are not there
  • stomach cramps or pain
  • thirst
  • tightness in the chest
  • trouble concentrating
  • trouble sleeping
  • unusual drowsiness, dullness, tiredness, weakness, or feeling of sluggishness
  • unusual tiredness or weakness
  • vomiting
  • weight loss

Get emergency help immediately if any of the following symptoms of overdose occur while taking atropine / diphenoxylate:

Symptoms of overdose
  • Agitation
  • back pain
  • bigger, dilated, or enlarged pupils (black part of eye)
  • blurred vision
  • difficult or troubled breathing
  • feeling of warmth
  • fever
  • garbled speech
  • increased sensitivity of the eyes to light
  • irregular, fast or slow, or shallow breathing
  • loss of consciousness
  • mood or mental changes
  • pale or blue lips, fingernails, or skin
  • seizures
  • speech that is not understood
  • stiff neck
  • unusual tiredness or weakness

For Healthcare Professionals

Applies to atropine / diphenoxylate: oral liquid, oral tablet

Nervous system

Frequency not reported: Numbness of extremities, sedation/drowsiness, dizziness, headache, somnolence[Ref]


Frequency not reported: Swelling of the gums, toxic megacolon, paralytic ileus, pancreatitis, vomiting, nausea, abdominal discomfort, constipation[Ref]


Frequency not reported: Tachycardia, cardiac irregularities (e.g. arrhythmias, bradycardia, palpitations)[Ref]


Frequency not reported: Increased intraocular pressure, dilation of pupils with loss of accommodation, photophobia, angle closure glaucoma[Ref]


Frequency not reported: Urinary retention, difficulty in micturition[Ref]


Frequency not reported: Euphoria, depression, confusion, restlessness, hallucinations[Ref]


Frequency not reported: Urticaria, pruritus, flushing[Ref]


Frequency not reported: Anaphylaxis, angioneurotic edema[Ref]


Frequency not reported: Anorexia[Ref]


Frequency not reported: Respiratory depression in children[Ref]


Frequency not reported: Malaise/lethargy, hyperthermia, dryness of the skin and mucous membranes[Ref]


1. Cerner Multum, Inc. "UK Summary of Product Characteristics." O 0

2. Cerner Multum, Inc. "Australian Product Information." O 0

3. "Product Information. Lomotil (diphenoxylate-atropine)." Searle, Skokie, IL.

Some side effects of Lomotil may not be reported. Always consult your doctor or healthcare specialist for medical advice. You may also report side effects to the FDA.

Disclaimer: Every effort has been made to ensure that the information provided is accurate, up-to-date and complete, but no guarantee is made to that effect. In addition, the drug information contained herein may be time sensitive and should not be utilized as a reference resource beyond the date hereof. This material does not endorse drugs, diagnose patients, or recommend therapy. This information is a reference resource designed as supplement to, and not a substitute for, the expertise, skill , knowledge, and judgement of healthcare practitioners in patient care. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate safety, effectiveness, or appropriateness for any given patient. does not assume any responsibility for any aspect of healthcare administered with the aid of materials provided. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the substances you are taking, check with your doctor, nurse, or pharmacist.