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XIFAXAN

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How do XIFAXAN® (rifaximin) Tablets work?

Rifaximin acts by binding to the beta-subunit of bacterial DNA-dependent RNA polymerase resulting in inhibition of bacterial RNA synthesis.

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What is the dose of XIFAXAN Tablets?

XIFAXAN® Tablets can be administered orally with or without food. For travelers’ diarrhea, the recommended dose is one 200 mg tablet taken three times a day for 3 days.

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How is XIFAXAN supplied?

XIFAXAN Tablets are available as circular, pink-colored, biconvex tablets containing 200 mg rifaximin, debossed with "Sx" on one side.

NDC 65649-301-03 Bottles of 30 tablets

NDC 65649-301-41 Bottles of 100 tablets

NDC 65649-301-05 Carton of 100 Tablets, Unit Dose

Store XIFAXAN Tablets at 20-25°C (68-77°F); excursions permitted to 15-30°C (59-86°F). See USP Controlled Room Temperature.

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How should XIFAXAN be stored?

Store XIFAXAN Tablets at 20-25°C (68-77°F); excursions permitted to 15-30°C (59-86°F). See USP Controlled Room Temperature.

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Who should not take XIFAXAN?

XIFAXAN Tablets should not be used in patients with diarrhea complicated by fever or blood in the stool or diarrhea due to pathogens other than Escherichia coli.

XIFAXAN Tablets are contraindicated in patients with a hypersensitivity to rifaximin, any of the rifamycin antimicrobial agents, or any of the components in XIFAXAN Tablets.

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Can XIFAXAN be used in pregnancy?

Pregnancy category C: XIFAXAN Tablets should be used during pregnancy only if the potential benefit outweighs the potential risk to the fetus.

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What are the most common adverse events for XIFAXAN?

The safety of XIFAXAN Tablets 200 mg taken three times a day (TID) was evaluated in 320 patients in two placebo-controlled clinical trials with 95% of patients receiving at least three days of treatment with XIFAXAN Tablets. All adverse events for XIFAXAN Tablets 200 mg TID that occurred at a frequency > 2% in the two placebo-controlled trials combined are provided in the table listed below. (These include adverse events that may be attributable to the underlying disease.)

All Adverse Events With an Incidence >2% Among Patients Receiving XIFAXAN® Tablets, 600 mg/day, in Placebo-Controlled Studies
MedDRA Preferred Term Number (%) of Patients
XIFAXAN Tablets, 600mg/day
(N = 320)
Placebo
N = 228
Flatulence
Headache
Abdominal Pain NOS
Rectal Tenesmus
Defecation Urgency
Nausea
Constipation
Pyrexia
Vomiting NOS
36 (11.3%)
31 (9.7%)
23 (7.2%)
23 (7.2%)
19 (5.9%)
17 (5.3%)
12 (3.8%)
10 (3.1%)
7 (2.2%)
45 (19.7%)
21 (9.2%)
23 (10.1%)
20 (8.8%)
21 (9.2%)
19 (8.3%)
8 (3.5%)
10 (4.4%)
4 (1.8%)

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SAFETY CONSIDERATIONS

Xifaxan® (rifaximin) Tablets are indicated for the treatment of patients (≥12 years of age) with travelers’ diarrhea caused by noninvasive strains of Escherichia coli. Xifaxan should not be used in patients with diarrhea complicated by fever or blood in the stool or diarrhea due to pathogens other than Escherichia coli. Xifaxan should be discontinued if diarrhea symptoms get worse or persist more than 24-48 hours and alternative antibiotic therapy should be considered. Escherichia coli has been shown to develop resistance to rifaximin in vitro. However, the clinical significance of such an effect has not been studied.

In clinical trials, Xifaxan was generally well tolerated. The most common side effects (vs. placebo) were flatulence 11.3% (vs. 19.7%), headache 9.7% (vs. 9.2%), abdominal pain 7.2% (vs. 10.1%), rectal tenesmus 7.2% (vs. 8.8%), defecation urgency 5.9% (vs. 9.2%) and nausea 5.3% (vs. 8.3%).

For complete Prescribing Information, please click here.


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