My current doc has rx'd rifampin only 3 days per week, Mon, Wed, Fri, and at a low dose (150 mg twice a day, if I remember right).
I didn't know it until after my visit, and after I started it, as I had some left over. I presumed it was every day and at the dose I had before (twice this dose), so I ramped up to my previous dose.
I don't think that pulsing rifampin is a good idea!! (This doc trained with Dr. J, who pulses meds).
So far, I have been continuing with the dosage that I started with--or ramped up to---as I had it left over, and didn't want to start pulsing it or taking a lower dosage.
Comments? Suggestions? I will have a new appt soon and will discuss it with him. But I can't always change his mind.
Posted by Rumigirl (Member # 15091) on :
up.
Posted by RC1 (Member # 31923) on :
I wouldn't pulse it, I would be afraid of developing resistance.
Posted by GretaM (Member # 40917) on :
Pulsing rifampin is not good.
Rather, taking the lowest dose possible, every 12 hours, will keep steady serum concentrations.
I started at 150mg twice daily, then worked up.
It also always needs to be paired with another abx. Zithromax, doxy or mino.
Rifampin is the only abx I know of that should NOT be pulsed.
(otherwise, it is rendered useless)
Posted by Jane2904 (Member # 15917) on :
Anyone have experience with Rifampin and taking meds like Xanax.
I have heard that Rifampin can interfere with other meds.
Posted by surprise (Member # 34987) on :
I feel very strongly, from my own personal experience w/ my first treating LLMD,
that pulsing rifampin for Bartonella will indeed make it resistant/ ineffective, and a true viable solution to eliminating Bart will be lost.
Rifampin can interact w/ other meds, best to check online at drug interactions. com