This is topic Rifampin and Xanax - scared please help me in forum Medical Questions at LymeNet Flash.


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Posted by prayerworks (Member # 37602) on :
 
I started taking Zithromax 250 mg twice a day and Rifampin 150 mg twice a day. Have been on this dose for since Friday.

I am feeling one of my earlier symptoms which is tight jaw and throat and stiff tongue. Lots of muscle tingling and vibration. Is this a herx?

Is this Bart of Lyme?

Can I take xanax if I am taking Rifampin? Everyone where I read it says its contraindicated. Please help I am very anxious!!!
 
Posted by tricia386 (Member # 29623) on :
 
Again I am not a doctor. It's contradicted bc the rifiampin lowers the concentration of Xanax. So yes you can take them together in my experience.
 
Posted by Pocono Lyme (Member # 5939) on :
 
I've taken them together. Tricia is correct.
 
Posted by Marz (Member # 3446) on :
 
Maybe Xanax is differenet, but my understanding is that the benzos are just not effective. Don't think they're contraindicated ie) they don't interfere with the rifampin. Ut;s the other way around.

I had to give up the rifampin because couldn't toldrate the anxiety when clonazepam and ambien stopped working as well.

I regretted stopping rifamin because I was improving on it at about 4 weeks.

A list of drugs it interacts with:

Many drugs can interact with rifampin. Below is just a partial list. Tell your doctor if you are using:

acetaminophen (Tylenol);
a blood thinner such as warfarin (Coumadin);
a barbiturate such as phenobarbital (Solfoton);
diazepam (Valium) or similar medicines such as alprazolam (Xanax), chlordiazepoxide (Librium), midazolam (Versed), temazepam (Restoril), triazolam (Halcion), and others;
a beta-blocker such as atenolol (Tenormin), bisoprolol (Zebeta, Ziac), labetalol (Normodyne, Trandate), metoprolol (Lopressor, Toprol), propranolol (Inderal, InnoPran), timolol (Blocadren), and others;
clofibrate (Atromid-S);
steroids such as prednisone, fluticasone (Advair), mometasone (Asmanex, Nasonex), dexamethasone (Decadron, Hexadrol) and others;
birth control pills or estrogen hormone replacement;
heart medicines such as digoxin (Lanoxin), disopyramide (Norpace), quinidine (Quinaglute, Quinidex), mexiletine (Mexitil), tocainide (Tonocard), verapamil (Calan, Verelan, Isoptin), or enalapril (Vasotec);
HIV medicines such as delavirdine (Rescriptor), saquinavir (Invirase, Fortovase), ritonavir (Norvir), nelfinavir (Viracept), and others;
ketoconazole (Nizoral), itraconazole (Sporanox), or fluconazole (Diflucan);
methadone (Dolophine);
phenytoin (Dilantin), ethotoin (Peganone), and mephenytoin (Mesantoin);
sulfa drugs (Bactrim, Gantanol, Septra, and others);
diabetes medication you take by mouth;
cyclosporine (Sandimmune, Neoral); or
theophylline (Elixophyllin, TheoCap, Theochron, Uniphyl).

You could talk to your pharmacist. They can advise better than doctors. Trouble was mine wouldn't listen and increase like pharm said.
 


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