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I didn't have side effects from Rifaximin (Xifaxan, 3x 550 mg per day), but it did not really help me also. Cipro and Metronidazole have always been the only medication that worked for my chronic pouchitis.

I am using them regularly for two years now, at first only 5...7 days with a pause of some weeks. Chronic pouchitis always returned within some days. This year I had intervals of several weeks where I took those antibiotics. As I get edema in the legs after some days with the normal dose and in order to be careful about my liver I reduced to taking them once at late evening. I'm really feeling good that way and I take a probiotic in the morning as a kind of compensation.

I take 2 capsules of a probiotic with 20 strains between breakfast and lunch. Each capsule holds only about 10 billion bacteria, that's much less than in VSL#3 or Visbiome. But it seems to be enough for me and it is quite affordable. There should be several products like that in webshops, also as liquid herbal extract.

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