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Rifampin of Important Antibacterial Drug Interactions

  • Substrates of CYP3A4 (e.g., warfarin, ritonavir, cyclosporine, diazepam, verapamil, protease inhibitors, voriconazole)
  • Substrates of CYP2C19 (e.g., omeprazole, lansoprazole)
  • Substrates of CYP2C9 (e.g., warfarin, tolbutamide)
  • Substrates of CYP2C8 (e.g., repaglinide, rosiglitazone)
  • Substrates of CYP2B6 (e.g., efavirenz)
    • Can result in decreased levels of interacting drug. Avoid concomitant use if possible. If giving drugs concomitantly, monitor drug levels if possible.
  • Hormone therapy (e.g., norethindrone)
    • Can result in decreased levels of hormone. If oral contraceptive and rifampin are given concomitantly, use alternative or additional forms of birth control.