Drug Identity
Active Ingredient
Rifampicin
Drug Class
General
Chemical Class
Rifamycin
Pharmacological Group
on the basis of mechanism of action and also cl...
ATC Code
J04AB02
Status
Essential Medicine
What is Rifa?
Uses
Rifampicin belongs to the group of complex macrocyclic antibiotic. Rifampicin is a zwitterionic. Rifampicin results from a condensation r...
How It Works
Chemical Class
Rifamycin
Pharmacological Group
on the basis of mechanism of action and also classified in Antituberculous Drugs pharmacological group
Rifampicin also known as Rifampin. It is of Synthetic origin and belongs to Rifamycin. It belongs to rRNA polymerase inhibitor pharmacological group on the basis of mechanism of action and also classified in Antituberculous Drugs pharmacological group. The Molecular Weight of Rifampicin is 822.90. Its pKa is 1.7, 7.9.
How to Take It
1
Adult · PO
450 to 600 mg — As recommended.
In 2-4 div.doses. Maximum dose: 600mg. Give 30 min before breakfast. Duration may vary according to indication.
2
Child · Oral
10 to 20 mg/kg — 24 hourly
Max 60mg/day
Safety Alerts
Rifampicin is contraindicated in conditions like Hepatic disease, Jaundice
Important Warnings
Rifampicin should be used during pregnancy or lactation only if clearly needed
Alcohol can reduce the effectiveness of this medication and increase side effects
Minimize alcohol consumption while taking rifampicin
Rifampicin can decrease the effectiveness of oral contraceptives
It should be used with caution in patients with liver problems
Side Effects
The severe or irreversible adverse effects of Rifampicinwhich give rise to further complications include Thrombocytopenic purpuraFlu-like syndrome. Rifampicin produces potentially life-threatening effects which include SensitizationShock- like syndrome. which are responsible for the discontinuation of Rifampicin therapy. The signs and symptoms that are produced after the acute overdosage of Rifampicin include EdemaCardiovascular collapseNausea & vomitingPruritusRed Man syndromeCutaneous pigmentation. The symptomatic adverse reactions produced by Rifampicin are more or less tolerable and if they become severethey can be treated symptomaticallythese include NauseaVomitingAnorexiaAbdominal discomfortOrange coloration of secretions.
Drug Interactions
Rifampicin is known to interact with other drugs
the details of drug interactions is as follows:DrugDetailsSeverityOnsetManagementAbacavirRifampicin reduces plasma concentration of abacavir. Adefovir DipivoxilAfatinibmay decrease the level of afatinibuse alternative or increased afatinib daily doseAluminium Hydroxide and OxideAminophyllineAmprenavirPlasma concentration of Amprenavir significantly reduced by Rifampicin. ADVICE: Avoid concomitant use.MajorArtesunateConcurrent use may decrease artesunate serum concentrations. Avoid co-administration if possible. Monitor closely for therapeutic efficacy. Artesunate dose may need to be increased with co-administration.AtovaquonePlasma concentration of Atovaquonone reduced by rifampicin (possible therapeutic failure of atovaquone). Beclomethasone (Dipropionate)Rifampicin reduce the activity of corticosteroids by accelerating their metabolismBetamethasoneRifampicin reduce activity of corticosteroids by accelerating metabolism of betamethaosoneDose reduction is necessaryBisoprolol (Fumarate)Metabolism of Bisoprolol accelerated by Rifampicin (plasma concentration significantly reduced)ModerateBromazepamCalcifediolCanagliflozinco administration may decrease efficacy of canagliflozinincreaes the dose to 300mg once dailyCarvedilolCelecoxibChloramphenicolRifampicin causes subtherapeutic concentration of chloramphenicol.ChloramphenicolChlorpropamideCholecalciferolCiprofloxacinRifampin induces the metabolism of ciprofloxacin.ClofazimineClofazimineClofibrateCorticotropinCortisone (Acetate)Co-TrimoxazoleCyclosporin ACyclosporin ADabigatranreduces exposure to dabigatran It should generally be avoided.DabrafenibStrong CYP3A4 inducers may decrease levels of dabrafenibconsider alternate therapyDapsoneDapsoneDesogestrelDesonideDexamethasoneDiazepamDienoestrolDigitoxinDigitoxinDigoxinDiltiazem (HCl)DisopyramideDisopyramideDisulfiramDolutegravirRifampin (600 mg) decreases dolutegravir AUC and Cmin the dolutegravir dosage should be increasedDoxycyclineDydrogesteroneEnalapril (Maleate)ErlotinibDecreased levels/effect of erlotinibEstazolamEstradiol (Valerate)Estradiol.EthinyloestradiolEthionamideHepatitis occurs with jaundice mostly when both drugs are co administeredEthynodiol (Diacetate)FelodipineFluconazoleRifampicin induce metabolism of fluconazoleFludrocortisone (Acetate)FlunisolideFluprednisoloneFluticasone PropionateFosphenytoinGallopamilGestodeneGestrinoneGliclazideHaloperidolHexobarbitone (Na)HydrocortisoneIloprostImidaprilRifampicin reduces plasma concentration of active metabolite of Imidapril (reduced antihypertensive effect)IsoniazidIsoniazidIsradipineItraconazoleKetoconazoleKetoconazoleLercanidipine (HCl)LevonorgestrelLinagliptinRifampicin decreases AUC and Cmax of Linagliptin by 39.6% and 43.8% respectivelyLurasidoneRifampicin is a strong CYP3A4 inducer
decreases Cmax and AUC of LurasidoneContraindicatedLynoestrenolMacitentanrifampin significantly reduce macitentan exposureConcomitant use of macitentan with strong CYP3A4 inducers should be avoidedMegestrol (Acetate)MeprobamateMestranolMethadoneMethylprednisoloneMexiletineMontelukastRifampicin may have the same effect as montelukast. Therefore
the dose of montelukast may need to be reduced when given concurrently with rifampicin. Employ appropriate clinical monitoring.MycophenolateNelfinavirNevirapineNilotinibsystemic exposure to nilotinib was decreased approximately 80%.NorethisteroneNorgestimateOndansetron (HCl)By concurrent use the clearance of ondansetron was significantly increased and ondansetron blood concentrations were decreased. However
on the basis of available data
no dosage adjustment for ondansetron is recommended for patients on these drugs.No dosage adjustment for ondansetron is recommended for patients on these drugs.Oxtriphylline (Choline Theophyllinate)Para-Amino Salicylic AcidPitavastatinRifampin significantly increased pitavastatin exposure. In patients taking rifampin
a dose of PIVASTATIN 2 mg once daily should not be exceededPrajmalium Bitartaraterifampicin increases hepatic metabolism of prajmalium bitartarate.Prednisolone and PrednisoneRifampicin accelerate metabolism of prednisolone and prednisonePrednisolone TebutateRifampicin decrease activity of Prednisolone Tebutate.ProbenecidProgesteronePropafenone (HCl)ProthionamideQuinestrolRifampicin and other liver enzyme inducers e.g griseofulvin enhances the metabolism of quinestrol.QuinidineQuinidineQuinineRanolazineRifampin (600 mg once daily) decreases the plasma concentration of ranolazine (1000 mg twice daily) by approximately 95% by induction of CYP3A and
probably
Storage
Inj (reconstituted soln) Store at room temperature. Use within 24 hrs if kept at room temperature. Tab, Caps, Susp Store in a well closed container, Below 40°C. Protect from Sunlight, Moisture and Heat.
Price Intelligence
Rs 1,769
Servaid observed price · as of 30 July 2026
Prices across sources
ServaidRs 1,769
DRAPper pack of 100Rs 3,397.91
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Ordered by lowest price per unit where a pack size is known, then by price. Order is never affected by sponsorship. Not medical advice — confirm any change with your pharmacist or doctor.
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