I did a 2 week round round of rifaximan and neomycin late last year per Dr Kaufman at OMI then was retested earlier this year and still had sibo so dr Kaufman had me do another round (2 weeks) of rifaximan and flagyl this time. In the meantime I had started to see a functional medicine dr and he sent me a table showing where depending on how high you levels of bacteria were (either methane or hydrogen) your course of treatment should be anywhere from 30 to 90 days. Mine is 90.
Additionally, he sent me study (
http://www.ncbi.nlm.nih.gov/pubmed/24836868) showing that the generic rifaximan that we get out of the country on the cheap (well, cheaper lol, still quite pricy) isn't as effective because they don't have the same chemical makeup or react quite the same in our bodies or something can't remember). I had ordered mine through a Canadian pharmacy and it came from India. Luckily my insurance approved the xifaxin this time otherwise he said that he'd heard of a compounding pharmacy in Australia that made one for a 3rd of the u.s. Price that would work equally as well.
He has me on a very clean diet, had me quit all non absolutely essential meds and supplements for the 3 months we are treating this (sibo, yeast overgrowth, leaky gut) and has started me on the below as a combination protocol. With the xifaxin 3x a day but I've finished the flagyl:
OPTIONAL
- Super Milk Thistle (Integrative Therapeutics)
- Activated Charcoal (Integrative Therapeutics)