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Rifampicin

  • Rifampicin is used to treat tuberculosis and some other infections. Treatment is usually continued for a minimum of six months.
  • Rifampicin can interfere with 'the pill' and other medicines - let your doctor know which other medicines you are taking.
  • Some contact lenses are discoloured by rifampicin - speak with your optician if you wear soft lenses.

About rifampicin

Type of medicineAntituberculosis drug
Used forInfections, including tuberculosis
Also calledRifadin®, Rimactane®
Rifater® (rifampicin with isoniazid and pyrazinamide), Rifinah® (rifampicin with isoniazid)
Available asCapsules and intravenous infusion
Tablets (combined preparations)

Rifampicin is an antibiotic used to treat infections, including tuberculosis (also known as TB). It can also be used to prevent infections in those who have been in contact with serious infections.

Before taking rifampicin

Before taking rifampicin make sure your doctor or pharmacist knows:

  • If you are pregnant, trying for a baby or breast-feeding.
  • If you have liver problems, including jaundice (yellowing of the skin and whites of the eyes).
  • If you have kidney problems.
  • If you have porphyria (a blood disorder).
  • If you are taking other medicines, including those available to buy without a prescription, herbal or complementary medicines.
  • If you have ever had an allergic reaction to this or any other medicine.

How to take rifampicin

  • Before beginning treatment, read the manufacturer's printed information leaflet.
  • Take your medication exactly as directed by your doctor.
  • You must complete the course of rifampicin.
  • Do not stop taking rifampicin without speaking to your doctor first
  • Rifampicin must be taken on an empty stomach (half to one hour before food).
  • Try to take rifampicin at the same time each day to avoid missing any doses.
  • If you forget to take a dose, take one as soon as you remember unless it is nearly time for your next dose. Do not take two doses at the same time to make up. If in doubt, speak to your pharmacist or doctor.
  • Rifampicin is sometimes given three times a week as part of a supervised treatment known as intermittent directly observed therapy (DOT).

Getting the most from your treatment

  • Important: rifampicin reduces the effects of oral hormonal contraception. If you are taking 'the pill', speak to your doctor for advice before taking rifampicin.
  • This medicine may colour urine, saliva and other body fluids orange-red. This is completely harmless and should be no cause for concern.
  • Rifampicin can cause discolouration of soft contact lenses and you should not wear these during treatment.
  • You must keep your regular appointments with your doctor. You will need to have regular blood and urine tests while taking rifampicin.
  • Do not stop taking this medicine without speaking to your doctor first.
  • If you are diabetic, you may need to monitor your blood glucose levels more frequently. Your doctor will be able to advise you about this.
  • If you buy any medicines, check with a pharmacist that they are safe to take with your other medicines.

Can rifampicin cause problems?

Along with their useful effects all medicines can cause unwanted side effects, which usually improve as your body adjusts to the new medicine. Speak with your doctor or pharmacist if any of the following side effects continue or become troublesome.

Common side-effects - these affect less than 1 in 10 people who take this medicineWhat can I do if I experience this
Feeling or being sickEat little and often. Stick to simple foods such as dry toast
DiarrhoeaDrink plenty of water to replace any lost fluids. If the diarrhoea continues or is severe, speak with your doctor
DrowsinessMake sure your reactions are normal before driving, operating machinery or doing any other jobs which could be dangerous if you were not fully alert
HeadacheAsk your pharmacist to recommend a suitable pain killer. If the headache continues, speak with your doctor
Loss of appetite, flu-like symptoms, shortness of breath, flushing, weakness, skin rashes, or itchingSpeak with your doctor

Important: If you experience severe sickness, generalised tiredness, and jaundice (yellowing of the skin and whites of the eyes) speak with your doctor immediately or go to your local accident and emergency department without delay.

If you experience any other symptoms which you think may be due to this medicine, speak with your doctor or pharmacist.

How to store rifampicin

  • Keep all medicines out of the reach of children.
  • Store in a cool, dry place, away from direct heat and light.

Important information about all medicines


  • If you are having any treatment like an operation or dental treatment, tell the person carrying out the treatment which medicines you are taking.
  • Never take more than the prescribed dose. If you suspect that you or someone else has taken an overdose of this medicine, go to the accident and emergency department of your local hospital at once. Take the container with you, even if it is empty.
  • This medicine is for you. Never give it to other people even if their condition appears to be the same as yours.
  • Never keep out of date or unwanted medicines. Take them to your local pharmacy which will dispose of them for you.
  • If you have any questions about this medicine ask your pharmacist.

References

  • British National Formulary; 55th Edition (March 2008) British Medical Association and Royal Pharmaceutical Society of Great Britain, London.
  • Manufacturer's PIL, Rifadin® 150 mg Capsules, sanofi aventis, electronic Medicines Compendium. Dated July 2005.
Comprehensive patient resources are available at www.patient.co.uk
© EMIS 2011DocID: 3324DocRef: dils2283Last Reviewed: 2 Jun 2008Version: 23
For the planned review period see the Data Creation and Quality Control Process.
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