
Rifaximin


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Upload your prescription.
Complete your purchase by processing the payment.
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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.
| Category | Details |
|---|---|
| Brand Name | Xifaxan |
| Generic Name | Rifaximin |
| Manufacturer | Salix Pharmaceuticals, Inc. (a subsidiary of Bausch Health Companies) |
| Dosage Forms | Oral tablets |
| Strengths Available | 200 mg, 550 mg |
| Prescription Requirement | Prescription‑only (Rx) |
| FDA Approval Date | First approved May 25, 2004 |
| Drug Class | Rifamycin 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 Effects | Nausea, abdominal pain, bloating, headache, dizziness |
| Serious Side Effects | Rare 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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Rifaximin is FDA-approved for the treatment of:
Rifaximin 550 mg tablets have specific precautions, warnings, and contraindications that you should be aware of before starting your treatment:
Rifaximin should not be used in the following situations:
While taking Rifaximin, watch for and report the following to your healthcare provider:
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 depends on the indication, patient age, and medical history. Always follow your doctor’s prescribed dosage regimen.
| Indication / Patient Group | Typical Adult Dose | Usual Duration | Important Notes |
|---|---|---|---|
| Traveler’s Diarrhea (Adults ≥12 years) | 200 mg orally three times daily | 3 days | Only 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 daily | 14 days | May repeat the same course if symptoms recur; only if recommended by a physician |
| Hepatic Encephalopathy (Adults) | 550 mg orally twice daily | Long‑term/chronic use | Used to reduce recurrence risk; often combined with lactulose |
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Taking too many Rifaximin tablets may cause mild stomach or bowel problems, such as:
If you suspect an overdose, contact your doctor, pharmacist, or poison control center immediately.
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 Effects | Rare or Serious Side Effects |
|---|---|
| Nausea | Severe allergic reaction (rash, hives, swelling of face/lips/tongue/throat) |
| Vomiting | Clostridioides difficile–associated diarrhea (persistent watery or bloody diarrhea) |
| Stomach pain / abdominal pain | Severe liver problems (jaundice, dark urine, unusual fatigue) |
| Constipation or diarrhea | Severe dizziness or fainting |
| Headache | Signs of hypersensitivity (angioedema, anaphylaxis) |
| Fatigue |
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If you are considering using Rifaximin, follow these administration guidelines:
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.
| Feature | Rifaximin (Xifaxan) | Loperamide (Imodium) | Metronidazole (Flagyl) | Ciprofloxacin (Cipro) |
|---|---|---|---|---|
| Form | Oral tablet (200 mg, 550 mg) | Oral tablet/capsule | Oral tablet/capsule | Oral tablet/capsule |
| FDA‑Approved Use | Traveler’s diarrhea (non‑invasive E. coli), IBS‑D, hepatic encephalopathy | Symptomatic relief of acute diarrhea | Anaerobic bacterial infections, protozoal infections (e.g., Giardia, Trichomonas) | Broad‑spectrum bacterial infections (urinary tract, GI, respiratory, skin) |
| Systemic Absorption | Minimal (acts locally in the gut) | Minimal | Moderate | High |
| Typical Duration | 3–14 days (depends on condition) | Short‑term, as needed | 7–14 days | 7–14 days |
| Effectiveness | Effective for gut infections with low resistance risk | Provides symptom relief only (does not treat infection) | Effective for specific anaerobic/protozoal infections | Broad effectiveness for susceptible gram‑negative & gram‑positive bacteria |
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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 Class | Type of Interaction | Notes / Precautions |
|---|---|---|
| Cyclosporine | P‑gp inhibitor | Can increase rifaximin absorption higher risk of side effects |
| Warfarin | May change INR; monitor closely | |
| Live oral vaccines (oral typhoid) | Antibiotic effect | Can reduce vaccine effectiveness |
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The main alternatives to Rifaximin for gastrointestinal conditions include:
The choice depends on the type of infection, severity, and patient-specific factors. Always consult a healthcare professional before switching or combining treatments.
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.
With Polar Bear Meds, getting the Rifaximin 550 mg tablets you need is simple, reliable, and cost-effective.
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.
Learn more about Rifaximin and related topics

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