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Rifaximin

Rifaximin, sold under the trade name Xifaxan among others, is an antibiotic used to treat traveler's diarrhea, irritable bowel syndrome, and hepatic encephalopathy. More

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Description

Rifaximin, sold under the trade name Xifaxan among others, is an antibiotic used to treat traveler's diarrhea, irritable bowel syndrome, and hepatic encephalopathy.

Generic Name

Rifaximin

Chemical names

Rifaximin; Rifaxidin; 80621-81-4; Rifacol; Xifaxan

Brand names

Rcifax, Refatime, Rfx, Rifagut, Rixmin, Sibofix, Torfix

IUPAC name

(7S,9E,11S,12R,13S,14R,15R,16R,17S,18S,19E,21Z)-2,15,17,36-tetrahydroxy-11-methoxy-3,7,12,14,16,18,22,30-octamethyl-6,23-dioxo-8,37-dioxa-24,27,33-triazahexacyclo[23.10.1.1?,?.0?,³?.0²?,³?.0²?,³²]heptatriaconta-1,3,5(35),9

Pharmacokinetics

Low absorption

Actions

Rifaximin is a structural analog of rifampin and a non-systemic, gastrointestinal site-specific antibiotic. This non-systemic property of the drug is due to the addition of a pyridoimidazole ring, which renders it non-absorbable. 

Dosage/Dosage form

  • It is administered orally in a dose of 600 mg in 3 divided doses for a 3-day course for traveller’s diarrhoea. 
  • It is administered as 1100 mg/day in 2 divided doses for Hepatic Encephalopathy.

Therapeutic uses

  • Hepatic Encephalopathy
  • prescribed for the treatment of traveller’s diarrhoea due to Escherichia coli infections

Adverse effects/Side effects

Chest pain, uneasiness, weakness, and hot flashes. Constipation, abdominal distension, vomiting, dry throat, diarrhea, fecal abnormality, hernia, gingival disorder, dry lips, stomach discomfort, dysentery, blood in stool, loss of appetite, loss of taste. 

Interaction

  • When it is combined with 2-mercaptobenzothiazole, Alectinib the serum concentration of Rifaximin can be increased.
  • when combined with Rifaximin, the serum concentration of Acebutolol can be decreased
  • The risk or severity of hypotension can be increased when Rifaximin is combined with Agmatine.

Contraindications

Contraindicated in patients with severe hepatic diseases, watery or bloody diarrhoea, diarrhoea with underlying pyrexia.

Storage

Store at 20-25°C.                       

Information

Molecular weight

785.8785

Molecular formula

C43H51N3O11

CAS number

80621-81-4

Precautions

  • It may cause dizziness, do not drive a car or operate machinery while taking this medication.