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Rifampin 100 mg Rectal Suppositories

FDA-approved generic
Dose form
Suppository
Active ingredients
Rifampin

Rifampin 100 mg Rectal Suppositories are a solid dosage form designed for insertion into the rectum, where they dissolve or melt to release medication for local or systemic absorption. This formulation is used to treat infections caused by Mycobacterium tuberculosis, including tuberculosis, and other bacterial infections where rifampin is indicated. It provides an alternative route of administration for patients who may have difficulty with oral intake.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Rifampin
Suppository
66fd7b0bdc31c32733aec9f2
Service area

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Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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Rifampin 100 mg Rectal Suppositories are a specialized formulation designed to provide an alternative route of administration for the antibiotic rifampin. This dosage form is particularly beneficial for patients who are unable to take oral medications due to conditions such as severe nausea, vomiting, difficulty swallowing, or certain gastrointestinal disorders. By administering rifampin rectally, the medication is absorbed through the rectal mucosa into the bloodstream, allowing for systemic therapeutic effects.

Rifampin is a potent antibiotic commonly used to treat serious bacterial infections, including those caused by Mycobacterium tuberculosis and other mycobacterial infections. It works by inhibiting the synthesis of bacterial RNA, thereby stopping the growth and replication of susceptible bacteria. The rectal suppository form ensures that patients who cannot tolerate oral medications still receive the necessary antibiotic therapy to effectively manage their infection.

For prescribers, Rifampin 100 mg Rectal Suppositories offer a valuable treatment option when conventional oral or intravenous routes are not suitable or available. It is important to consider that rectal absorption may vary among patients, and monitoring therapeutic levels might be necessary to ensure optimal dosing. Adjustments to the dosing regimen may be required based on the patient's response and clinical condition.

Patients using this formulation should be informed about the proper administration of rectal suppositories to ensure maximum effectiveness. They should wash their hands before and after handling the suppository, carefully insert it into the rectum, and remain lying down for a few minutes to prevent it from slipping out. Additionally, patients should be made aware of potential side effects of rifampin, such as discoloration of bodily fluids (e.g., urine, sweat, tears may appear reddish-orange), gastrointestinal disturbances, or allergic reactions. They should be advised to contact their healthcare provider if they experience any concerning symptoms.

If you have any questions or need further information about Rifampin 100 mg Rectal Suppositories, please reach out to us. Our team of compounding pharmacists at Bayview Pharmacy is here to assist both patients and healthcare professionals with any inquiries regarding this medication.

Drug Interactions

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Rifampin is a potent antibiotic commonly used to treat various bacterial infections, including tuberculosis and certain other mycobacterial infections. When formulated as a rectal suppository, rifampin can be administered to patients who may have difficulty swallowing oral medications or require an alternative route of administration due to gastrointestinal issues. This formulation allows for systemic absorption through the rectal mucosa.

Patients and prescribers should be aware of potential drug interactions when using rifampin rectal suppositories. Rifampin is a strong inducer of cytochrome P450 enzymes, particularly CYP3A4, CYP2C9, and CYP2C19. This induction can lead to decreased plasma concentrations and reduced efficacy of drugs metabolized by these enzymes. Commonly affected medications include oral contraceptives, warfarin, certain antiretrovirals, and other antibiotics. Patients using oral contraceptives should be advised to use additional non-hormonal methods of contraception, as rifampin can significantly reduce the effectiveness of hormonal contraceptives.

Rifampin may also interact with anticoagulants such as warfarin, potentially necessitating dose adjustments and more frequent monitoring of INR levels to maintain therapeutic anticoagulation.

Other medications that may have reduced efficacy when co-administered with rifampin include certain antifungal agents, such as azoles, and immunosuppressants like cyclosporine and tacrolimus. Patients on these medications should be closely monitored, and dose adjustments may be necessary to maintain therapeutic levels. Furthermore, rifampin can interact with certain antihypertensive drugs, leading to suboptimal blood pressure control, and may require adjustments in antihypertensive therapy.

It is crucial for healthcare providers to review a patient's complete medication list, including over-the-counter drugs and supplements, to identify potential interactions and manage them appropriately. Patients should be encouraged to inform their healthcare providers of all medications they are taking and report any unusual symptoms or changes in their condition. If you have any questions or need further assistance regarding rifampin rectal suppositories and potential drug interactions, please reach out to us.

How Does it Work

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Rifampin 100 mg rectal suppositories are a specialized formulation designed to deliver the antibiotic rifampin directly into the rectal cavity. This solid dosage form is particularly beneficial for patients who may have difficulty swallowing oral medications or for those who require an alternative route of administration due to gastrointestinal issues. When inserted into the rectum, the suppository dissolves or melts at body temperature, allowing the active ingredient, rifampin, to be absorbed through the rectal mucosa. This method of administration can facilitate both local and systemic absorption, depending on the therapeutic needs.

Rifampin is a potent antibiotic that works by inhibiting the DNA-dependent RNA polymerase in bacterial cells, thereby preventing the synthesis of RNA and subsequent protein production. This action effectively halts the growth and replication of susceptible bacteria, making rifampin a critical component in the treatment of various bacterial infections. The rectal route can be particularly advantageous in ensuring that the medication bypasses the first-pass metabolism in the liver, potentially leading to more consistent plasma levels and enhanced bioavailability.

For patients and prescribers, it is important to understand that the use of rifampin rectal suppositories can be indicated in situations where oral administration is not feasible or when a rapid onset of action is desired. This formulation can be used in the treatment of infections where rifampin is indicated, including certain mycobacterial infections and other bacterial infections as determined by susceptibility testing. The rectal administration of rifampin may also reduce gastrointestinal side effects commonly associated with oral rifampin, such as nausea and vomiting, thereby improving patient compliance and comfort.

As with any medication, it is crucial to follow the prescribed dosing regimen and to be aware of potential side effects. Patients should be informed about the possibility of changes in urine, sweat, and tear color to a reddish-orange hue, which is a known harmless side effect of rifampin. Additionally, prescribers should monitor for potential drug interactions, as rifampin is a known inducer of cytochrome P450 enzymes, which can affect the metabolism of other medications.

If you have any questions or require further information about rifampin 100 mg rectal suppositories, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or concerns you may have regarding this formulation or its use in treating specific disease states.

Other Uses

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Rifampin 100 mg rectal suppositories are primarily used for the treatment of infections caused by Mycobacterium tuberculosis and other susceptible bacteria. However, this formulation may have other potential uses beyond these primary indications. For patients who are unable to take oral medications due to gastrointestinal issues, such as severe nausea, vomiting, or malabsorption syndromes, rectal suppositories can provide an alternative route for systemic drug delivery. This can be particularly beneficial in ensuring that patients receive consistent and effective dosing when oral administration is not feasible.

Additionally, rectal administration of rifampin may be considered in cases where patients have difficulty swallowing pills or have conditions that impair their ability to take medications orally, such as esophageal strictures or severe dysphagia. In such scenarios, rectal suppositories can offer a practical solution to maintain therapeutic drug levels and ensure compliance with treatment regimens.

For prescribers, it is important to consider the pharmacokinetics of rectal administration, as absorption can vary compared to oral routes. Factors such as the presence of fecal matter, rectal pH, and the formulation's melting point can influence drug absorption and efficacy. Therefore, monitoring therapeutic levels and adjusting dosages may be necessary to achieve optimal outcomes. Additionally, prescribers should be aware of potential local irritation or discomfort associated with rectal administration and counsel patients accordingly.

While rifampin is not typically used for local infections in the rectal area, its systemic absorption through rectal suppositories can still provide therapeutic benefits for systemic infections. Patients should be informed about the proper insertion technique and advised to remain lying down for a short period after administration to enhance absorption and minimize leakage.

If you have any questions or need further information about the use of rifampin 100 mg rectal suppositories, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or concerns you may have regarding this formulation.

Frequently Asked Questions

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What is Rifampin 100 mg Rectal Suppository used for?

Rifampin 100 mg Rectal Suppositories are used to deliver medication directly into the rectum, where it can be absorbed for local or systemic effects. This formulation is typically used when oral administration is not possible or practical.

How do I use a Rifampin 100 mg Rectal Suppository?

To use a Rifampin 100 mg Rectal Suppository, wash your hands thoroughly, remove the suppository from its packaging, and gently insert it into the rectum. It is often helpful to lie on your side with one leg bent. Remain lying down for a few minutes to ensure the suppository stays in place.

What should I do if I miss a dose of Rifampin 100 mg Rectal Suppository?

If you miss a dose, insert it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not insert two suppositories to make up for a missed dose.

Are there any side effects associated with Rifampin 100 mg Rectal Suppositories?

Possible side effects include irritation or discomfort at the site of insertion, diarrhea, or abdominal cramps. If you experience severe side effects or signs of an allergic reaction, seek medical attention immediately.

Can I use Rifampin 100 mg Rectal Suppositories if I am pregnant or breastfeeding?

Consult your healthcare provider before using Rifampin 100 mg Rectal Suppositories if you are pregnant or breastfeeding. They will assess the potential risks and benefits to determine if this medication is appropriate for you.

How should I store Rifampin 100 mg Rectal Suppositories?

Store Rifampin 100 mg Rectal Suppositories in a cool, dry place away from direct sunlight and out of reach of children. Follow any specific storage instructions provided by your pharmacist or healthcare provider.

Can I use Rifampin 100 mg Rectal Suppositories with other medications?

Before using Rifampin 100 mg Rectal Suppositories, inform your healthcare provider about all other medications you are taking, including over-the-counter drugs and supplements. This will help avoid potential drug interactions.

How long does it take for Rifampin 100 mg Rectal Suppositories to work?

The onset of action can vary depending on the individual and the condition being treated. Generally, the medication begins to work shortly after insertion, but it may take a few doses to notice significant effects.

What should I do if I experience discomfort after using a Rifampin 100 mg Rectal Suppository?

If you experience discomfort after using a Rifampin 100 mg Rectal Suppository, try to remain calm and lie down for a few minutes. If discomfort persists or worsens, contact your healthcare provider for advice.

Is it safe to use Rifampin 100 mg Rectal Suppositories long-term?

The safety of long-term use of Rifampin 100 mg Rectal Suppositories depends on the condition being treated and individual patient factors. Always follow your healthcare provider's instructions and discuss any concerns about long-term use with them.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Rifampin 100 mg Rectal Suppositories
Suppository
30 suppositories
controlled

Insert 1 unwrapped suppository

Once daily