My child is 7 years old. I could not see more improvements with inulin so I used rifaximin. I didn’t get improvements. So how many times could I use it or should I go back to inulin and increase the dose?

The progression I use in balancing the intestinal bacteria is inulin, then monthly rifaximin, then continuous rifaximin, and finally, continuous rifaximin plus inulin.

Can you obtain Rifaximin without prescription if you’re struggling to get it prescribed?

Rifaximin is a prescription medication in North American, and therefore it is my opinion that you should find a physician or specialist that is willing to prescribe it. I recommend giving your physician a copy of the book and my peer-reviewed paper and other supporting research to review. I understand the challenges that parents face and that many people are purchasing this online without a prescription, but I cannot comment directly on this topic.

My doctor is unfamiliar with Rifaximin and therefore prescribing it. Is there an alternative medication that he might be more familiar with?

Unfortunately, there are no suitable replacements for Rifaximin. It is unique in its ability to manage bacterial overgrowth while maintaining a neutral effect on the gut microbiome, unlike most other antibiotics.

What diagnosis should our doctor use on the prescription he is writing for me to get Rifaximin from Canada!

As far as I’m aware, no specific diagnosis is required if you are filling a prescription through a Canadian mailorder pharmacy.

Rifaximin is very costly can I buy it online?

Due to the cost of rifaximin, many parents are choosing to purchase it from online pharmacies. We recommend discussing this with your personal physician if you have any concerns about the origin or quality of medications you might purchase.

Do I have to use rifaximin if my child is older?

No. Inulin can be started in a child of any age but just be aware that the older the child, the less likely the inulin will work at the beginning. And if inulin does seem to be helpful, its positive effects may not last very long.nnThat being said, I have cared for many older teenagers who have a positive response from inulin that lasts several years.

After the 10 days of rifaximin do you continue taking fish oil and olive oil?

Yes. Olive oil and fish oil are to be consumed daily. Before, during and after a round of Rifaximin.

We are on our 3rd round of rifaximin, and I have noticed the relapse between each round. What should I do?

Fluctuations in behavior between each round of rifaximin is a sign that bacterial overgrowth is successfully suppressed by rifaximin but is quickly relapsing after each round of medication is complete. Rapid relapsing will prevent substantial reduction of inflammation as well as recovery. I recommend my patients shift to continuous rifaximin at this point.

What do I do if I miss a dose of Rifaximin? Should I give an additional dose?

Rifaximin is most commonly dosed twice daily. If you miss a dose, do not give a double dose at the next dosing interval; give a single dose and try to understand what led to missing the doses so you might miss fewer doses in the future.

Can Rifaximin and Macrogol (Laxido) be used together?

Yes. Macrogol is the same as MiraLax.