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What the FDA labels say about taking them together

Rifaximin and warfarin

Rifaximin's FDA label of June 25, 2025 names warfarin in its drug interactions section; the warfarin label PlainMeds reads does not name rifaximin. The rifaximin label: “DRUG INTERACTIONS Warfarin: Monitor INR and prothrombin time; dose adjustment of warfarin may be needed to maintain target INR range.”

Check it at the source: the rifaximin FDA label on DailyMed (effective June 25, 2025, Salix Pharmaceuticals, Inc.); the warfarin FDA label on DailyMed (effective May 29, 2026, Amneal Pharmaceuticals LLC).

What does the rifaximin label say about warfarin?

Rifaximin label, drug interactions

DRUG INTERACTIONS Warfarin: Monitor INR and prothrombin time; dose adjustment of warfarin may be needed to maintain target INR range.

Source: FDA drug label (XIFAXAN), Salix Pharmaceuticals, Inc., effective June 25, 2025 (SPL set c5e8e2fd-7087-4b78-9181-cc259c0be2f1), via openFDA; the full label on DailyMed

What does the warfarin label say about rifaximin?

Warfarin's label (effective May 29, 2026) does not name rifaximin in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Warfarin Sodium), Amneal Pharmaceuticals LLC, effective May 29, 2026 (SPL set 558b7a0d-5490-4c1b-802e-3ab3f1efe760), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

0Rifaximin generic labelers
19Warfarin generic labelers
RifaximinWarfarin
Labeled forDiarrhea, Irritable bowel syndromeBlood clots (DVT and PE), Atrial fibrillation
Boxed warningNoYes
Pharmacy cost (NADAC)n/a$0.093 per tablet 2 mg tablet
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?