Rifampin and Rifaximin interaction

Rifampin and Rifaximin: the Rifaximin prescribing label mentions this combination without an instruction to avoid it or change the dose.

Minor

Mentioned, no instruction to avoid. Worth knowing; rarely a reason to change anything on its own.

What the FDA labels say

From the Rifaximin (XIFAXAN) label · effective 2025-06-25

Minor

CYP3A4 Substrates An in vitro study has suggested that rifaximin induces CYP3A4 [see Clinical Pharmacology ( 12.3 )] .

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No interaction

However, in patients with normal liver function, XIFAXAN at the recommended dosing regimen is not expected to induce CYP3A4.

Drug interactionsby drug classView label on DailyMed

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.