Adult

Rifabutin

Warning

General Information

 Restricted formulary antimicrobial: For details see OUH netFormulary

Renal and hepatic impairment

 Dose in renal impairment

eGFR (mL/min/1.73m2)

Oral dose

more than 30

Dose as in normal renal function

10-30

Use half of the normal dose. Maximum 300mg daily

less than 10

Use half of the normal dose. Maximum 300mg daily

HD/HDF/High Flux

Dose as in eGFR less than 10ml/min/1.73m2.

Not dialysed

PD

Dose as in eGFR less than 10ml/min/1.73m2.

Unlikely to be dialysed

 

Use in hepatic impairment

No dose adjustment required in mild hepatic impairment. Use with caution in severe hepatic impairment.

Pregnancy and breastfeeding

Discuss with pharmacy.

Additional information

  • Rifabutin has many drug interactions. Contact a pharmacist for further advice.
  • White blood cell, platelet counts and LFTs should be monitored periodically during treatment.

References

  • Summary of Product Characteristics (SPC) for Mycobutin. Accessed via www.medicines.org.uk 26/03/18. Last updated 21/03/18
  • The Renal Drug Database. Rifabutin. Accessed via renaldrugdatabase.com 26/03/18. Last updated 22/02/18
  • BNF online accessed via www.medicinescomplete.com 14/1/19; last updated 11/12/18

Editorial Information

Next review date: 02 Mar 2026