Loperamide have negative effects from rebound constipation. If a suspicion exists of diarrhea associated with organisms that can penetrate the intestinal walls, such as or "Salmonella", loperamide is contraindicated as a primary treatment. Loperamide treatment is not used in symptomatic "C. difficile" infections, as it increases the risk of toxin retention and precipitation of toxic megacolon. Loperamide should be administered with caution to people with liver failure due to reduced first-pass metabolism. Additionally, caution should be used when treating people with advanced HIV, as cases of both viral and bacterial toxic megacolon have been reported. If abdominal distension is noted, therapy
Geneva Medical College Mercer, a member of the class of 1843, was chairman of the committee representing the County Medical Society in connection with the transfer of the college from Geneva. He expressed the sentiment of the medical group as follows: "What we need is not more medical schools, but fewer and better ones." In late 1871, Hobart College disbanded the medical school and sold its library, anatomical specimens, and other tangible assets to Dean of the college, John Towler, who donated them to Syracuse University in Syracuse, New York on condition that the trustees immediately establish an American Medical Association approved medical