There are some old posts on Rifaximin/Xifaxan, but I don't see anything new. Does anyone use this for pouchitis? I'm wondering if anyone knows of it being used for a bout of pouchitis (not chronic), and at what dose and for how long. I'm seeing 550mg twice a day, but no length given. Can you just use Rifaxamin/Xifaxan, or does it need to be mixed with Cipro? My issue is that I hate Flagyl, and would like to replace it for future bouts. I also think that I end up with SIBO type symptoms, and would think Xifaxan would help. Thanks for the advice.
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I tried it alone for chronic pouchitis, but it didn’t work for me. Others have had better luck. I guess it might work with Cipro, but I don’t hate Flagyl as much as you seem to, so that’s what I use.
I rotate Cipro, Amoxicillin Clauvinate and Xifaxin, using each for two weeks. Before this, I was on Cipro only for 14 years. The rotation has been awesome for me. It sounds like your pouchitis isn't chronic. Mine is. I personally think Xifaxin is awesome.
I tried to get it here in Australia but it's not covered for pouchitis on the public health scheme. I also hate Flagyl and can't tolerate the side effects so I take Cipro 500mg 1 x day and it's working so far.
Cipro alone worked great for me for quite a while - 6-7 years.
Xifican was wonderful. I used it for almost 2 years. But I had to come off as I developed mouth trush. When I came out of remission my symptoms were worse than ever. Stay off the antibiotics and go straight to the bio drugs.
20 years fighting pouchitis, every med, 4 years in remission with Entyvio.
Thanks I am on Cipro for now because they won't give me any other under PBS here unfortunately....