Rifaximin

Kathryn Dzintars, Pharm.D., BCPS, Paul A. Pham, Pharm.D.

INDICATIONS

FDA

  • Treatment of traveler’s diarrhea due to noninvasive E. coli
  • Reduction in risk of overt hepatic encephalopathy recurrence
  • Treatment of irritable bowel syndrome-diarrhea predominant (IBS-D)

NON-FDA APPROVED USES

  • C. difficile-associated diarrhea (prevention, or second-line treatment)
    • Adjunctive ’rifaximin chaser’ after vancomycin for multiply recurrent CDI (limited evidence, not currently recommended in IDSA Guideline).
  • Small bowel bacterial overgrowth
  • Prevention of traveler’s diarrhea

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Last updated: July 3, 2026