If a child is extremely aggressive and is unable to self regulate do you recommend going straight to continuous rifaximin?

If a child’s level of aggression poses a danger to themselves (headbanging) or others (biting, punching, throwing objects, etc.), I will often start the child on the protocol, including continuous rifaximin plus a vagus nerve stimulator. My goal is to get the child’s aggression to decrease as soon as possible.nnI will also start them on fluticasone if there are any sinus symptoms and refer them for a thorough dental exam.