Sibo treatment Rifaxamin and Neomycin

Following Breath testing, I was DX with Methane levels double the normal. Started Rifaxamin 8 days ago with a strict dietary plan. It is working somewhat but not as well as my doctor expected. Yesterday together with caution we added Neomycin 500mg twice a day. You must radically alter your diet to get success and be vigilant about the change. It's tough to do because of flimsy US food labeling. So you must do as much home cooking of fresh food as possible!! I can't say that enough. I'm having much better results only this way. I'll be happy to share my diet success with anyone out there. It is complicated but it works and it takes individual allergies, sensitivities into consideration because everyone's chemistry is different. It's helpful to monitor what you are eating at every meal so I use the free online app My Fitness Pal, recommended by my dietician. The app is easy to use, allows you to set personal goals for weight, water intake, exercise, and each element of food intake (calories, carbs, protein, fat, sugar, fiber, sodium). It's become my guide for this strict diet change for SIBO treatment. I'm not there yet, so it's a work in progress, but I am more hopeful than I was before. I've been dealing with this chronic life-changing disease since 2019, lost 20+ pounds that year, can't get my weight up to 100lbs yet, but the research is starting to improve and there is new info to help us each year. In the past 3 months, I've endured 5 different GI tests that have finally determined my underlying problem- SIBO! For years I was told I had IBS-C and IBS-D mix. That was false due to a lack of medical knowledge. Now the medical community is indicating that SIBO is underdiagnosed. Hang in there. Happy to share my successes and challenges if you ask.

I took neomycin 2/day for 28 days and it is what finally removed my SIBO after fighting it for over 2.5 years. I would do it again in a heartbeat given how bad my quality of life was. No kidney or hearing damage, but of course your experience could always be different. I would ask your doctor/pharmacist for clarification on what the documented rate of hearing/kidney damage is, what steps you should take to minimize it, and what extenuating factors increase or decrease your chances. Only then are you in a position to make "informed consent".

Following Breath testing, I was DX with Methane levels double the normal. Started Rifaxamin 8 days ago with a strict dietary plan. It is working somewhat but not as well as my doctor expected. Yesterday together with caution we added Neomycin 500mg twice a day. You must radically alter your diet to get success and be vigilant about the change. It's tough to do because of flimsy US food labeling. So you must do as much home cooking of fresh food as possible!! I can't say that enough. I'm having much better results only this way. I'll be happy to share my diet success with anyone out there. It is complicated but it works and it takes individual allergies, sensitivities into consideration because everyone's chemistry is different. It's helpful to monitor what you are eating at every meal so I use the free online app My Fitness Pal, recommended by my dietician. The app is easy to use, allows you to set personal goals for weight, water intake, exercise, and each element of food intake (calories, carbs, protein, fat, sugar, fiber, sodium). It's become my guide for this strict diet change for SIBO treatment. I'm not there yet, so it's a work in progress, but I am more hopeful than I was before. I've been dealing with this chronic life-changing disease since 2019, lost 20+ pounds that year, can't get my weight up to 100lbs yet, but the research is starting to improve and there is new info to help us each year. In the past 3 months, I've endured 5 different GI tests that have finally determined my underlying problem- SIBO! For years I was told I had IBS-C and IBS-D mix. That was false due to a lack of medical knowledge. Now the medical community is indicating that SIBO is underdiagnosed. Hang in there. Happy to share my successes and challenges if you ask.

I had tinnitus before treatment. I took both antibiotics and lasted 5 days due to stomach upset. That was a couple months ago. Same diagnosis as yours. You may tolerate it better. I don’t think my tinnitus is any worse. What symptoms do you have or had that led to the breath test?

@katnewton
I had nausea, fatigue and constipation. I just restarted Rifaximin and will take with the antimicrobial Allicin 450 mg. I hope to be able to get up to 450 3 times a day. I will start with once daily to see how I can tolerate it. My breath test revealed both hydrogen and methane. I so hope this treats my symptoms. I pray you find relief, as well

@agb461 best of luck to you. I hope this combo works. I feel the natural supplements are a great plan with the Rifaximin. For nausea I use Gas X because the gas seemed to be causing my nausea. You might consider that if you have nausea. Also there’s wrist bands for nausea on Amazon.

Going to start SIBO antibiotic protocol with rifaximin and neomycin. Has anyone gone thru this and what are the effects/side effects.

Thanks.