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Rifaximin

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Product Details

What Is Rifaximin?

What Is Rifaximin?

Rifaximin is a prescription oral antibiotic belonging to the rifamycin class. It works locally in the gastrointestinal tract by inhibiting bacterial RNA synthesis. Rifaximin has minimal systemic absorption, which helps reduce the risk of widespread side effects.

Rifaximin is available in 200 mg and 550 mg tablet strengths. At present, we provide the 550 mg strength only, dispensed with a valid prescription. Because proper diagnosis and dosing are essential, Rifaximin should only be used under the supervision of a licensed healthcare provider.

Quick Facts About Rifaximin

Quick Facts About Rifaximin

CategoryDetails
Brand NameXifaxan
Generic NameRifaximin
ManufacturerSalix Pharmaceuticals, Inc. (a subsidiary of Bausch Health Companies)
Dosage FormsOral tablets
Strengths Available200 mg, 550 mg
Prescription RequirementPrescription‑only (Rx)
FDA Approval DateFirst approved May 25, 2004
Drug ClassRifamycin antibacterial
FDA‑Approved Indications- Traveler’s diarrhea (caused by non‑invasive E. coli)
- Irritable Bowel Syndrome with Diarrhea (IBS‑D)
- Reduction of risk of recurrent hepatic encephalopathy
Common Side EffectsNausea, abdominal pain, bloating, headache, dizziness
Serious Side EffectsRare hypersensitivity reactions, C. difficile–associated diarrhea
Important Warnings- Not effective for diarrhea due to invasive pathogens (Salmonella, Shigella)
- Avoid use if hypersensitive to rifamycin antibiotics
-Use with caution in patients with severe hepatic impairment (Child-Pugh Class C)

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What Is Rifaximin Used For?

What Is Rifaximin Used For?

Rifaximin is FDA-approved for the treatment of:

  • Traveler’s diarrhea caused by noninvasive strains of Escherichia coli
  • IBS-D (Irritable bowel syndrome with diarrhea) in adults
  • Reduction in the risk of overt hepatic encephalopathy recurrence in adults with liver disease
Important Safety Information About Rifaximin

Important Safety Information About Rifaximin

Rifaximin 550 mg tablets have specific precautions, warnings, and contraindications that you should be aware of before starting your treatment:

What to Avoid When Taking Rifaximin?

  • Do not use for viral infections (like cold or flu).
  • Avoid exceeding the prescribed duration; taking it longer than directed can increase side effect risk.
  • Do not share your medication with anyone else.
  • Avoid other antibiotics or medications without consulting your doctor.

Who Cannot Take Rifaximin 550 mg Tablets?

  • Rifaximin should not be used by people who:
    • Have a known hypersensitivity (allergy) to rifaximin, rifamycin antimicrobial agents, or any component of the medicine.
    • Have diarrhea with blood in the stool or fever, or diarrhea caused by pathogens other than Escherichia coli, the drug may not be effective.
    • Have Clostridioides difficile‑associated diarrhea (CDAD), as ongoing antibiotics not directed against C. difficile may worsen the condition.
  • Children: Safety and effectiveness have not been established in patients <12 years for traveler’s diarrhea, and <18 years for IBS-D and hepatic encephalopathy.

What Are the Contraindications for Rifaximin?

Rifaximin should not be used in the following situations:

  • Known hypersensitivity to rifaximin, rifamycin antibiotics, or any ingredient in the tablets.
  • Patients with diarrhea complicated by blood in the stool or fever where rifaximin is unlikely to be effective.
  • Clostridioides difficile‑associated diarrhea (CDAD): Rifaximin is not appropriate for the treatment of systemic infections, and continued use may worsen C. difficile colitis.
What To Monitor When Taking Rifaximin?

What To Monitor When Taking Rifaximin?

While taking Rifaximin, watch for and report the following to your healthcare provider:

  • Signs of worsening diarrhea, especially persistent, bloody, or severe diarrhea.
  • Symptoms of allergic reactions, such as rash, swelling, or difficulty breathing.
  • Liver function may be affected if you have liver disease or develop symptoms like jaundice.
  • If you are on warfarin, your doctor may monitor your INR/prothrombin time to adjust the dose.
  • Overall treatment effectiveness improvement in your condition as prescribed by your healthcare provider.
How Rifaximin Works (Mechanism of Action)

How Rifaximin Works (Mechanism of Action)

Rifaximin (Xifaxan) is an antibiotic that works in the gut. It inhibits bacterial RNA synthesis by binding to the beta subunit of DNA-dependent RNA polymerase, preventing the production of essential proteins needed for growth. Because rifaximin is minimally absorbed, it acts primarily in the intestines, targeting intestinal infections while limiting effects on the rest of the body.

Rifaximin Dosage Guide

Rifaximin Dosage Guide

Rifaximin dosage depends on the indication, patient age, and medical history. Always follow your doctor’s prescribed dosage regimen.

Indication / Patient GroupTypical Adult DoseUsual DurationImportant Notes
Traveler’s Diarrhea (Adults ≥12 years)200 mg orally three times daily3 daysOnly for non‑invasive E. coli; not effective for invasive pathogens (Salmonella, Shigella)
Irritable Bowel Syndrome with Diarrhea (IBS‑D, Adults ≥18 years)550 mg orally three times daily14 daysMay repeat the same course if symptoms recur; only if recommended by a physician
Hepatic Encephalopathy (Adults)550 mg orally twice dailyLong‑term/chronic useUsed to reduce recurrence risk; often combined with lactulose

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What To Do If You Forget Your Rifaximin Dose?

What To Do If You Forget Your Rifaximin Dose?

  • Take the missed tablet as soon as you remember.
  • If it is almost time for your next one, skip the missed dose.
  • Do not double the dose to make up for a missed one.
  • Continue taking the rest of your doses as prescribed.
  • If you frequently miss doses or are unsure, contact your doctor or pharmacist for guidance.
What Happens If You Take Too Much Rifaximin?

What Happens If You Take Too Much Rifaximin?

Taking too many Rifaximin tablets may cause mild stomach or bowel problems, such as:

  • Nausea
  • Vomiting
  • Stomach pain or cramping
  • Diarrhea
  • Rifaximin overdose is uncommon because very little of the drug enters the bloodstream.

If you suspect an overdose, contact your doctor, pharmacist, or poison control center immediately.

What Are the Side Effects of Rifaximin?

What Are the Side Effects of Rifaximin?

Rifaximin usually causes mild, temporary side effects, but if you experience any serious or unusual symptoms, contact your doctor. This list is not complete, so always seek professional advice for any concerns.

Common Side EffectsRare or Serious Side Effects
NauseaSevere allergic reaction (rash, hives, swelling of face/lips/tongue/throat)
VomitingClostridioides difficile–associated diarrhea (persistent watery or bloody diarrhea)
Stomach pain / abdominal painSevere liver problems (jaundice, dark urine, unusual fatigue)
Constipation or diarrheaSevere dizziness or fainting
HeadacheSigns of hypersensitivity (angioedema, anaphylaxis)
Fatigue

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How Do You Take Rifaximin 550 mg Tablets?

How Do You Take Rifaximin 550 mg Tablets?

If you are considering using Rifaximin, follow these administration guidelines:

  • Take Rifaximin tablets exactly as prescribed by your doctor.
  • Swallow the tablets whole with water.
  • Do not crush, split, or chew Rifaximin tablets unless your doctor advises.
  • You can take it with or without food.
  • Take it at the same time each day to keep the medicine working effectively.
  • Finish the full course, even if you start feeling better.
  • Store the tablets at room temperature (20-25°C/68-77°F), away from heat, moisture, and direct light.
  • Tell your doctor if you are taking other medicines, have liver disease, or are pregnant or breastfeeding.
Rifaximin vs. Other Common GI Medications

Rifaximin vs. Other Common GI Medications

Rifaximin is a gut-targeted antibiotic with low systemic absorption. Here’s how it compares with other common medications for gastrointestinal conditions in terms of effectiveness, risks, and benefits.

FeatureRifaximin (Xifaxan)Loperamide (Imodium)Metronidazole (Flagyl)Ciprofloxacin (Cipro)
FormOral tablet (200 mg, 550 mg)Oral tablet/capsuleOral tablet/capsuleOral tablet/capsule
FDA‑Approved UseTraveler’s diarrhea (non‑invasive E. coli), IBS‑D, hepatic encephalopathySymptomatic relief of acute diarrheaAnaerobic bacterial infections, protozoal infections (e.g., Giardia, Trichomonas)Broad‑spectrum bacterial infections (urinary tract, GI, respiratory, skin)
Systemic AbsorptionMinimal (acts locally in the gut)MinimalModerateHigh
Typical Duration3–14 days (depends on condition)Short‑term, as needed7–14 days7–14 days
EffectivenessEffective for gut infections with low resistance riskProvides symptom relief only (does not treat infection)Effective for specific anaerobic/protozoal infectionsBroad effectiveness for susceptible gram‑negative & gram‑positive bacteria

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What Drugs Interact with Rifaximin?

What Drugs Interact with Rifaximin?

Rifaximin (Xifaxan) has minimal systemic absorption, so clinically significant drug interactions are rare. Unlike many antibiotics, rifaximin does not strongly interact with CYP enzymes, so it has far fewer drug-to-drug interactions than systemic antibiotics. However, certain Rifaximin interactions still require monitoring or caution:

Drug / Drug ClassType of InteractionNotes / Precautions
CyclosporineP‑gp inhibitorCan increase rifaximin absorption higher risk of side effects
WarfarinMay change INR; monitor closely
Live oral vaccines (oral typhoid)Antibiotic effectCan reduce vaccine effectiveness

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What Is the Alternative to Rifaximin?

What Is the Alternative to Rifaximin?

The main alternatives to Rifaximin for gastrointestinal conditions include:

  • Mycifradin (Neomycin)
  • Flagyl (Metronidazole)
  • Cipro (Ciprofloxacin)
  • Imodium (Loperamide)

The choice depends on the type of infection, severity, and patient-specific factors. Always consult a healthcare professional before switching or combining treatments.

Why Buy Rifaximin Online from Polar Bear Meds

Why Buy Rifaximin Online from Polar Bear Meds

Rifaximin can be expensive in the U.S., especially when insurance doesn’t cover it. Many patients delay treatment due to high costs. Polar Bear Meds helps make Rifaximin more affordable without compromising quality.

By partnering with licensed Canadian pharmacies, we offer Rifaximin at prices often up to 80% lower than U.S. pharmacies. New customers might save even more by using the coupon code “WELCOMEPB10” for an extra 10% off.

  • No insurance required
  • No hidden fees
  • Fast delivery: Usually orders arrive within 3-5 business days via Xpress Post

With Polar Bear Meds, getting the Rifaximin 550 mg tablets you need is simple, reliable, and cost-effective.

Important Disclaimer

Important Disclaimer

The information provided above is for general educational and informational purposes only. This should not be considered as any medical advice, diagnosis, or treatment. Rifaximin is a prescription medication and should be used only under the guidance of a qualified healthcare professional. Always consult your healthcare provider or doctor before stopping, starting, or changing any treatment.

Rifaximin FAQs

Rifaximin FAQs

Learn more about Rifaximin and related topics

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