What is the best probiotic to take while on triple antibiotic therapy?

Posted by corina3892 @corina3892, Aug 15 6:41pm

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?

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Mary | @mjb24 | Aug 18 3:59pm

In reply to @blm1007blm1007 "@corina3892 Hope this is not common but with iHerb buying Vitacost there are some changes. "Kroger"..." + (show)

@blm1007blm1007 Oh I hope they don't change! I get my probiotic and Vitamin D from them as well as my husband's pickleball cocktail. They've always been fast and accurate. I just ordered yesterday and was notified the order shipped so hopefully it arrives and all is correct.

patti55 | @patti55 | Aug 18 8:24pm

In reply to @corina3892 "@mjb24 I have also looked on the iHerb website. My drug regimen will include Rifampin, Ethambutol,..." + (show)

I’m curious and would appreciate if anyone has or knows if you can take both probiotics (saccharomyces boulardii and Lactobacillus rhamnosus at the same time? I have recently had a flare up and had bronchitis and pneumonia that required 4 different antibiotic therapies over last 2 1/2 months. I know my poor digestive tract needs some repair. Thanks for any suggestions.
Patti55

Sue, Volunteer Mentor | @sueinmn | Aug 18 9:01pm

In reply to @patti55 "I’m curious and would appreciate if anyone has or knows if you can take both probiotics..." + (show)

@patti55 When I asked my friend's daughter, a nutritionist, about taking multiple probiotics, she suggested alternating doses. She said when she recommends probiotics to patients, she often selects two or three and has them alternate.

kayelynn | @kayelynn | Aug 19 7:00am

I ate a variety of yogurt that I bought at Walmart never got a yeast infection. I took those antibiotics for 2 years. I had was in the hospital had had a heart attack and the lung Dr at the hospital came and had a long conversation with me. I was having vision issues my, increased heart issues, had went from 160 lb to 129. I had no appetite had to make myself eat to live and had no energy. He said in his opinion the antibiotics were doing more damage and my Mac had not improved. I know different people react to medications differently. I have been off them for 2 1/2 years. I do some home remedies that may or may not help. I did go for about a year where Mac didn’t show up in my sputum cultures. Just found out in the last few weeks, it was positive in the last sputum culture,
Praying that you have better results and fewer side effects than I did.

irenea8 | @irenea8 | Aug 19 7:56am

In reply to @patti55 "I’m curious and would appreciate if anyone has or knows if you can take both probiotics..." + (show)

@patti55
In the case of Saccharomyces B. yes you can take it along with any other probiotics.

blm1007blm1007 | @blm1007blm1007 | Aug 19 10:35am

In reply to @mjb24 "@blm1007blm1007 Oh I hope they don't change! I get my probiotic and Vitamin D from them..." + (show)

@mjb24 Hopefully that was just a one in a million problem. However waiting that long was a problem because I was out of one or two of the supplements. Lesson learned.
Barbara

kasper1 | @kasper1 | Aug 19 11:10am

In reply to @mjb24 "I have been taking California Gold Lactobif 30 since starting the meds and have had no..." + (show)

@mjb24 I did not know you had to take your probiotic separately? I take mine with my antibiotic in the am and my magnesium, allergy meds , and heartburn med and vitamin D

Mary | @mjb24 | Aug 19 3:45pm

In reply to @kasper1 "@mjb24 I did not know you had to take your probiotic separately? I take mine with..." + (show)

@kasper1 The reason for not taking a probiotic at the same time as we take an antibiotic or too soon afterwards is to prevent the antibiotic from destroying the good bacteria from the probiotic before it can reach our gut.

Mary | @mjb24 | Aug 19 3:56pm

In reply to @patti55 "I’m curious and would appreciate if anyone has or knows if you can take both probiotics..." + (show)

@patti55 The probiotic I take has 7 different bacteria in it. I would talk to your pharmacist or go online to see if you can find one that contains both.

suzieq11 | @suzieq11 | Aug 20 9:49am

In reply to @kayelynn "I ate a variety of yogurt that I bought at Walmart never got a yeast infection...." + (show)

@kayelynn My first treatment for MAC failed in 2021. Symptoms recurred within a few months. My pulmonologist retired telling me "no follow up needed". I waited 3 years to find a new pulmonologist. I am now allergic to most antibiotics so not a good candidate for tx ( I am 81). I have developed bronchiectasis with shortness of breath and night sweats) Now I have a good pulmonologist and a terrific ID doctor - they are monitoring CT scans and have added nebulizing tx with saline and levalbuteral to Previously ignored airway clearance advice. I admit to ignoring routine medical issues for six years due to caregiving for husband who recently died from Parkinsons Disease. Now I am paying attention to nutrition, exercise and airway clearance and frightened of getting a secondary lung infection. This is a cautionary tale for you caregivers out there - you must take care of your health - find a way to do it. Long term caregiving is a risk factor for exacerbation of chronic disease in the elderly. Best wishes to all - your advice has helped me.

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