Rifampin 300mg

Generic For: Rifadin

Rifampin 300mg (brand name Rifadin) is a rifamycin antibiotic capsule prescribed as part of combination therapy for tuberculosis and to eliminate Neisseria meningitidis from the noses and throats of asymptomatic carriers. After a licensed provider reviews your prescription, your rifampin order ships from a licensed U.S. pharmacy.

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14-day supply · $1.43/capsule

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  1. Select your medication
  2. Licensed providers review & prescribe
  3. Our licensed U.S. pharmacists fill your prescription
  4. Delivered to you as soon as the next day

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Rifampin (Rifadin) is a rifamycin antibiotic used to treat tuberculosis and to eliminate meningococcal bacteria in carriers.

Rifampin 300mg Quick Facts

Drug classRifamycin antibiotic
TreatsTuberculosis (TB), meningococcal carrier state
FormCapsule
Typical dosingTake 1 capsule by mouth every 12 hours on an empty stomach with a full glass of water.
Prescription requiredYes — prescription only

What Is Rifampin 300mg?

Rifampin is a prescription antibiotic in the rifamycin class, sold under the brand name Rifadin. It works by blocking an enzyme bacteria need to make RNA, which stops bacterial growth. Rifampin is most commonly used with other medicines to treat all forms of tuberculosis (TB). It is also used short-term to eliminate meningococcal bacteria from people who carry them without symptoms, helping prevent spread to others.

What Does Rifampin 300mg Treat?

Pulmonary tuberculosis (in combination with other anti-TB drugs)
Extrapulmonary tuberculosis (in combination therapy)
Latent tuberculosis infection (as directed by a provider)
Asymptomatic Neisseria meningitidis carriers (to eliminate carriage)

Rifampin 300mg Dosage

Tuberculosis: 10 mg/kg (up to 600 mg) by mouth once daily, as part of combination therapy.
Meningococcal carriers: 600 mg by mouth twice daily for 2 days.
Take on an empty stomach, 1 hour before or 2 hours after a meal.

Your prescriber will determine the dose and duration that are right for you. Always follow the directions on your prescription label.

Rifampin 300mg Side Effects

Common side effects

  • Reddish-orange discoloration of urine, sweat, tears, and saliva
  • Nausea
  • Vomiting
  • Heartburn
  • Headache
  • Drowsiness or fatigue
  • Dizziness
  • Rash or itching

Serious side effects

Stop taking this medication and seek medical attention right away if you experience:

  • Signs of liver injury (yellowing of skin/eyes, dark urine, severe fatigue)
  • Severe skin reactions (blistering, peeling rash)
  • Flu-like syndrome with fever, chills, or muscle aches
  • Unusual bleeding or bruising (low platelets)
  • Severe or persistent diarrhea (possible C. difficile infection)
  • Signs of severe allergic reaction (swelling, trouble breathing)

Warnings & Interactions

Can cause serious liver injury; liver function monitoring may be required
Do not use with certain HIV protease inhibitors (e.g., atazanavir, ritonavir-boosted regimens)
Strong enzyme inducer — reduces effectiveness of many drugs, including hormonal contraceptives, warfarin, and some antifungals
Contraindicated with hypersensitivity to rifampin or other rifamycins
May permanently stain soft contact lenses orange-red
Intermittent or interrupted dosing increases risk of flu-like reactions and serious immune effects
Tell your provider about all medications and supplements before starting

Tell your prescriber about all medications, supplements, and health conditions before starting rifampin 300mg.

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Frequently Asked Questions

What is rifampin used for?

Rifampin is an antibiotic used with other medicines to treat all forms of tuberculosis (TB). It is also used for 2 days to eliminate meningococcal bacteria from people who carry them without symptoms.

Do I need a prescription for rifampin?

Yes. Rifampin is a prescription-only medication in the U.S. A licensed provider must review and approve your prescription before it can be dispensed.

How does ordering and shipping work?

After you submit a valid prescription, a licensed provider or pharmacist reviews your order. Once approved, your medication ships directly from our licensed U.S. pharmacy to your address.

Why does rifampin turn urine orange?

Rifampin and its byproducts have a reddish-orange color that appears in urine, sweat, tears, and saliva. This is expected and harmless, but it can permanently stain soft contact lenses.

Should I take rifampin with food?

Rifampin is best absorbed on an empty stomach — take it 1 hour before or 2 hours after a meal with a full glass of water. Follow your provider's instructions if stomach upset occurs.

Does rifampin interact with other medications?

Yes, rifampin has many significant drug interactions because it speeds up how the liver processes other drugs. It can reduce the effectiveness of hormonal birth control, blood thinners, and many other medicines, so tell your provider about everything you take.

Can I stop taking rifampin when I feel better?

No — for TB, stopping early can lead to treatment failure and antibiotic resistance. Take rifampin exactly as prescribed for the full course, and contact your provider before making any changes.