I use LOMOTIL everyday, It gives me the peace of mind knowing that I wont have to find bathrooms while I'm out with 3kids. My GI has no problem with me taking it daily, I only take one after my BM's in the morning and I'm set for the rest of the day.
I tried immodium years ago and found it gave me major gas pains, & bloating. Plus it was not covered by my drug plan and Lomotil is and its cheap and works much better. My Gi has never had any concerns about Toxic mega colon because I'm regular every morning. Thanks to this med I have a life again, can sit in a car or plane for hours, go out to the park and just live..