Anti-TB medicinePrescription only

Rifampicin

Capsule or tablet

Quick Summary

Rifampicin is one of the most important TB medicines. It's always given with other TB medicines to prevent resistance.

Tuberculosis
Leprosy

Medical Uses

Tuberculosis: With isoniazid, pyrazinamide and ethambutol.
Leprosy: As part of multi-drug therapy.

How it's taken

Usually taken on an empty stomach as part of a daily TB regimen.

Take it for the full course, even if you feel better, unless your doctor tells you otherwise. Don't share antibiotics or keep leftovers.

Your doctor decides the right dose for you and how long to take it.

Your doctor decides the right dose for you. Follow their instructions and the label.

Common Side Effects

Orange-red urine

And tears, sweat; harmless.

Nausea

Loss of appetite.

Liver problems

Jaundice: seek help.

Interactions

Birth control pills

Become less effective; use another method.

Many other medicines

Including HIV and diabetes medicines; check with your doctor.

Critical Warnings

Liver damage

Seek help for yellow eyes, dark urine or vomiting.

Contraception

Hormonal contraception may fail.

Severe allergic reaction

Black Box Warning: Swelling of the face or throat, difficulty breathing or a widespread rash: get emergency help.

Antibiotic resistance

Using antibiotics when they aren't needed makes them less effective for everyone.

Sources and further reading

Last updated 21 October 2026. For more detail, see these trusted health organisations.

Related Topics