Question 1

My child is progressing nicely on continuous Rifaximin.  When should I stop?

Accepted Answer

After twelve months of continuous therapy, I recommend reducing rifaximin therapy to the monthly cycles of ten-day courses. If recovery stops again because of relapsing bacteria, I restart continuous therapy for the patient for another 6 months and then try to reduce to monthly cycles again. With more time, my hope is the monthly cycles of rifaximin might also be discontinued, with rifaximin only needing to be used occasionally.

Question 2

My child is progressing nicely on continuous Rifaximin.  When should I stop?

Accepted Answer

After twelve months of continuous therapy, I recommend reducing rifaximin therapy to the monthly cycles of ten-day courses. If recovery stops again because of relapsing bacteria, I restart continuous therapy for the patient for another 6 months and then try to reduce to monthly cycles again. With more time, my hope is the monthly cycles of rifaximin might also be discontinued, with rifaximin only needing to be used occasionally.