I am switching my child from inulin to Rifaximin. How do I know if they will need monthly or continuous?

When switching from inulin to rifaximin, I recommend my patients start with monthly 10-day courses of rifaximin and assess the effectiveness over the next few months. If there is no evidence of neurological recovery after 3-4 months, the child is relapsing before the monthly cycle is even complete, and recommend that they move on to continuous.

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