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FORTASEC 2 mg HARD CAPSULES

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About the medicine

How to use FORTASEC 2 mg HARD CAPSULES

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This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

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Introduction

Leaflet: Information for the Patient

FORTASEC 2 mg Hard Capsules

Loperamide Hydrochloride

Read this leaflet carefully before starting to take this medicine, as it contains important information for you

Follow exactly the administration instructions of the medicine contained in this leaflet or as indicated by your doctor or pharmacist.

  • Keep this leaflet as you may need to read it again.
  • If you need advice or more information, consult your pharmacist.
  • If you experience side effects, consult your doctor or pharmacist, even if it is a side effect not listed in this leaflet.
  • You should consult a doctor if it worsens or does not improve after 2 days.

Contents of the Leaflet:

  1. What FORTASEC 2 mg Hard Capsulesare and what they are used for.
  2. What you need to know before taking FORTASEC 2 mg Hard Capsules.
  3. How to take FORTASEC 2 mg Hard Capsules.
  4. Possible side effects.
  5. Storage of FORTASEC 2 mg Hard Capsules.
  1. Package contents and additional information.

1. What FORTASEC 2 mg Hard Capsules are and what they are used for

It is an antidiarrheal medicine that reduces intestinal movements and secretions, resulting in a decrease in liquid stools.

It is indicated for the symptomatic treatment of acute nonspecific diarrhea (occasional) in adults and children from 12 years of age.

You should consult a doctor if it worsens or does not improve after 2 days.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. What you need to know before taking FORTASEC 2 mg Hard Capsules

Do not take FORTASEC 2 mg Hard Capsules

  • Children under 12 years of age
  • If you are allergic (hypersensitive) to loperamide hydrochloride or any of the other components of this medicine (listed in section 6)
  • If you have a high fever (above 38°C) or blood in your stool.
  • If you suffer from ulcerative colitis (inflammation of the intestine)
  • If you suffer from severe diarrhea after taking antibiotics.
  • If you suffer from diarrhea due to an infection caused by organisms such as Salmonella, Shigellaand Campylobacter
  • Treatment should be stopped quickly and a doctor consulted if constipation, abdominal distension (swelling) or ileus (absence of intestinal movements) occurs.

Warnings and precautions

  • Consult your doctor or pharmacist before starting to take FORTASEC 2 mg Hard Capsules
  • If you have severe diarrhea, your body loses more fluids, sugars, and salts than usual, you will need to replenish fluids by drinking more than usual. Ask your pharmacist about preparations to replenish sugars and salts
  • Treatment with this medicine is only symptomatic, so the diarrhea should be treated from its cause.
  • If you have AIDS and your stomach swells, stop taking this medicine immediately and consult your doctor
  • If you have liver disease, consult your doctor before taking this medicine, as it could produce toxicity in the central nervous system.
  • If you are taking any narcotic analgesic, consult your doctor or pharmacist before taking this medicine, as it may interact with them.

Do not take this medicine for a use other than indicated (see section 1) and never take more than the recommended amount (see section 3). Serious heart problems (whose symptoms include rapid or irregular heartbeats) have been reported in patients who have taken an excessive amount of loperamide.

If there is no improvement within 48 hours or if fever, constipation, or other symptoms appear, stop treatment and consult your doctor.

Patients with diarrhea should drink plenty of fluids to avoid dehydration, which is manifested by dry mouth, excessive thirst, decreased urine output, wrinkled skin, dizziness, and drowsiness. This is especially important in children and the elderly.

Children and adolescents

Do not use in children and adolescents under 12 years of age.

Taking FORTASEC 2 mg Hard Capsules with other medicines

Tell your doctor or pharmacist if you are using, have recently used, or may need to use another medicine.

  1. It is considered especially important if you are taking medicines that contain
  2. Ritonavir, saquinavir (used to treat HIV).
  3. Quinidine (used to treat abnormal heart rhythms).
  4. Desmopressin oral (used to treat central diabetes insipidus and nocturnal urinary incontinence in children).
  5. Itraconazole or ketoconazole (used to treat fungal infections).
  6. Gemfibrozil (used to lower cholesterol).
  7. St. John's Wort (used to improve mood).
  8. Valerian (used to treat mild anxiety).
  9. Opioid analgesics (used to treat intense pain) as it may increase the risk of severe constipation and central nervous system depression (e.g., drowsiness or decreased consciousness).
  10. Broad-spectrum antibiotics, as FORTASEC may worsen or prolong antibiotic-induced diarrhea and increase loperamide blood levels.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before taking this medicine.

Pregnant women should not take this medicine unless prescribed by a doctor, as there is no experience with its use in pregnant women.

Do not take FORTASEC 2 mg Hard Capsulesif you are breastfeeding. Small amounts of the medicine may pass into breast milk.

Driving and using machines

You can drive and use tools and machines unless you feel tired, dizzy, or drowsy. Do not drive or use machines in those cases.

FORTASEC 2 mg Hard Capsules contain lactose

If your doctor has told you that you have an intolerance to certain sugars, consult with them before taking this medicine.

3. How to take FORTASEC 2 mg Hard Capsules

Follow exactly the administration instructions of the medicine contained in this leaflet or as indicated by your doctor or pharmacist. In case of doubt, ask your doctor or pharmacist.

The recommended dose is:

Adults

2 capsules (4 mg) as an initial dose followed by 1 capsule (2 mg) after each diarrheal stool.

The maximum dose for adults is 8 capsules (16 mg) per day.

Children over 12 years of age

1 capsule (2 mg) as an initial dose followed by 1 capsule (2 mg) after each diarrheal stool.

In children, the maximum daily dose should be related to body weight:

Child's weight

Maximum number of capsules per day

From 27 kg

Maximum 4 capsules

From 34 kg

Maximum 5 capsules

From 40 kg

Maximum 6 capsules

From 47 kg

Maximum 7 capsules

Take the capsules with a full glass of water.

Patient with liver disease:Should consult a doctor.

Advanced age and patients with kidney disease

Follow the same instructions described for adults and children over 12 years of age

Use in children and adolescents

Children under 12 years of age should not take this medicine. It is contraindicated.

If you take more FORTASEC 2 mg Hard Capsules than you should

Taking too many capsules can cause abnormal coordination, stupor, pupil constriction, increased muscle tension, difficulty breathing (children are more sensitive to these effects than adults), and decreased urine output.

In case of overdose or accidental ingestion, consult your doctor or pharmacist, or call the Toxicology Information Service, Phone 91 562 04 20 (indicating the medicine and the amount ingested).

If you forget to take FORTASEC

Do not take a double dose to make up for forgotten doses.

If you have any other questions about the use of this medicine, ask your doctor or pharmacist

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Possible side effects

Like all medicines, FORTASECcan cause side effects, although not everyone gets them.

Frequency not known (cannot be estimated from available data)

Upper abdominal pain, abdominal pain radiating to the back, abdominal tenderness, fever, rapid pulse, nausea, vomiting, which may be symptoms of pancreatitis (acute pancreatitis).

If you experience any of these symptoms, stop using the medicine and seek medical help immediately.

Very rare adverse reactions(may affect up to 1 in 10,000 people):

  • Swelling of the face, lips, tongue, or throat that can cause difficulty swallowing or breathing (angioedema)
  • Allergic reactions (including anaphylactic shock)
  • Fatigue
  • Decreased urine output
  • Loss or decreased consciousness
  • Abnormal coordination
  • Increased muscle tension (hypertonia)
  • Stupor
  • Pupil constriction (miosis)
  • Loss of intestinal mobility (ileus, including paralytic ileus)
  • Itching or hives
  • Drowsiness
  • Abnormal dilation of the colon (megacolon)
  • Bullous eruption (including Stevens-Johnson syndrome, toxic epidermal necrolysis, and erythema multiforme)

Reporting side effects

If you experience any type of side effect, consult your doctor or pharmacist, even if it is a side effect not listed in this leaflet. You can also report them directly through the Spanish Medicines and Health Products Agency's website: www.notificaRAM.es. By reporting side effects, you can contribute to providing more information on the safety of this medicine.

5. Storage of FORTASEC 2 mg Hard Capsules

Keep out of sight and reach of children.

This medicine does not require special storage conditions.

Do not use this medicine after the expiration date stated on the carton after "Expiration Date". The expiration date is the last day of the month indicated.

Medicines should not be disposed of via wastewater or household waste. Dispose of the packaging and any unused medicine in the pharmacy's SIGRE collection point. If in doubt, ask your pharmacist how to dispose of the packaging and any unused medicine. This will help protect the environment.

6. Package contents and additional information

Composition of FORTASEC 2 mg Hard Capsules

The active ingredient is: loperamide hydrochloride (2 mg per capsule)

The other ingredients (excipients) are: lactose, talc, magnesium stearate, and cornstarch. Gelatin, yellow iron oxide (E172), titanium dioxide (E171), indigo carmine (E132), erythrosine (E127), and black iron oxide (E172).

Appearance of the product and package contents

They are hard gelatin capsules of dark gray and green color.

They are presented in packages of 12 and 20 capsules.

Marketing authorization holder and manufacturer

Marketing authorization holder

JNTL Consumer Health (Spain), S.L.

C/ Vía de los Poblados 1, Edificio E, planta 3

28033-Madrid

Spain

Manufacturer

JANSSEN-CILAG S.P.A.

Via C. Janssen

04010 Borgo S.Michele

Latina (Italy)

JNTL Consumer Health (France) S.A.S.

Domaine de Maigremont

27100 Val de Reuil

France

Date of the last revision of this leaflet: November 2023

Detailed and updated information on this medicine is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es

Online doctors for FORTASEC 2 mg HARD CAPSULES

Discuss questions about FORTASEC 2 mg HARD CAPSULES, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

5.0 (140)
Doctor

Yevgen Yakovenko

General surgery 12 years exp.

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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5.0 (29)
Doctor

Anna Biriukova

General medicine 6 years exp.

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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€60
5.0 (29)
Doctor

Dmytro Horobets

Family medicine 7 years exp.

Dr. Dmytro Horobets is a licensed family medicine physician in Poland, specialising in endocrinology, diabetology, obesity management, gastroenterology, pediatrics, general surgery, and pain medicine. He offers online consultations for adults and children, providing personalised medical support for a wide range of acute and chronic health concerns.

Areas of expertise:

  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
  • Obesity medicine: structured weight management plans, nutritional counselling, obesity-related health risks.
  • Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
  • Pediatric care: infections, respiratory symptoms, digestive issues, growth and development monitoring.
  • General surgery support: pre- and post-surgical consultations, wound care, rehabilitation.
  • Pain management: chronic and acute pain, back pain, joint pain, post-traumatic pain syndromes.
  • Cardiovascular health: hypertension, cholesterol control, risk assessment for heart disease.
  • Preventive medicine: regular check-ups, health screenings, long-term management of chronic conditions.

Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

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€60

Frequently Asked Questions

Is a prescription required for FORTASEC 2 mg HARD CAPSULES?
FORTASEC 2 mg HARD CAPSULES does not require a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
What is the active substance in FORTASEC 2 mg HARD CAPSULES?
The active ingredient in FORTASEC 2 mg HARD CAPSULES is loperamide. This information helps identify medicines with the same composition but different brand names.
Who manufactures FORTASEC 2 mg HARD CAPSULES?
FORTASEC 2 mg HARD CAPSULES is manufactured by Jntl Consumer Health (Spain) S.L.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of FORTASEC 2 mg HARD CAPSULES online?
Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether FORTASEC 2 mg HARD CAPSULES is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to FORTASEC 2 mg HARD CAPSULES?
Other medicines with the same active substance (loperamide) include ABECLIN 2 mg TABLETS, DIARFIN 2 mg HARD CAPSULES, DIARFIN FLAS 2 mg ORAL LYOPHILIZED. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.
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