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At a glance

Rifaximin is a semisynthetic, rifamycin-based non-systemic antibiotic used for traveler's diarrhea, reduction in risk of overt hepatic encephalopathy, and bacterial overgrowth of irritable bowel syndrome.

Indications
  • Traveler's diarrhea (E. coli)
  • Reduction in risk of overt hepatic encephalopathy
  • Bacterial overgrowth of irritable bowel syndrome
Pharmacology

Rifaximin is a non-systemic antibiotic that works locally in the GI tract. It inhibits bacterial RNA synthesis by binding to the beta-subunit of DNA-dependent RNA polymerase. With minimal absorption, it is effective against intestinal bacteria without systemic side effects.

Dosage

Adult Dose (Oral):

  • Traveler's diarrhea: 200 mg every 8 hours for 3 days
  • Hepatic encephalopathy maintenance: 550 mg every 12 hours
  • IBS-D: 550 mg every 8 hours for 14 days; may repeat up to 2 times
  • Bacterial overgrowth: 400 mg 3 times daily for 10 days OR 550 mg 3 times daily for 14 days

Pediatric Dose (≥12 years):

  • Traveler's diarrhea: 200 mg every 8 hours for 3 days
Side effects

Side Effects:

  • Flatulence
  • Headache
  • Abdominal pain
  • Rectal tenesmus
  • Defecation urgency
  • Nausea
  • Constipation
  • Pyrexia
  • Vomiting
  • Anaphylaxis (rare)
Use in pregnancy

Use in Pregnancy: May be unsafe during pregnancy; animal studies have shown harmful effects; Pregnancy Category C; consult your doctor.

Pregnancy Category: C — always consult a doctor before taking during pregnancy.

Precautions & warnings
  • Not effective in diarrhea complicated by fever and/or blood in stools
  • Discontinue if no improvement or worsening within 24-48 hours
  • Pseudomembranous colitis may occur
  • Caution in pregnancy and lactation
Overdose effects

Overdose: No specific information; discontinue, treat symptomatically and institute supportive measures as required.

Storage conditions

Keep below 30°C, away from light and moisture; keep out of reach of children.

Rifaximin — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.