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Rifaximin: a nonabsorbable rifamycin antibiotic for use in nonsystemic gastrointestinal infections
Laura Gerard1, Kevin W Garey, Herbert L DuPont
1University of Houston College of Pharmacy, TX 77030, USA.
Abstract:
Rifaximin is a poorly water-soluble and minimally absorbed (<0.4%) rifamycin with in vitro activity against enteric Gram-negative bacteria including enteric pathogens. Fecal levels of the drug after 3 days' oral therapy exceed 8000 microg/g. Rifaximin is effective in the treatment and prevention of travelers' diarrhea due to Escherichia coli-predominant bacterial pathogens. It shows lower activity against dysenteric forms of bacterial diarrhea. The drug may be useful in other enteric infectious diseases, including Clostridium difficile colitis, pediatric bacterial diarrhea and Helicobacter pylori gastritis and chronic gastrointestinal disorders including hepatic encephalopathy, small bowel bacterial overgrowth, inflammatory-bowel disease, irritable-bowel syndrome and pouchitis. Importantly, rifaximin does not appear to lead to bacterial resistance. Rifaximin has an excellent safety profile and adverse drug reactions have been comparable to those associated with the placebo control agent.
Insights
Rifaximin, an antibiotic, effectively treats and prevents traveler's diarrhea by targeting gut bacteria. It shows a good safety profile and does not appear to cause bacterial resistance.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Pharmacology
Background:
- Rifaximin is a poorly absorbed rifamycin antibiotic.
- It exhibits in vitro activity against enteric Gram-negative bacteria.
Purpose of the Study:
- To evaluate the efficacy and safety of rifaximin.
- To explore its potential in various gastrointestinal disorders.
Main Methods:
- Oral administration of rifaximin.
- Assessment of fecal drug levels.
- Clinical evaluation of treatment outcomes.
Main Results:
- High fecal drug concentrations achieved rapidly.
- Effective in treating and preventing traveler's diarrhea.
- Potential utility in C. difficile colitis, H. pylori gastritis, and other GI disorders.
Conclusions:
- Rifaximin is effective for traveler's diarrhea with minimal systemic absorption.
- It offers a favorable safety profile without inducing bacterial resistance.
- Further investigation into its role in other gastrointestinal conditions is warranted.
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