Is herbal therapy equivalent to rifaximin for the treatment of small intestinal bacterial overgrowth?
SIBO is widely prevalent in a tertiary referral gastroenterology practice. Herbal therapies are at least as effective as rifaximin for resolution of SIBO by LBT. Herbals also appear to be as effective as triple antibiotic therapy for SIBO rescue therapy for rifaximin non-responders. Further, prospective studies are needed to validate these findings and explore additional alternative therapies in patients with refractory SIBO.
A possible masking effect of NCX medication must be taken into consideration during the diagnostic interpretation of PET scans.