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RIFAMICINA 200 mg Modified-Release Tablets

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Doctor
5.0(11)

Anna Biriukova

Gastroenterology6 years of experience

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
Book a video appointment
€66
This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use RIFAMPICIN ADALVO 200 mg MODIFIED-RELEASE TABLETS

Contents of the leaflet

  1. Introduction
  2. What is Rifamicina Adalvo and what is it used for
  3. What you need to know before taking Rifamicina Adalvo
  4. How to take Rifamicina Adalvo
  5. Possible Side Effects
  6. Storage of Rifamicina Adalvo
  7. Package Contents and Additional Information

Introduction

Package Leaflet: Information for the Patient

Rifamicina Adalvo 200 mg Modified Release Tablets

sodium rifamycin

Read the entire package leaflet carefully before starting to take this medication, as it contains important information for you.

  • Keep this package leaflet, as you may need to read it again.
  • If you have any questions, consult your doctor or pharmacist.
  • This medication has been prescribed to you only, and you should not give it to others, even if they have the same symptoms as you, as it may harm them.
    • If you experience side effects, consult your doctor or pharmacist, even if they are side effects not listed in this package leaflet. See section 4.

Contents of the Package Leaflet

  1. What is Rifamicina Adalvo and what is it used for
  2. What you need to know before taking Rifamicina Adalvo
  3. How to take Rifamicina Adalvo
  4. Possible side effects
  5. Storage of Rifamicina Adalvo
  6. Package Contents and Additional Information

1. What is Rifamicina Adalvo and what is it used for

Rifamicina Adalvo contains the active ingredient sodium rifamycin, an antibiotic that acts in the intestine. It is used to treat traveler's diarrhea that is accompanied by symptoms such as nausea, vomiting, flatulence, frequent urgent need to defecate, abdominal pain or intestinal colic in adults. Rifamicina Adalvo should not be used if the diarrhea is accompanied by fever or blood in the stool.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. What you need to know before taking Rifamicina Adalvo

Do not takeRifamicina Adalvoif:

  • you are allergic to sodium rifamycin, similar types of antibiotics, or any of the other components of this medication (listed in section 6),
  • you have vomiting, abdominal pain, or constipation caused by intestinal obstruction,
  • you have a perforation, wound, or injury to the digestive system,
  • you have diarrhea with fever or blood in the stool.

Rifamicina Adalvo contains soy lecithin.

It should not be used in case of peanut or soy allergy.

Warnings and Precautions

Consult your doctor or pharmacist before starting to take Rifamicina Adalvo:

  • if your symptoms worsen during treatment,
  • if you do not feel better after three days of treatment,
  • if your symptoms recur shortly after stopping treatment.

A reddish discoloration of the urine may occur during treatment with this medication.

Consult your doctor if you experience symptoms such as frequent liquid diarrhea, abdominal pain, or intense intestinal colic, fever, or blood in the stool. This may be due to an infection (Clostridium difficile-associated diarrhea), which requires immediate medical attention.

If you are receiving treatment with a rifamycin antibiotic for a mycobacterial disease (e.g., tuberculosis), you should not take Rifamicina Adalvo.

Children and Adolescents

There is no experience with the use of Rifamicina Adalvo in children and adolescents.

Therefore, do not administer this medication to children and adolescents under 18 years of age.

Taking Rifamicina Adalvo with other medications

Tell your doctor or pharmacist if you are taking, have recently taken, or may need to take any other medication.

  • Rifamicina Adalvo should not be taken with similar types of antibiotics.
  • Tell your doctor if you are taking cyclosporine (an immunosuppressant), warfarin (an anticoagulant), or oral contraceptives.
  • If you take activated charcoal (e.g., to treat diarrhea), take Rifamicina Adalvo at least two hours after taking the activated charcoal.

Pregnancy and Breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before using this medication. Do not takeRifamicina Adalvo if you are pregnant or breastfeeding, unless your doctor advises you to do so.

Driving and Using Machines

It is unlikely that Rifamicina Adalvo will affect your ability to drive or use machines. Do not drive or use machines if you experience dizziness or fatigue after taking Rifamicina Adalvo.

Rifamicina Adalvo contains sodium

This medication contains less than 1 mmol of sodium (23 mg) per tablet; it is essentially "sodium-free".

3. How to take Rifamicina Adalvo

Follow the instructions for administration of this medication exactly as indicated by your doctor. If you are unsure, consult your doctor or pharmacist again.

The recommended daily dose for adults over 18 years is:

  • Two tablets in the morning and two tablets in the evening for three days.
  • Unless otherwise prescribed, the duration of treatment should notexceed three days. Consult your doctor if you do not feel better after three days.

Use in Children and Adolescents

Rifamicina Adalvo is not indicated for children and adolescents under 18 years of age.

How to take the tablets:

  • Take the tablets with a glass of water. Swallow them whole. Do not crush or chew them.
  • The tablets can be taken with or without food.

If you take moreRifamicina Adalvothan you should

Consult a doctor if you have accidentally taken a higher dose than recommended.

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, phone: 91 562 04 20, indicating the medication and the amount ingested.

If you forget to takeRifamicina Adalvo

Do not take a double dose to make up for forgotten doses. Take the next dose as prescribed.

If you stop takingRifamicina Adalvo

The recommended duration of treatment is three days. Consult your doctor if your symptoms worsen during treatment or if you do not feel better after three days.

If you have any further questions about the use of this medication, ask your doctor or pharmacist.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Possible Side Effects

Like all medications, this medication can cause side effects, although not everyone will experience them.

Common: may affect up to 1 in 10 people

  • Headache
  • Diarrhea

Uncommon: may affect up to 1 in 100 people

  • Loss of appetite
  • Anxiety
  • Dizziness
  • Intestinal colic and abdominal spasms, abdominal distension, pain in the upper abdominal region, pain on palpation of the abdomen, aphthous ulcers (in the mouth), constipation, frequent urgent need to defecate, dry mouth, dyspepsia, belching, flatulence, increased gastric acid in the stomach, nausea
  • Hair loss, increased sweating, night sweats, itching
  • Pain in muscles and joints, back pain, pain in the limbs and sides, muscle spasms and muscle weakness
  • Abnormal urine color, pain or difficulty urinating, decreased urine output
  • Weakness, chest pain, general feeling of being unwell, pain, fever
  • Changes in liver function parameters (elevated ALT), changes in blood (elevated creatinine and urea)

The following side effects have been reported with antibiotics similar to Rifamicina Adalvo and may also occur with this medication. The frequency of these side effects is currently unknown:

  • Bacterial infections (Clostridium infections), fungal infections
  • Abnormal blood test results (decreased platelet count)
  • Severe acute reactions to the medication (anaphylactic reactions), allergic reactions to the medication
  • Severe allergic reaction causing swelling of the face or throat, itchy rash, redness/roughness of the skin
  • Swelling of the ankles and/or legs due to fluid accumulation

Reporting Side Effects

If you experience any side effects, consult your doctor or pharmacist, even if they are side effects not listed in this package leaflet. You can also report them directly through the Spanish Medicines Agency's online platform: www.notificaRAM.es. By reporting side effects, you can help provide more information on the safety of this medication.

5. Storage of Rifamicina Adalvo

Keep this medication out of the sight and reach of children.

Do not use this medication after the expiration date stated on the carton and blister after EXP. The expiration date is the last day of the month indicated.

Do not store above 30°C.

Medications should not be disposed of via wastewater or household waste. Return the packaging and any unused medication to the pharmacy's SIGRE collection point. If you are unsure, ask your pharmacist how to dispose of the packaging and any unused medication. This will help protect the environment.

6. Package Contents and Additional Information

Composition ofRifamicina Adalvo

  • The active ingredient is sodium rifamycin. Each modified-release tablet contains 200 mg of sodium rifamycin.
  • The other excipients are: ammonio methacrylate copolymer (type B), ascorbic acid (E300), glycerol distearate, soy lecithin (E322), magnesium stearate, mannitol, methacrylic acid-methyl methacrylate copolymer (1:2), macrogol 6000 (E1521), colloidal anhydrous silica (E551), talc, titanium dioxide (E171), triethyl citrate (E1505), yellow iron oxide (E172).

Appearance of the Product and Package Contents

Rifamicina Adalvo 200 mg modified-release tablets are yellow-brown elliptical tablets with the inscription "SV2" on one side.

They are available in blister packs containing 12 tablets.

Marketing Authorization Holder

Dr. Falk Pharma GmbH

Leinenweberstr. 5

79108 Freiburg

Germany

Email: [email protected]

Manufacturer

Cosmo S.p.A

Via C. Colombo, 1

20045, Lainate

Milan, Italy

Phone: +39 02 93 3371

Fax: +39 02 93 33 7663

Email: [email protected]

You can request more information about this medication from the local representative of the marketing authorization holder:

Dr. Falk Pharma España

Camino de la Zarzuela, 19

28023 Madrid

Spain

Phone: +34 91 3729508

This medication is authorized in the Member States of the European Economic Area under the following names:

Bulgaria, Denmark, Finland, Hungary, Norway, United Kingdom: Travyc

Spain, Greece, Sweden, Poland, Portugal: Rifamicina Adalvo

Germany: Gutivia

Date of the last revision of this package leaflet:05/2025.

Online doctors for RIFAMPICIN ADALVO 200 mg MODIFIED-RELEASE TABLETS

Discuss questions about RIFAMPICIN ADALVO 200 mg MODIFIED-RELEASE TABLETS, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

Doctor
5.0(11)

Anna Biriukova

Gastroenterology6 years of experience

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
Book a video appointment
€66
Doctor
5.0(38)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a General Practitioner with specialized training in chronic pain. He provides online consultations for adult patients in Spain and other European countries.

Dr. Popov understands that seeking help with weight-related concerns or pain that has persisted for months can be difficult. Many patients come to him after trying different approaches without feeling truly heard. During the consultation, the doctor creates a comfortable and supportive, non-judgmental environment where the patient’s medical history can be discussed in detail, questions can be answered, and the next steps can be decided together.

Weight Management and Metabolic Health

Dr. Popov can help assess overweight, obesity, and related conditions such as hypertension, diabetes, or metabolic disorders. During the consultation, the patient’s medical history, test results, current medications, and previous treatments will be reviewed.

If you would like to learn about possible medication options or have already started treatment, the doctor can assess your situation, review the effectiveness and tolerability of the therapy, and clearly explain its benefits, potential risks, and alternatives.

Not every patient requires the same treatment. A consultation does not guarantee a prescription — it provides an objective medical assessment and a plan tailored to your individual situation.

Pain and General Medicine

You can also consult Dr. Popov regarding:

* chronic pain, migraines, neuralgia, and fibromyalgia;

* back, neck, lower back, or joint pain;

* hypertension, diabetes, and follow-up of chronic conditions;

* review of test results, medical reports, and current treatment;

* preventive medicine and a second medical opinion.

How the Consultation Works

The video consultation lasts up to 30 minutes. The doctor will listen carefully, review the information you provide, and explain the next steps in clear and understandable language.

If additional tests, an in-person consultation, or urgent medical care are required, the doctor will inform you directly.

Dr. Popov’s goal is to make sure the patient feels heard and leaves the consultation with a clear understanding of their condition and the next steps they can take.

Book a video appointment
€86
Doctor
5.0(12)

Yevgen Yakovenko

General medicine12 years of experience

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

Book a video appointment
€72
Doctor
5.0(3)

Lina Travkina

General medicine13 years of experience

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.

  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.

  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.

  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.

  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.

  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.

  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.

  • Medical advice and follow-up consultations.

  • Test interpretation and diagnostic guidance.

  • Structured support for undiagnosed complaints.

  • Second opinion on diagnoses and treatment plans.

  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.

  • Post-operative recovery support and pain management.

  • Preconception counselling and postpartum support.

  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

Book a video appointment
€75
Doctor
5.0(20)

Nuno Tavares Lopes

General medicine18 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies

  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management

  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses

  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment

  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance

  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis

  • Pain management: acute and chronic pain, post-surgical care

  • Public health: prevention, health screenings, long-term monitoring

  • Sick leave (Baixa médica) connected to Segurança Social in Portugal

  • IMT medical certificates for driving licence exchange

Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

Book a video appointment
€70

Get RIFAMPICIN ADALVO 200 mg MODIFIED-RELEASE TABLETS Prescription Online

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Electronic prescription sent to your email — valid across Spain.

Frequently Asked Questions

RIFAMPICIN ADALVO 200 mg MODIFIED-RELEASE TABLETS requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.

The active ingredient in RIFAMPICIN ADALVO 200 mg MODIFIED-RELEASE TABLETS is rifamycin. This information helps identify medicines with the same composition but different brand names.

RIFAMPICIN ADALVO 200 mg MODIFIED-RELEASE TABLETS is manufactured by Adalvo Competence Center S.R.L.. Pharmacy brands and packaging may differ depending on the distributor.

Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether RIFAMPICIN ADALVO 200 mg MODIFIED-RELEASE TABLETS is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.

Spain has a well-developed healthcare infrastructure across major cities such as Madrid, Barcelona, Valencia, and Seville. Pharmacies are widely available and operate under strict regulations, ensuring access to prescribed medications.

You can buy RIFAMPICIN ADALVO 200 mg MODIFIED-RELEASE TABLETS in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.

To obtain a prescription, you can use Oladoctor:

Other medicines with the same active substance (rifamycin) include DIFICLIR 200 mg FILM-COATED TABLETS, DIFICLIR 40 mg/ml ORAL SUSPENSION GRANULES, HUMATIN 250 mg HARD CAPSULES. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.

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