Saturday, July 13, 2024

Can You Take Probiotics With Antibiotics

What Studies Support Giving Probiotics With Antibiotics

Can I Take Probiotics When On Antibiotics?

A Cochrane review of 23 studies investigated giving probiotics containing either one or a combination of the following: Bacillus spp., Bifidobacterium spp., Clostridium butyricum, Lactobacilli spp., Lactococcus spp., Leuconostoc cremoris, Saccharomyces spp., or Streptococcus sp.

Results from 22/23 trials that reported on the incidence of antibiotic-associated diarrhea show a significant benefit from probiotics compared to active, placebo, or no treatment control . None of the 16 trials that reported on side events documented any serious side events attributable to probiotics with the most common ones being rash, nausea, gas, flatulence, abdominal bloating, abdominal pain, vomiting, increased phlegm, chest pain, constipation, taste disturbance, and low appetite. The authors concluded that there was a protective effect of probiotics for preventing antibiotic-associated diarrhea. The relative risk was 0.46 and the NNT was 10.

The authors considered Lactobacillus rhamnosus or Saccharomyces boulardii at 5 to 40 billion colony forming units/day to be the most appropriate choice. They also commented that although no serious adverse events were observed among the otherwise healthy children in these trials, serious adverse events have been observed in severely debilitated or immuno-compromised children with underlying risk factors , and advised that probiotics should be avoided in pediatric populations at risk for adverse events until further research has been conducted.

Many Antibiotics Take No Bacterial Hostages

There are specialized antibiotics that are used for specific purposes, and then there are antibiotics that are broad-spectrum . The biggest drawback with these broad-spectrum approaches is that they may target all types of bacteria. Thats why your beneficial bacteria may be impacted by antibiotics when theyre broad-based. And this can affect the delicate balance of your gut microbiome.

Can You Take Probiotics With Antibiotics

Dr. Eric Wood, ND, MA – Contributing Writer, Physicians Choice

Having been in practice for more than a decade, I am still dismayed at how seldom individuals are provided medical guidance when taking antibiotics, particularly as it pertains to getting gut support with probiotics. A question I often get in practice: Is it ok to take probiotics when Im on antibiotics?

This article is devoted to this issue, discussing the importance of supporting your microbiome, what antibiotics can do to gut health and why our health habits and practices need to adjust based on what else may be going on with our health.

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Antibiotics And Gut Health

There is no doubt that antibiotics have an essential role to play in modern medicine in preventing and curing bacterial infections. Thanks to antibiotics, bacterial infections are no longer the most common cause of death in the modern world1. However, in recent times it has become increasingly recognised that antibiotics negatively affect our gut microbiome2.

The gut microbiome is a complex ecosystem of trillions of microbes that live together in harmony in our gastrointestinal tract. These microbes have far reaching effects on human health, enhancing digestion, immunity, skin health and energy3,4,5. A balance is required between beneficial microbes and more harmful microbes that naturally colonise the gut. This balance can be disturbed by various lifestyle factors including low-fibre diet, travel and infection, among others.

So, what happens to our gut microbiome when we take an antibiotic? Unfortunately, taking antibiotics can be detrimental to our gut health. Whilst effective in killing bad bacteria antibiotics are essentially non-selective and can also deplete the beneficial bacteria residing in the gut. This is thought to contribute to the development of diarrhoea, constipation and/or vaginal thrush when taking an antibiotic. In certain cases, this disruption to our gut microbiome can result in an overgrowth of unwanted, pathogenic bacteria such as Clostridium difficile.

People taking antibiotics may experience6:

What Is The Best Probiotic To Take With Doxycycline

Can You Take Probiotics With Antibiotics?

We already shared two types of probiotics that are best to take with Doxycycline Lactobacillus acidophilus and Lactobacillus rhamnosus which are safe and effective when taking at the same time as antibiotics like Doxycycline.

But as a rule of thumb, to get the most out of a probiotic, its strains within should be diverse and actively alive. If youre not taking active probiotics, you arent going to see results or benefit from them. Thats what we call a big waste of time and money.

Some strains need to be taken at least two hours before or after taking antibiotics to be successful. Otherwise, these strains may not reach the gut alive, and therefore will lack any benefit.

Its safe to take probiotics during a course of antibiotics like Doxycycline instead of waiting until after youve finished your course of antibiotics. But while some probiotics and live cultures can be taken at the exact same time as antibiotics, others must be taken at least two hours afterward.

When it comes to taking any medications, its always important to follow the advice given by your doctor. If youre unsure about taking probiotics with your antibiotic strain, always give your doctor a call for advice.

Check out Jetsons Gut Recovery for adults and kids a powerful, multi-strain probiotic that maintains digestive balance during and after a course of antibiotics.

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Probiotics Correct Dysbiosis Caused By Antibiotics

A systematic review of 63 trials examined all the available research into probiotic use for dysbiosis . In healthy subjects who experienced a disturbance in their microbiota after antibiotic use, 83% of subjects experienced microbiota recovery after taking probiotics.

Both Lactobacillus/Bifidobacterium probiotics and Saccharomyces boulardii were shown to be effective.

While more research needs to be done on preventing yeast infections specifically, probiotics are shown to generally recover the microbiome after antibiotic use.

Are There Harmful Effects And Interactions When Taking Probiotics

Probiotics have been used for years, and the live cultures in prebiotic are generally considered safe, especially since they already exist in your gut. However, side effects may occur in a few sensitive individuals.

Some of these may include?

  • Digestive issues such bloating and gas.

The reason for these symptoms is not yet known, but studies say they should resolve within a few weeks. Normally, its your system trying to adjust.

If the symptoms persist, discontinue and try a different brand. In most cases, you might have to try a few brands before you find what works best for you.

  • Allergic reactions

Some probiotics may contain allergens such as dairy, soy, and eggs. Make sure you read the labels carefully. In case of yeast allergies, you should consume bacteria-based probiotics.

  • Headaches

Fermented protein-rich foods like soybean, kimchi, yogurt, and sauerkraut produce biogenic amines such as histamine, tryptamine, tyramine, and phenylethylamine, which may decrease or increase blood flow, excite the nervous system, and trigger headaches in sensitive individuals.

However, more research is needed to determine whether amines are a trigger for headaches or not.

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Why Can You Need To Take Both Antibiotics And Probiotics

Your body contains trillions of bacteria. When you are taking antibiotics, it means that they eliminate both friendly and unfriendly microorganisms that exist in your system at the same time regardless their benefits.

So if you have to take antibiotics for long periods of time due to an infection, this destruction cause the imbalance ecosystem in your gut and causes a variety of gastrointestinal problems. According to the statistic, the most complain related to taking antibiotics is diarrhea for a long time after taking antibiotics and this is also a reason that makes patients stop their antibiotic course.

Because of the above causes, probiotics which is a kind of health-promoting bacteria and yeasts are recommended by the doctors to use accompanied by antibiotics to restore your healthy digestive function and decrease the side effects of antibiotics.

In case, you havent decided on the best probiotics for you. Dont worry! Weve listed BEST PROBIOTICS FOR MEN here.

In one study, it was shown that there was ten percent lower risk of suffering antibiotic-associated diarrhea with adults and children who took probiotics during antibiotic course .

So can you take probiotics and antibiotics at the same time? It is the question of many people.

Probiotics Reduce Antibiotic Side Effects

Can I Take Probiotics With Antibiotics?

When you have been on antibiotics before, did you have adverse effects such as diarrhea, yeast infections, or gastrointestinal pain?

Antibiotics work by killing harmful bacteria that cause infections. Most antibiotics are broad-spectrum, meaning they kill a lot of different types of bugs. This broad action makes them useful for a lot of different types of infections, and its also why they can end up killing good bacteria too.

Antibiotic side effects are often caused by the loss of beneficial bacteria and resulting dysbiosis [6

Antibiotic side effects can be long-lasting, especially with repeated antibiotic treatments. Probiotics can be very helpful in restoring the healthy balance of gut bacteria. A large number of studies back this up.

Lets look at a few examples:

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The Life Inside All Of Us

Microbes & me is a new collaborative series between BBC Future and BBC Good Food.

In the series, well be looking at recent research into the microbiome of bacteria that lives in all of us.

Well be exploring how it affects our health, what could be having detrimental effects on it, and recommending recipes that might help it thrive.

Probiotics have been touted as a treatment for a huge range of conditions, from obesity to mental health problems. One of their popular uses is to replenish the gut microbiome after a course of antibiotics. The logic is antibiotics wipe out your gut bacteria along with the harmful bacteria that might be causing your infection, so a probiotic can help to restore order to your intestines.

But while it might sound like sense, there is scant solid evidence suggesting probiotics actually work if taken this way. Researchers have found that taking probiotics after antibiotics in fact delays gut health recovery.

Part of the problem when trying to figure out whether or not probiotics work is because different people can mean a variety of things with the term probiotic. To a scientist, it might be seen as a living culture of microorganisms that typically live in the healthy human gut. But the powdery substance blister packs on supermarket shelves can bear little resemblance to that definition.

Even when researchers use viable, living bacterial strains in their research, the cocktail varies from one lab to another making it tricky to compare.

Keep Your Gut Healthy

In the meantime, the best thing you can do to ensure long-term optimal health is focus on tending to your microbial garden by protecting and nourishing your good flora.

And, dont forget to look out for antibiotics in your food! Farmers often use antimicrobial medications to fatten up their livestock, so if you eat meat, fish, or dairy, make sure its antibiotic-free.

Its hard to fathom where wed be without the life-saving power of antibiotics.

But, as we move forward responsibly using antibiotics only when absolutely necessary and making sure to support our wondrous gut microbiome along the way we can do so with confidence that were giving our entire body the fortification it needs to live a healthy and vibrant life.

Also Check: What Does Probiotics Do For Your Stomach

What We Do And Dont Know About Concurrent Probiotic And Antibiotic Use

To begin, probiotics will not deactivate the antibiotic or make them not work. It is actually much closer to the opposite, where antibiotics will deactivate/kill probiotics when dosed too close together. The need and relevancy of taking probiotics when on an antibiotic is justifiably increased however, as antibiotics are typically not a very discriminatory killer.

That means that while antibiotics may kill off a lot of the bad bugs causing illness, they will also typically cause a lot of your beneficial bacteria to die and instigate a variety of potential side effects, including diarrhea. Probiotic supplementation can help to offset these potential issues.*

Challenges To Implementation: Lack Of Guidance On Dosing And Duration

What Probiotics to Take While You

Since probiotics are considered food supplements, health insurance will not cover the cost . No single probiotic strain has high-quality evidence however, most of the RCTs included in the meta-analysis used combinations of Lactobacillus species, which are usually found in over-the-counter antidiarrheal probiotic supplements. No standard dose exists, but dose ranges in RCTs are 107 to 1010 colony-forming units per capsule however, product labels have variable accuracy. The duration of treatment ranges from one to 3 weeksor as long as the patient continues to take antibiotics.

Read Also: Is Acidophilus Probiotic Good For You

Probiotics Make Antibiotics More Effective

Rather than canceling each other out, research shows that taking probiotics and antibiotics together is more effective than taking antibiotics alone.

The most relevant study to show this effect is a systematic review of more than 20,000 patients with H. pylori infections . Patients who took probiotics and antibiotics together had better results than patients who only took antibiotics.

Another recent meta-analysis of randomized clinical trials totalling roughly 6,000 patients with H. pylori infections showed that adding probiotics to antibiotic therapy for H. pylori increased the eradication rate by about 10% .

Can I Take Any Probiotic

If youre into health, beauty and wellnessa probiotic or probiotic supplement such as The Beauty Chefs GLOW Inner Beauty Essential may already be part of your daily routine. So if this is you, then certainly dont let a bout of illness or a dose of antibiotics set you off course! Simply remember to time your probiotic correctly and continue on as usual. But if youre new to the world of probiotics, then its important to consider your options as you want to consume a wide variety of species and strains.

While arguably taking any probiotic while on antibiotics will boast benefits for your microbial healthat The Beauty Chef, we recommend our wholefood-based probiotic inner beauty powders and elixirs as unlike many over the counter supplements, our products are 100 percent natural and offer multiple, food-based strains. This means your body receives a broad-spectrum of healthy bacteria, which promotes microbial diversity and boosts overall digestive health. Our lacto-fermented formulas also contain prebioticswhich are arguably just as important for gut healthhelping to feed the beneficial bacteria in your gut and encourage their proliferation. Due to our exclusive bio-fermentation process, Flora Culture, our formulas are also more potent and bioavailable, meaning the nutrients they contain are more easily absorbed and assimilated by the body.

Recommended Reading: Garden Of Life Prebiotics And Probiotics

Signs You Are Taking Too Many Probiotics

Many use probiotic supplements for added health benefits since you can consume more beneficial bacteria through probiotic supplements than in a probiotic-rich diet. Probiotics are typically safe, but there is such a thing as too much probiotics. Below we will look at the most common indicators that you’re taking too many probiotics.


Bloating is the most common side effect associated with many different types of digestive problems.

Your stomach may appear enlarged or swollen, and it may feel tight to the touch. While bloating is rarely fatal, it can cause pain and discomfort.

If youre feeling abnormally bloated, you may want to lower your daily probiotic intake.


There is an increased risk of adverse effects when you have a weakened immune system or have a serious illness. Although this isn’t a typical indicator of supplement overload, it can have serious repercussions if you have a condition that affects your immune system, recently had surgery, or been in the hospital for an extended period of time.

Since your immune system is directly linked to the health of your gut, tampering with your microbiome may have an impact on its function.

If this describes you, you should talk to a doctor about probiotics before attempting them on your own. Some strains are better than others depending on your health, so consult with your healthcare provider to determine which sort of probiotic is suitable for you.


Stomach Cramps


Take Probiotics At A Convenient Time

Taking Probiotics with Antibiotics or Anti-microbial Herbs

Some would recommend taking probiotics at least two hours before or after antibiotics to reduce the potential for the antibiotic to kill the probiotic you just took. You can do this if you want, but if that makes your medication schedule too complicated, just take them together. Youre better off taking them together than not at all.

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So Can You Take Probiotics With Antibiotics

Can you take probiotics with antibiotics? Simply put? Yes. Our intestines contain over 1000 different bacteria species with over 100 trillion bacteria total. You want to ensure that the healthy bacteria stay while keeping the harmful bacteria at bay.

Our immune system is smart enough to recognize harmful bacteria and attack them, trying to destroy them. However, while doing so, our intestinal lining can be broken down and cause inflammation, and thats when antibiotic associated diarrhea comes into play.

Antibiotic associated diarrhea affects between 5% and 39% of patients however, research has also shown that the right probiotic supplement can help curb digestion issues. You will often find that doctors will actually suggest that you take probiotics with your antibiotics, as long as you put some space between the two.

If you wait two hours between taking your antibiotic and your probiotic supplement, the level is low in your intestines. So, it doesnt matter which you take first. You just want to make sure there are at least two hours between the probiotic supplement and your antibiotic treatment.

Can you take probiotics with antibiotics? Yes. Be smart and take your prescription. But as you kill off the bad bacteria in your gut, focus on upping your probiotic intake, and you can come through your infection healthier than ever!

Which Is The Best Probiotic To Take With Amoxicillin

For the best results, the ideal probiotics for amoxicillin users will include the Lactobacillus rhamnosus GG strain and yeasts such as Saccharomyces boulardii. If you are suffering digestive discomfort as a result of using amoxicillin, lactobacillus should be part of any probiotic treatment you use to mitigate the effects.Also to get the benefit of probiotics, you should consider what result you are looking for. In most of our cases, the most notable side effect of amoxicillin is digestive disturbance within days of taking the antibiotic, or even sooner, you may begin to feel uncomfortable in the stomach, and even experience diarrhea. If youre being treated with amoxicillin, probiotics can restore your gut flora and help maintain digestive balance.

Also Check: Side Effects Of Probiotics In Babies

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