To the Editor.—

I was amazed and disappointed to read the concluding paragraph of Dr Wasserman's Letter to the Editor, `Lomotil Overdose,'1 wherein he states that Lomotil (diphenoxylate/atropine) intoxications "are rarely seen" now. The 1990 Annual Report of The American Association of Poison Control Centers National Data Collection System2 lists 1654 cases of diphenoxylate-atropine poisonings which include 1004 cases (61% approximately) involving children less than 6 years old, and two deaths. Talking about loperamide Dr Wasserman asks, "Will Imodium prove to be less dangerous to infants and young children than Lomotil? So far it seems that way."

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