We are on our 3rd round of rifaximin, and I have noticed the relapse between each round. What should I do?

Fluctuations in behavior between each round of rifaximin is a sign that bacterial overgrowth is successfully suppressed by rifaximin but is quickly relapsing after each round of medication is complete. Rapid relapsing will prevent substantial reduction of inflammation as well as recovery. I recommend my patients shift to continuous rifaximin at this point.