Rimactal (300mg) 40 Capsules

Rimactal (300mg) 40 Capsules

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  • Manufacturer NOVARTIS PHARMACEUTICALS (PVT.) LTD.
  • Generic Name Rifampicin

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Product Information

  • Description
  • Ingredients
  • Drug Class
  • Dosage Form
  • Uses
  • In case of Overdose
  • Missed Dose
  • How To Use
  • When Not to Use
  • Side Effects
  • Precautions & Warnings
  • Drug Interactions
  • Food Interactions
  • Storage/Disposal
  • Quick Tips, if any
  • Description

    Rifampicin, the active ingredient in the 300mg capsule, primarily acts by inhibiting bacterial RNA polymerase. It binds to the beta-subunit of the RNA polymerase enzyme, which is crucial for bacterial RNA synthesis. This binding interferes with the enzyme's ability to transcribe RNA from DNA, disrupting vital cellular processes in bacteria. Rifampicin's unique ability to penetrate the bacterial cell wall and reach its intracellular target makes it highly effective against a range of bacteria, particularly mycobacteria, including Mycobacterium tuberculosis. By selectively inhibiting bacterial RNA synthesis, rifampicin exerts its bactericidal effect, ultimately leading to the death of susceptible bacterial cells.

  • Ingredients

    Rifampicin
  • Drug Class

    Rifampicin is an Antibiotic.

  • Dosage Form

    Capsule

  • Uses

    The following are the uses of Rifampicin 300mg Capsule:

    • Used for treating bacterial infections such as tuberculosis and bacterial meningitis.
    • Used for its powerful bactericidal properties against a range of pathogens.
    • Used as a key component in combination therapy for effective treatment outcomes.
    • Used to prevent the spread of infection by inhibiting bacterial RNA synthesis.
    • Used to improve symptoms and promote recovery in patients with serious bacterial infections.
    • Used for its ability to penetrate and accumulate within infected cells.
    • Used as a prophylactic measure to prevent infection in high-risk individuals.
  • In case of Overdose

    In the case of an overdose of Rifampicin 300mg Capsules, individuals may experience symptoms such as nausea, vomiting, abdominal pain, and dizziness. More severe cases can lead to liver damage, jaundice, and changes in urine color. Immediate medical intervention is necessary, as treatment may involve supportive care, gastric lavage, and monitoring of liver function. It is crucial to seek professional advice and not delay treatment, as prompt action can significantly impact the patient's recovery and overall health.

  • Missed Dose

    In the case of a missed dose of Rifampicin 300mg Capsule, it is important to take the medication as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to make up for a missed one, as this may increase the risk of side effects. However, if you miss multiple doses, contact your healthcare provider for guidance, as they may advise you to restart the medication or adjust the dosing schedule accordingly. It is crucial to maintain a consistent treatment regimen for the best therapeutic outcome.

  • How To Use

    To take Rifampicin 300mg Capsule, swallow the capsule whole with a full glass of water, preferably on an empty stomach, as directed by your healthcare professional, typically once or twice daily as prescribed.

  • When Not to Use

    Following are the conditions when Rifampicin 300mg Capsule should not be taken:

    • Do not take if you have a known allergy to Rifampicin or any other rifamycin antibiotics.
    • Contraindicated in individuals with liver disease or severe liver impairment.
    • Should not be used in patients with a history of severe kidney disease.
    • Not recommended for individuals with a history of porphyria (a disorder affecting certain enzymes in the body).
    • Avoid if you have a history of seizures or epilepsy, as Rifampicin may lower the seizure threshold.
    • Do not take this medication if you have a known or suspected infection caused by bacteria that are resistant to Rifampicin.
    • Contraindicated in individuals with a history of severe blood disorders, such as thrombocytopenia (low platelet count) or leukopenia (low white blood cell count).
    • Should not be used in patients with a history of severe gastrointestinal disorders, such as inflammatory bowel disease or severe diarrhea.
  • Side Effects

    The side effects of Rifampicin 300mg Capsule may include:

    • Skin rash or itching
    • Nausea and vomiting
    • Loss of appetite
    • Flu-like symptoms (fever, chills)
    • Darkening of urine, tears, and sweat
    • Yellowing of the skin or eyes (jaundice)
    • Liver problems
    • Allergic reactions (rare)
  • Precautions & Warnings

    Here are the precautions and warnings for Rifampicin 300mg Capsule:

    • Rifampicin should not be taken by individuals with a known allergy to rifampicin or other rifamycin antibiotics.
    • Regular monitoring of liver function is essential during treatment, especially in patients with pre-existing liver conditions.
    • Patients with a history of kidney disease should exercise caution, as the dosage may need adjustment in cases of renal impairment.
    • This medication can reduce the effectiveness of hormonal contraceptives; alternative birth control methods are recommended during treatment.
    • Rifampicin can cause permanent red-orange discoloration of soft contact lenses; it is advised to avoid wearing these lenses during treatment.
    • Patients should be aware that this medication may turn urine, saliva, sweat, and tears a harmless red-orange color.
    • Rifampicin may interact with numerous other drugs, potentially reducing their effectiveness; inform your doctor about all medications you are taking.
    • Pregnant and breastfeeding women should consult their healthcare provider before taking Rifampicin, as it may pass into breast milk.
  • Drug Interactions

    Following are the drug interactions for Rifampicin 300mg Capsule:

    • Anticonvulsants like carbamazepine, phenytoin, and sodium valproate may have reduced effectiveness when taken with Rifampicin, requiring dose adjustments.
    • Rifampicin can decrease the effectiveness of hormonal contraceptives, including birth control pills, patches, and implants, leading to potential contraceptive failure.
    • Anticoagulants such as warfarin may have decreased effectiveness due to Rifampicin, requiring close monitoring of blood clotting parameters.
    • Rifampicin may lower blood levels of antiretroviral drugs used to treat HIV/AIDS, such as protease inhibitors and non-nucleoside reverse transcriptase inhibitors.
    • It can reduce the concentration of immunosuppressants like tacrolimus and cyclosporine, potentially leading to organ rejection.
    • Diabetes medications, including sulfonylureas and insulin, may require dose adjustments as Rifampicin can affect blood sugar control.
    • Rifampicin may reduce the effectiveness of statins used to lower cholesterol, necessitating increased statin doses.
  • Food Interactions

    Following are the food interactions for Rifampicin 300mg Capsule:

    • Avoid consuming high-fat meals while taking this medication as it can increase the absorption of Rifampicin, potentially leading to higher drug levels in the body.
    • Grapefruit and grapefruit juice should be consumed with caution as they may affect the metabolism of Rifampicin, altering its effectiveness.
    • Alcohol consumption should be limited as it may increase the risk of liver-related side effects, especially when used long-term.
    • Avoid dairy products like milk, cheese, or yogurt within 2 hours of taking the medication as calcium can bind with Rifampicin, reducing its absorption.
    • Foods rich in vitamin K, such as leafy green vegetables, should be consumed consistently as Rifampicin can interfere with vitamin K metabolism, affecting blood clotting.
    • Maintain a balanced diet, as Rifampicin may affect blood sugar levels, particularly in diabetic patients.
    • Ensure adequate fluid intake to prevent dehydration, especially if you experience increased sweating or diarrhea as side effects.
    • No significant interactions with specific foods have been reported, but always follow your healthcare provider's dietary recommendations.
  • Storage/Disposal

    Rifampicin 300mg Capsules should be stored in a cool and dry place, preferably at room temperature, away from direct exposure to sunlight, heat, and moisture. The original container should be tightly sealed to maintain its integrity and prevent contamination. It is crucial to adhere to the storage instructions provided by the manufacturer on the packaging. Proper disposal of unused or expired medication is essential; do not flush or pour it down the drain. Contact your pharmacist or healthcare professional for guidance on the appropriate disposal methods. Keep the capsules out of children's reach to ensure their safety and prevent accidental consumption. This ensures the medication's effectiveness and minimizes the risk of any adverse effects.

  • Quick Tips, if any

    Following are the quick tips for Rifampicin 300mg Capsule:

    • Take the capsule with a full glass of water, preferably on an empty stomach.
    • Ensure you complete the full course of medication as prescribed.
    • Rifampicin may cause discoloration of urine, saliva, sweat, and tears, which is normal.
    • Avoid taking antacids or dairy products within 1 hour of taking the capsule for better absorption.
    • Store the capsules in a cool, dry place, away from sunlight and moisture.
    • Regularly monitor your liver function and blood counts while on this medication.
    • Inform your doctor about all medications you are taking to prevent potential drug interactions.

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