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Doctor insights on: Xifaxan C Diff

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Xifaxan (rifaximin) for sibo. Can this med cause c diff. I read it can. Then I read can be used to treat c diff?

Xifaxan (rifaximin) for sibo. Can this med cause c diff. I read it can. Then I read can be used to treat c diff?

Maybe temporary fix: If you have ibs due to sibo (small intestinal bacterial overgrowth)--antibiotics like xifaxan (rifaximin) may help. Sibo may also occur from anatomic variations in the small bowel, altered small bowel motility, or a variety of systemic conditions that prevent permanent cure (e.g. The bacteria just grow back). Xifaxan (rifaximin) is also curative for c.Difficile in appropriate dose ; settings. ...Read more

Dr. Stephen Scholand
452 Doctors shared insights

Clostridium Difficile (Definition)

C. Diff, it is a spore forming bacillus that when the micro environment of the colon is modified by antimicrobials, it can germinate and elaborate a toxin causing pseudo membranous colitis, ...Read more


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I'm taking xifaxan (rifaximin) can I have some wine?

I'm taking xifaxan (rifaximin) can I have some wine?

Check with MD.: Alcohol can make dizziness (a side effect) worse. Discuss this with your doctor. We don't know about any other meds you are taking or your overall health. Talk to your doc to be sure before drinking alcohol. ...Read more

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Can Xifaxan 550 pills be cut into smaller pieces or crushed? They are too big to swallow.

Can Xifaxan 550 pills be cut into smaller pieces or crushed? They are too big to swallow.

Unfortunately not: Unfortunately due to the coating and the mechanism of its release, splitting or crushing the pill is not advised. If you are unable to take it with apple sauce or water I suggest calling your doctor for an alternative ...Read more

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What is the success rate for Xifaxan (rifaximin) for a permanent cure of SIBO after one use? I'm reading so many different numbers.

What is the success rate for Xifaxan (rifaximin) for a permanent cure of SIBO after one use? I'm reading so many different numbers.

Maybe temporary fix: If U have ibs due to sibo (small intestinal bacterial overgrowth)--antibiotics like xifaxan (rifaximin) may help (is being studied 4 repeat use). Sibo may also occur from anatomic variations in the small bowel, altered small bowel motility, or a variety of systemic conditions that prevent permanent cure (e.g. The bacteria just grow back). Xifaxan (rifaximin) is also curative for C.difficile in appropriate dose & setting. ...Read more

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I'm taking Xifaxan (rifaximin) for SIBO. 550mg 3x a day for 14 days. I'm having a really hard time on the pills. Would it be ok to take 2 pills a day instead of 3?

I'm taking Xifaxan (rifaximin) for SIBO. 550mg 3x a day for 14 days. I'm having a really hard time on the pills. Would it be ok to take 2 pills a day instead of 3?

Okay as twice a day.: A few questions:
What makes taking the Xifacan three times a day difficult for you?
How long have you been on the drug?
Has a culture been done on your fences?
What are the symptoms you're having?
Have been on any other antibiotics for your SIBO?
You can take Xifacan twice a day and assess the differences in symptoms. Diet is also very important. Ask WebMd re: diet ...Read more

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Can I take yogurt when taking xifaxan (rifaximin)?

Yes you can: There is no adverse effects if you eat yogurt while on xifaxan (rifaximin). ...Read more

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I was prescribed xifaxan (rifaximin) 550 mg tablet but can not afford it, is there an alternative and if so where can I find it?

I was prescribed xifaxan (rifaximin) 550 mg tablet but can not afford it, is there an alternative and if so where can I find it?

Xifaxan (rifaximin): Unfortunately there are ok alternatives to xifaxan (rifaximin). It is unique in a way that it is not absorbed and works only in the bowel to kill pathogens and in your case to prevent hepatic encephalopathy. You should talk to your doctor about it and continue lactulose for now. ...Read more

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I'm supposed to take Xifaxan (rifaximin) 3x a day. What time should I take each dose to space it out? Should I wake up in the middle of the night to take a dose?

I'm supposed to take Xifaxan (rifaximin) 3x a day. What time should I take each dose to space it out? Should I wake up in the middle of the night to take a dose?

Xifaxin: This drug is hardly absorbed into the system at all. I do not think you need to wake up in the middle of the night to take. It can be take with or without food. I think a good schedule would be breakfast, lunch and dinner. ...Read more

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Any dietary restriction I need to follow while taking xifaxan-550mg (rifaximin)?

Any dietary restriction I need to follow while taking xifaxan-550mg (rifaximin)?

Rifaximin: I guess you're taking Rifaximin for treatment of hepatic encephalopathy. In that case, I would recommend you avoid alcohol and high protein diet. ...Read more

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I took Xifaxan (rifaximin) for SIBO. It's been a week and a half since I finished and my lower GI hurts more. I can't work. Could I have done permanent damage?

I took Xifaxan (rifaximin) for SIBO. It's been a week and a half since I finished and my lower GI hurts more. I can't work. Could I have done permanent damage?

Probably not: Xifaxin can help with certain forms of IBS; your trial of treatment has not worked; this does not mean that you have experienced any permanent damage as a result; consult with your GI doc once more; perhaps try a higher dose of amitriptylline, or some other approach; ...Read more

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How often can you take xifaxan (rifaximin). Can you take every six months for ibs?

How often can you take xifaxan (rifaximin). Can you take every six months for ibs?

Xifaxan (rifaximin) NOT for IBS: Ibs is a functional gastrointestinal disorder characterized by pain/cramping, altered bowel habits in the absence of specific/unique organic pathology/disease. Other symptoms common to ibs include bloating, gassiness, frequent/urge to have bm, early satiety, dyspepsia etc...
Often = nuisances, but can be debilitating at times. Antibiotics don't treat ibs.
If u r concerned, consult doc.
Good luck. ...Read more

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Am taking xifaxan (rifaximin) 550mg for sibo, is it normal to be cold all the time and always feel thirsty?

Am taking xifaxan (rifaximin) 550mg for sibo, is it normal to be cold all the time and always feel thirsty?

Sorry, but no...: Xifaxan (rifaximin) is generally well tolerated, and not likely to cause the distress you describe. Please ask your physician to next address your new symptoms with some simple blood work to check electrolytes, glucose, thyroid, etc, (these should be a good start). ...Read more

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Been treated for sibo with xifaxan (rifaximin). Still get gas everytime I eat no matter what I eat. What else could it be?

Been treated for sibo with xifaxan (rifaximin). Still get gas everytime I eat no matter what I eat. What else could it be?

Feeling gassy...: Feeling full of "gas" may reflect malabsorption of food (like gluten, lactose), intake of poorly digested food, or choosing foods known to promote gas (beans, fizzy drinks). Sometimes its more complicated--a stomach emptying too slowly, bacterial overgrowth syndrome, delayed intestinal function, partial obstruction from any cause, infection, rectum problems, and pelvic pathology outside the gut. ...Read more

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How many people are cured of SIBO from first treatment of 550mg, 3x a day, 14 day dose of Xifaxan (rifaximin) and never have it come back?

How many people are cured of SIBO from first treatment of 550mg, 3x a day, 14 day dose of Xifaxan (rifaximin) and never have it come back?

Ask users: Small Intestine Bacterial Overgrowth (SIBO) has many treatments, and the long term studies don't seem to be very comprehensive or well constructed for validity.
In the meantime, try posting on
http://www. Ibsgroup. Org/forums/topic/119286-sibo-treatment-with-xifaxan/ ...Read more

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Can xifaxan (rifaximin) cause neck fatigue pain? Been taking it 3 times a day for the last 10 days with 10 more to go. Pain in upper neck and lower cranial area

Can xifaxan (rifaximin) cause neck fatigue pain? Been taking it 3 times a day for the last 10 days with 10 more to go. Pain in upper neck and lower cranial area

Yes: Your symptoms are listed on the drug information guide for xifaxan (rifaximin) as possible but not very common (drugs. Com lists fatigue was most at 12%, headache at 10%, backpain at 6%). Anytime symptoms change however you should notify the prescribing provider for guidance and any new recommendations. ...Read more

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I am going to be taking Neomycin and XIFAXAN (rifaximin) 2x a day to get rid of my SIBO. Should I take them both at the same time or spaced apart?

I am going to be taking Neomycin and XIFAXAN (rifaximin) 2x a day to get rid of my SIBO. Should I take them both at the same time or spaced apart?

Shouldn't matter.: You should be able to take those two medications either way, together or separate. However, I would defer to whatever your doctor told you they wished you to do. Good luck. ...Read more

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I checked my temperature and it's 99.8 have been on Xifaxan, (rifaximin) watery diarrhea 3 days, severe cramps but feel ok today. Should I be concerned?

I checked my temperature and it's 99.8 have been on Xifaxan, (rifaximin) watery diarrhea 3 days, severe cramps but feel ok today. Should I be concerned?

Temp not super high: Normal body temp is 97.0 to 100.0 deg F. Normally, doctors don't get excited until the temp is > 100.4 deg F, so on that account, there is probably no concern. I'm not sure why Xifaxan (rifaximin) was prescribed (Dx?). It is used to treat various conditions, including hepatic encephalopathy & certain types of colitis. However, it can cause watery diarrhea as a side effect. I wd be more concerned about that. ...Read more

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Could you take xifaxan (rifaximin) when drinking alcohol or beer?

Could you take xifaxan (rifaximin) when drinking alcohol or beer?

Depends on what you: Are on it for. It is commonly used in people with very severe liver disease, and if this is what you are on it for, then the answer is a definite NO. Not because any interactions with the xifaxan, (rifaximin) but because alcohol in ANY amount is absolutely contraindicated and extremely dangerous if you have liver damage. You need to be asking your doctor these questions, with your whole health history. ...Read more

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DrCattano the spasms are all over. Extremities back face hands and have a random pattern. The xifaxan is making this post colonoscopy pain subside.?

DrCattano the spasms are all over. Extremities back face hands and have a random pattern. The xifaxan is making this post colonoscopy pain subside.?

Two issues?: ...e.g. 1) improvement with Xifaxan; 2) diffuse muscle spasm. Does not sound like a cause and effect relationship. Indeed, what you describe doesn't precisely fit Xifaxan's known side effects. Would recommend an evaluation by your doctor. Just a side note: could stress be a factor? ...Read more

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Finished Xifaxan (rifaximin) 3 days ago. It made my stomach swell with water. Stomach is still big and filled with water. Peeing a lot. Should I be concerned?

Finished Xifaxan (rifaximin) 3 days ago. It made my stomach swell with water. Stomach is still big and filled with water. Peeing a lot. Should I be concerned?

I don't kow: The question is why is the medicine being used and what is your health history. I would say if it makes you feel this bad don't use it. Talk with your doctor. ...Read more

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I'm being treated for SIBO with Xifaxan (rifaximin). I feel so weak and tired from a week long attack of diarrhea, anxiety and cramps. What can I do for energy?

I'm being treated for SIBO with Xifaxan (rifaximin). I feel so weak and tired from a week long attack of diarrhea, anxiety and cramps. What can I do for energy?

Test first: Xifaxan (rifaximin) is an antibiotic that is not absorbed but kills bacteria in the G.I. tract. It is used for travelers diarrhea (e. coli)and to help prevent Hepatic encephalopathy in liver disease. It does cause diarrhea, weakness, nausea, etc, but it can also lead to Clostridium difficile infection which needs to be diagnosed and treated. ...Read more

Dr. Daniel Zandman
428 Doctors shared insights

Clostridium Difficile Infection (Definition)

Clostridium difficile is a bacteria that can cause intestinal infection and diarrhea. It more commonly ...Read more