Indications
A probiotic blend is a mixture of live, friendly bacteria (and sometimes yeasts), commonly from the Lactobacillus, Bifidobacterium and related groups. It is used as a supplement to help restore healthy gut and vaginal bacteria, for example to reduce the risk of diarrhoea during or after antibiotic treatment, to support digestion and bowel regularity, and, in some products, to support urinary and vaginal health in women. Benefits depend on the exact strains used, and evidence varies between products.
How It Works
Probiotic bacteria settle temporarily in the gut or vagina, where they compete with harmful germs for space and nutrients, produce acids and natural substances that discourage harmful bacteria, and help keep the lining of the gut healthy. They may also support the body’s local immune defences.
Dosage and Administration
Take it as directed on the label, as the number of bacteria and the strains differ between products. When taking an antibiotic, take the probiotic at least 2 hours apart from the antibiotic dose and continue for a few days after the course ends. Capsules or sachets are usually taken with or after food; do not mix powders with hot drinks, as heat can kill the bacteria.
Interactions
Antibiotics and antifungal medicines can kill probiotic organisms, so separate the doses. People taking medicines that weaken the immune system, such as Cyclosporine, Tacrolimus, steroids or cancer chemotherapy, should ask a doctor before use.
Contraindications
Do not use it if you are allergic to any ingredient (some products contain milk, soy or other allergens). Avoid it if you have a seriously weakened immune system, a central venous line, damaged heart valves, or are critically ill, unless a doctor advises it. Not for premature babies unless prescribed.
Side Effects
It is usually well tolerated. In the first few days some people have mild wind, bloating or changes in bowel habit, which usually settle.
Get urgent medical help if you develop fever with chills, severe stomach pain, bloody diarrhoea, or swelling of the face, lips or throat or difficulty breathing.
Pregnancy and Lactation
Common probiotic strains are generally considered safe in pregnancy and breastfeeding. Ask your doctor or pharmacist before starting any supplement during these times.
Precautions and Warnings
A probiotic does not treat a urinary or vaginal infection on its own. Burning urine, fever, unusual discharge or diarrhoea lasting more than two days should be checked by a doctor. Check the label for storage needs, as some products must be kept in the fridge.
Overdose
Taking more than recommended is unlikely to be harmful but may cause wind and bloating. Seek medical advice if symptoms are severe.
Therapeutic Class
Probiotic (live microbial dietary supplement).
Storage
Store below 30°C in a dry place, away from light and out of the reach of children, or in a refrigerator at 2 to 8°C if the label says so. Do not freeze. Keep the container tightly closed.
Prepared by the Oshud Alo team from standard drug references. For information only; always follow your doctor's advice.