What is the best probiotic to take while on triple antibiotic therapy?
I was just diagnosed with pulmonary MAI after a biopsy. I will be on a regimen of Rifampin/Ethambutol/Azithromycin for 12-18 months. I want to avoid a yeast infection(s). My reading states there are two probiotics: Saccharomyces boulardii and lactobacillus rhamnosus GG. I am leaning toward the Saccharomyces bollardii as it cannot be destroyed by the triple antibiotic. I do not see the pulmonologist until the end of the month, but I want to be prepared with questions. Suggestions?
Interested in more discussions like this? Go to the MAC & Bronchiectasis Support Group.
Connect

I too want to integrate probiotics and am also just starting treatment. I read that taking them 2-4 hours after the antibiotics was sufficient.
https://www.orthomolecularproducts.com/product/ortho-biotic-capsules
I think this one looks promising for use during antibiotics. Spaced 2 to 4 hours after. It includes Sac. Boulardi but you could probably take extra of that as well.
-
Like -
Helpful -
Hug
2 ReactionsThank you for this suggestion. This strain of helpful probiotics has been highlighted in many articles I have read.
But are any companies *reliably* providing what they say they are on the label? (Speaking as a retired PhD microbiologist/molecular biologist.)
My dietician at NJH recommends Jarro-Dophilus EPS 10 billion CFU as a probiotic. I have been on it for 3 years and have had no problems with my gut. I buy it on Amazon.
I have been taking California Gold Lactobif 30 since starting the meds and have had no issues. I buy these at iHerb.com and find the price very reasonable. I make sure not to take any antibiotic 4hrs before or after taking the probiotic.