Xifaxan

utilized to support the treatment of hepatic encephalopathy and intended to target bacterial overgrowth within the gastrointestinal tract.

Strengths: 200 · 400 · 550mg

Medicine details

Alternative names

Tixi-X; Normix

Therapeutic class

Rifamycin Antibiotic

Pharmacological class

Rifamycin Antibiotic

Known off-label uses

small intestinal bacterial overgrowth

Contraindications

hypersensitivity to rifaximin; intestinal obstruction

Minor side effects

dizziness; headache; nausea; abdominal pain

Moderate side effects

flatulence; defaecation urgency; elevated liver enzymes

Dosage forms

Film-coated tablet

Administration route

Oral use

Prescription status

POM

Manufacturer

Norgine

Onset Time

1–3 days

Duration

14 days

Storage instructions

Store below 25°C in original packaging.

Drug interactions

ciclosporin

Age restrictions

Not recommended for children under 12 years.

Precautions and warnings

monitor for liver function; use caution in severe hepatic impairment; discontinue if symptoms of colitis arise

Serious side effects

clostridioides difficile-associated diarrhoea — requires immediate medical attention

Patient summary

utilized to support the treatment of hepatic encephalopathy and intended to target bacterial overgrowth within the gastrointestinal tract.

Mechanism of action

Rifaximin is a non-systemic rifamycin antibiotic that binds to the beta-subunit of bacterial DNA-dependent RNA polymerase, inhibiting RNA synthesis. It exhibits broad-spectrum activity against gastrointestinal pathogens and modulates intestinal microbiota to reduce ammonia production.

Pregnancy and breastfeeding

Pregnancy: Not recommended unless necessary due to lack of clinical data. Breastfeeding: Advise caution as systemic absorption is low but potential for excretion exists.

Xifaxan

utilized to support the treatment of hepatic encephalopathy and intended to target bacterial overgrowth within the gastrointestinal tract.

Editorial Notes

  • Active ingredient(s): Rifaximin
  • Listed indication(s): Hepatic Encephalopathy, Traveller’s Diarrhoea

Usually available as

  • 120 tablets - 200 mg1028-200-mg-12955
  • 90 tablets - 400 mg1028-400-mg-12962
  • 60 tablets - 550 mg1028-550-mg-12969