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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Profile picture for marieaw @marieaw

@pmmar1 I have read that you should wait 2 hours before and after antibiotics to take a probiotic. I wonder about Greek yogurt or kefir, if they can be taken at the same time, or do you need to wait two hours apart from the antibiotic with them too?

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@marieaw
same as applies to oral supplements. You wait.

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@marieaw
Good morning! I have waited the 2 hours but some people think 2-4 is better. Waiting does not make me happy but the reason for waiting is logical because you are trying to rid your body of the bad with the antibiotics and then at the same time taking a probiotic to provide good bacteria. Perhaps the following is helpful:

To maximize effectiveness:
Do not take probiotics at the exact same time as antibiotics; allow 2–4 hours between doses to prevent the antibiotic from killing the probiotic organisms. Continue probiotics for 1–2 weeks after finishing antibiotics, or longer if recommended by your healthcare provider.

Although not on the antibiotics as of today, I still take the Jarro daily and my body loves the extra help with good bacteria. You may want to run this by your provider but I think the answer will still be the same.
Best wishes!

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Profile picture for jessmac @jessmac

Does anyone on here take the MAC meds Monday thru Friday? I plan to start the drugs next week and I’ve noticed comments on here seem to take either 3 times a week or every day. I’ve actually read that Monday-Friday is very unusual.

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What level is your MAC? I was told there are two standard protocols - one 3 days a week, the other 5 days a week. Since my MAC is at the mild to moderate range, I was given the 3 days per week protocol. If your MAC is at a higher level, that may be the reason for the difference. Ask your doc.

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