Adult

Rifabutin

Warning

General Information

Rifamycin

Restricted formulary antimicrobial: For details see OUH netFormulary

For all information regarding interactions, contraception, pregnancy and breastfeeding and additional information, see BNF and Summary of Product Characteristics (SPC).

Dosage

Indication

Oral treatment dose

Non-tuberculous mycobacterial disease (in combination with other drugs)

450mg-600mg OD

Helicobacter pylori (in combination with other drugs)

150mg BD

Tuberculosis

See Tuberculosis section

Renal and hepatic impairment

Renal impairment

eGFR (mL/min/1.73m2)

Oral dose

30 and above

Dose as in normal renal function

Less than 30  

Use half of the normal dose. Maximum 300mg daily.

HDF/High Flux

Not dialysed.

Dose as in eGFR less than 30ml/min

PD

Unlikely to be dialysed

Dose as in eGFR less than 30ml/min

 

Hepatic impairment

  • No dose adjustment required
  • Severe hepatic impairment: use with caution

References

  1. Pfizer Limited. Mycobutin 150 mg capsules summary of product characteristics. Electronic Medicines Compendium. Last revision of the text 05/2026. Accessed via www.medicines.org.uk Accessed 10/8/26.
  2. British National Formulary. Rifabutin. BNF online accessed via www.medicinescomplete.com  Accessed 10/8/26.
  3. The Renal Drug Database. Rifabutin. Last updated 23/9/24. Accessed via https://renaldrugdatabase.com Accessed 10/8/26.
  4. Sanford Guide [online] Rifabutin. Last updated 6/8/26. Accessed via https://webedition.sanfordguide.com Accessed 10/8/26.

Editorial Information

Last reviewed: 10 Aug 2026

Next review date: 09 Aug 2029

Author(s): AMST.