Questions about Rifaximin

Posted by drpepper @drpepper, Jun 9, 2019

After completing rifaximin treatment for SIBO is it recommended that you start taking probiotics?

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@drpepper, here is some information on rifaximin (I apologize if this is repeat information or too generic), https://www.mayoclinic.org/drugs-supplements/rifaximin-oral-route/proper-use/drg-20065817. This does emphasize the point that any questions regarding dosing, how to take it, or taking things before, during, or after use or rifaximin should be discussed with your medical provider or pharmacist to get the safest, most accurate information. Have you discussed probiotics with your medical provider?

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I had active MAC in 2015 and I was told to take probiotics and have been taking them ever since. I find my digestive system works much better with them.

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@drpepper

Started 2 week regimen of rifaximin for SIBO. After 1st week belching much worse. Anyone else experience this? I'm hoping it a case of it gets worse before it gets better.

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Hi, @drpepper and welcome to Connect. I was on xifaxan for over a year prior to my liver transplant and never had a belching problem. We are all different though in how medications affect us, and you are taking it for a totally different reason so your situation could be causing the belching.
I hope this is just temporary and will improve.
JK

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@drpepper

Started 2 week regimen of rifaximin for SIBO. After 1st week belching much worse. Anyone else experience this? I'm hoping it a case of it gets worse before it gets better.

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I am on Xifaxan indefinetly after a colectomy which causes chronic SIBO. Have not experienced the belching.

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Started 2 week regimen of rifaximin for SIBO. After 1st week belching much worse. Anyone else experience this? I'm hoping it a case of it gets worse before it gets better.

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Thanks for input. I failed to clarify that I was taking rifaximin ro get rid of major excessive belching due to sibo and experienced an uptick in belching after first week. I have finished the 2 week regimen…belching better..wondering of I should start probiotics..

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@drpepper

Thanks for input. I failed to clarify that I was taking rifaximin ro get rid of major excessive belching due to sibo and experienced an uptick in belching after first week. I have finished the 2 week regimen…belching better..wondering of I should start probiotics..

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I take Align every day. I think it's controversial whether to take a probiotic after SIBO but for me, I feel and function much better. I'm also missing my right intestines due to a bowel obstruction. I take Xifaxan every day due to chronic SIBO.

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will rifaxin kill both methane and hydrogen based silo

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Excellent antibiotic works while on it yet if you look at the studies patient symptoms usually return
Limited times you can take it
Very costly
Not for sure of your ?
Many people complain they feel repeat antibiotic usage causes their IBS symptoms to begin

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@johnbluffside

Excellent antibiotic works while on it yet if you look at the studies patient symptoms usually return
Limited times you can take it
Very costly
Not for sure of your ?
Many people complain they feel repeat antibiotic usage causes their IBS symptoms to begin

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I had excellent insurance which paid 100% for my xifaxan for 3 years. I take it twice a day. If I don't, it comes back. Now I'm on Medicare. I did get a plan that "covers" it although I have to meet the deductible and catastrophic out of pocket max. The first few months of the year are going to be $$$ but then it goes down to about 100.00/ month which is doable. I really wish we had a cheaper alternative.

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What plan covers it if you don't mind sharing. I am on Medicare too.

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