Introduction: Understanding Xifaxan Tablets
Xifaxan, the brand name for the active ingredient rifaximin, is a prescription antibiotic used widely to treat particular gastrointestinal conditions. Unlike most other antibiotics that affect the entire body, it stays in the gut. This has made it so effective in localized infections in the gut while being less harmful on other parts of the body.
What It Is: A Gut-Focused Antibiotic

It is a rifamycin-based antibiotic that acts to primarily target the bacteria in the intestines. It does so by inhibiting bacterial RNA synthesis, thereby killing bacteria from further proliferation and growth. Because it has poor absorption into the bloodstream, it stays mainly in the intestines, providing a great gut-specific drug for gut-related diseases without the full antibiotic effect of other drugs
What is it used for?
It is used in the treatment of various conditions including:
- Traveler’s Diarrhea: It alleviates diarrhea caused by Escherichia coli (E. coli) bacteria.
- Irritable Bowel Syndrome with Diarrhea (IBS-D): Relieves symptoms such as abdominal pain, bloating, and frequent loose stools in adults.
- Hepatic Encephalopathy: It reduces the risk of recurrent episodes of brain dysfunction due to liver failure by reducing the quantity of ammonia-producing bacteria in the gut.
Xifaxan is prescribed when a healthcare provider diagnoses one of the following conditions:
- Traveler’s Diarrhea: Often used during or after travel when symptoms develop.
- IBS-D: Often prescribed as part of chronic symptom management.
- Hepatic Encephalopathy: Used prophylactically to prevent recurrence.
What Are the Side Effects?

It is usually well-tolerated, but like all drugs, it can cause side effects.
Common Side Effects:
- Nausea
- Gas and bloating
- Stomach pain
- Headache

Rare or Serious Side Effects:
- Severe Allergic Reactions: Rash, itching, swelling (especially of the face or throat), severe dizziness, or trouble breathing.
- C. difficile Infection: This is a rare but serious condition where antibiotic use can lead to overgrowth of harmful bacteria in the gut.
- Liver Problems: In rare cases, patients with previous liver conditions need to be extra careful.
- Warning: Seek your doctor’s advice immediately if you face severe side effects or if your symptoms worsen.
Precautions When Taking Xifaxan
Medical Conditions
Report to your doctor if you have liver disease or any other previous gastrointestinal problems.
Alcohol :
Do not drink alcohol during Xifaxan therapy as alcohol may worsen the side effects such as nausea and dizziness.
Allergies
In case you have allergy to rifamycin antibiotics or other medications, let your doctor know about it.
Pregnancy and Breastfeeding
As there is very little known about its use in pregnant women and breastfeeding mothers, consult your healthcare provider for further advice.
Pediatric Use
It is approved for use in children aged 12 and above for conditions like traveler’s diarrhea. For younger children, its safety and efficacy have not been well established. Always use this medication under a doctor’s supervision for children.
Geriatric Use
Older adults can safely use Xifaxan, but they might require additional monitoring to ensure the medication does not exacerbate pre-existing conditions, especially liver-related issues.
Interaction with Other Medications
It may interact with other drugs, affecting its efficacy or increasing the risk of side effects.
Common Drug Interactions:
- Cyclosporine: May increase rifaximin levels in the body.
- Antibiotics: Avoid combining Xifaxan with other antibiotics unless advised by a doctor.
- Liver Medications: Inform your doctor about medications used for liver conditions.
Other Interactions
While there are no known interactions with soaps or creams, it’s essential to inform your doctor about all medications, supplements, or skincare products you use.
How Effective Is It?

Clinical studies have shown that Xifaxan is highly effective in treating traveler’s diarrhea, IBS-D, and hepatic encephalopathy when taken as prescribed. Many patients report significant relief within a few doses.
How Long Does It Commonly Take to Work?
For Traveler’s Diarrhea: Improvement is usually seen within 24-48 hours.
For IBS-D: It may take a few days to a couple of weeks for symptoms to start improving.
For Hepatic Encephalopathy: It works over time to prevent episodes rather than providing immediate results.
What If You Miss a Dose?
Take it as soon as you remember, unless it’s close to your next scheduled dose.
Do not double the dose to make up for a missed one.
How to Store It
Temperature: Store Xifaxan at room temperature (below 25°C).
Avoid Moisture: Keep it in a dry place, away from bathrooms or kitchens.
Child Safety: Keep out of children’s reach.
Price Details and References
The Xifaxan drug price depends upon the strength as well as its availability in brands:
Rifamycin Generic Tablets: ₹300-₹600 for a course of 10 days.
Branded Tablets of Xifaxan: ₹1,000-₹2,500 according to the type of the disease.
References:
Apollo Pharmacy (https://www.apollopharmacy.in)
1mg (https://www.1mg.com)
Netmeds (https://www.netmeds.com)
FAQs
1. Can Xifaxan treat all types of diarrhea?
No, Xifaxan is only effective against traveler’s diarrhea caused by specific strains of E. coli.
2. Can I drink alcohol while taking Xifaxan?
It’s best to avoid alcohol as it may increase side effects like nausea.
3. Is Xifaxan safe during pregnancy?
Talk to your doctor as there is very little data available on its use during pregnancy.
4. Does Xifaxan interact with birth control pills?
Xifaxan is not known to affect hormonal birth control, but it’s best confirmed with your doctor.
5. How does Xifaxan differ from other antibiotics?
Xifaxan acts primarily in the gut with minimal absorption into the bloodstream, thus significantly reducing systemic side effects.
6. Can I take probiotics with Xifaxan?
Yes. However, be sure to talk to your doctor to ensure the best gut health and effectiveness.
It is now easier to understand the content without losing its detail and information, thereby guiding its readers who might seek out worthy advice concerning Xifaxan Tablets.