Probiotic Dosage After Antibiotics
The strain and dosage of probiotics you need to take while using antibiotics depends on the reason you're using probiotics. Common side effects of antibiotic usage include diarrhea and yeast infections caused by an overgrowth of Candida albicans. Lactobacillus GG can help prevent or lessen diarrhea in both children and adults, while lactobacillus acidophilus can help treat a yeast infection 2.
If you are experiencing serious medical symptoms, seek emergency treatment immediately.
Candida Albicans
Candida is a yeast-like fungus that normally inhabits your GI tract. It's harmless, unless allowed to reproduce too quickly, then it can cause a myriad of problems from a vaginal yeast infection to oral thrush and canker sores. Antibiotics upset the natural balance of microflora in your gut and allow candida to flourish. Lactobacillus acidophilus is a type of beneficial bacteria found in fermented dairy products such as yogurt and kefir 2. The Mayo Clinic recommends eating 8 oz. of unsweetened yogurt or taking acidophilus supplements to help fight candida. The National Institutes of Health notes that acidophilus can be used topically, in the form of a vaginal suppository, to fight a yeast infection.
- Candida is a yeast-like fungus that normally inhabits your GI tract.
- The National Institutes of Health notes that acidophilus can be used topically, in the form of a vaginal suppository, to fight a yeast infection.
Diarrhea
How to Treat Yeast Infections With Probiotics
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Antibiotics kill both harmful and friendly bacteria, which can interfere with digestion and cause diarrhea. Up to 20 percent of patients using antibiotics may stop treatment early because of diarrhea, says Science Daily 1. Lactobacillus GG, sold as Culturelle, can treat antibiotic-related diarrhea 2. Children need 5 billion live cells daily, while adults need twice that dose -- 10 billion live cells. If you suffer from diarrhea, try to stay hydrated and eat foods that are easy to digest; bland foods low in fat and added sugars such as applesauce, rice, or bananas will help stop diarrhea.
- Antibiotics kill both harmful and friendly bacteria, which can interfere with digestion and cause diarrhea.
- If you suffer from diarrhea, try to stay hydrated and eat foods that are easy to digest; bland foods low in fat and added sugars such as applesauce, rice, or bananas will help stop diarrhea.
Dosages
Probiotics do not affect antibiotics, but antibiotics can make probiotics less effective. NIH suggests you take your probiotic 2 hours before or after your antibiotic to avoid any drug interaction. Although probiotics are generally regarded as safe, you should speak to your doctor before adding any supplements to your diet. If you are eating fermented foods instead of taking supplements, make sure the foods are unpasteurized and contain live and active cultures. Pasteurization kills all bacteria -- bad and good.
- Probiotics do not affect antibiotics, but antibiotics can make probiotics less effective.
- Although probiotics are generally regarded as safe, you should speak to your doctor before adding any supplements to your diet.
After Antibiotics
Should I Take a Probiotic Every Day?
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Continuing to take probiotics after using antibiotics will help repopulate beneficial microbes in your digestive system These microbes help you absorb the nutrients from your food and can strengthen your immune system. Although acidophilus and GG help with the side effects of antibiotics, there are hundreds of different strains of beneficial bacteria. Taking a general supplement that includes a variety of probiotc microorganisms will restore your body's natural balance and ensure proper digestion while boosting your immune system, which can help prevent future illness.
Related Articles
References
- Science Daily; Probiotics May Help People Taking Antibiotics; December 2008
- Medline Plus: Lactobacillus
- Guo H, Zheng Y, Wang B, Li Z. A Note on an Improved Self-Healing Group Key Distribution Scheme. Sensors (Basel). 2015;15(10):25033-8. doi:10.3390/fermentation5020041
- Goldenberg JZ, Yap C, Lytvyn L, et al. Probiotics for the prevention of Clostridium difficile-associated diarrhea in adults and children. Cochrane Database Syst Rev. 2017;12:CD006095. doi:10.1002/14651858.CD006095.pub4.
- Schettle L, Lio PA. Probiotics: The Search for Bacterial Balance. National Eczema Association.
- Understanding the health benefits of taking probiotics. Harvard Medical School. March 2014.
- Sun J, Buys N. Effects of probiotics consumption on lowering lipids and CVD risk factors: a systematic review and meta-analysis of randomized controlled trials. Ann Med. 2015;47(6):430-40. doi:10.3109/07853890.2015.1071872
- Cho YA, Kim J. Effect of Probiotics on Blood Lipid Concentrations: A Meta-Analysis of Randomized Controlled Trials. Medicine (Baltimore). 2015;94(43):e1714. doi:10.1097/MD.0000000000001714.
- Homayouni A, Bastani P, Ziyadi S, et al. Effects of probiotics on the recurrence of bacterial vaginosis: a review. J Low Genit Tract Dis. 2014;18(1):79-86. doi:10.1097/LGT.0b013e31829156ec
- Matsubara VH, Wang Y, Bandara HM, Mayer MP, Samaranayake LP. Probiotic lactobacilli inhibit early stages of Candida albicans biofilm development by reducing their growth, cell adhesion, and filamentation. Appl Microbiol Biotechnol. 2016;100(14):6415-26. doi:10.1007/s00253-016-7527-3
- Kovachev SM, Vatcheva-Dobrevska RS. Local Probiotic Therapy for Vaginal Candida albicans Infections. Probiotics Antimicrob Proteins. 2015;7(1):38-44. doi:10.1007/s12602-014-9176-0.
- Huang R, Wang K, Hu J. Effect of Probiotics on Depression: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Nutrients. 2016;8(8). doi:10.3390/nu8080483
- Microorganisms & Microbial-Derived Ingredients Used in Food (Partial List). US Food & Drug Administration. January 2018.
- Karlsson S, Brantsæter AL, Meltzer HM, Jacobsson B, Barman M, Sengpiel V. Maternal probiotic milk intake during pregnancy and breastfeeding complications in the Norwegian Mother and Child Cohort Study. Eur J Nutr. 2019. doi:10.1007/s00394-019-02072-8
- Taking Medications: What You Need to Know to Stay Safe. Cleveland Clinic. March 2014.
- Kadooka Y, Sato M, Ogawa A, et al. Effect of Lactobacillus gasseri SBT2055 in fermented milk on abdominal adiposity in adults in a randomised controlled trial. Br J Nutr. 2013;110(9):1696-703. doi:10.1017/S0007114513001037
- Zhang Q, Wu Y, Fei X. Effect of probiotics on glucose metabolism in patients with type 2 diabetes mellitus: A meta-analysis of randomized controlled trials. Medicina (Kaunas). 2016;52(1):28-34. doi:10.1016/j.medici.2015.11.008
- Cho YA, Kim J. Effect of Probiotics on Blood Lipid Concentrations: A Meta-Analysis of Randomized Controlled Trials. Medicine (Baltimore). 2015;94(43):e1714. doi:10.1097/MD.0000000000001714.
- Goldenberg JZ, Yap C, Lytvyn L, et al. Probiotics for the prevention of Clostridium difficile-associated diarrhea in adults and children. Cochrane Database Syst Rev. 2017;12:CD006095. doi:10.1002/14651858.CD006095.pub4.
- Huang R, Wang K, Hu J. Effect of Probiotics on Depression: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Nutrients. 2016.8(8). pii: E483. doi:10.3390/nu8080483.
- Kadooka Y, Sato M, Ogawa A, et al. Effect of Lactobacillus gasseri SBT2055 in fermented milk on abdominal adiposity in adults in a randomised controlled trial. Br J Nutr. 2013;110(9):1696-703. doi:10.1017/S0007114513001037.
- Kovachev SM, Vatcheva-Dobrevska RS. Local Probiotic Therapy for Vaginal Candida albicans Infections. Probiotics Antimicrob Proteins. 2015;7(1):38-44. doi:10.1007/s12602-014-9176-0.
- Leyer GJ, Li S, Mubasher ME, Reifer C, Ouwehand AC. Probiotic effects on cold and influenza-like symptom incidence and duration in children. Pediatrics. 2009;124(2):e172-9. doi:10.1542/peds.2008-2666.
- Matsubara VH, Wang Y, Bandara HM, Mayer MP, Samaranayake LP. Probiotic lactobacilli inhibit early stages of Candida albicans biofilm development by reducing their growth, cell adhesion, and filamentation. Appl Microbiol Biotechnol. 2016;100(14):6415-26. doi:10.1007/s00253-016-7527-3.
- Mayo Clinic. Acidophilus. mayoclinic.org/drugs-supplements-acidophilus/art-20361967
- NIH: National Center for Complementary and Alternative Medicine. Probiotics: What You Need To Know. nccih.nih.gov/health/probiotics/introduction.htm
- Sun J, Buys N. Effects of probiotics consumption on lowering lipids and CVD risk factors: a systematic review and meta-analysis of randomized controlled trials. Ann Med. 2015;47(6):430-40. doi:10.3109/07853890.2015.1071872
- Zhang Q, Wu Y, Fei X. Effect of probiotics on glucose metabolism in patients with type 2 diabetes mellitus: A meta-analysis of randomized controlled trials. Medicina (Kaunas). 2016;52(1):28-34. doi:10.1016/j.medici.2015.11.008.
Writer Bio
Maura Shenker is a certified holistic nutritionist and health counselor who started her writing career in 2010. She leads group workshops, counsels individual clients and blogs about diet and lifestyle choices. She holds a Bachelor of Fine Arts from the Rhode Island School of Design, a Master of Fine Arts from The Ohio State University and is a graduate of the Institute for Integrative Nutrition.