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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?
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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.
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1 ReactionThank 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.)
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1 ReactionMy 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.
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2 ReactionsI 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.
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1 Reaction@irenea8 Thank you. This is one of the companies I looked at. There are so many!
@tw508 . I do understand why you have said this, and so do many of us, especially with your knowledge and understanding.
Just curious. However, do you venture into supplements and if so have you found a company or companies that you are comfortable buying from.??
Sad thing today many things are that way for us to question " But are any companies "reliably providing what they say they are on the label."
Always good to remind each other to find reliable companies no matter what.
Barbara
I always look for peer-reviewed studies - and more than one - but there are precious few that I trust. And of course, the studies do not reveal where they source their cultures because they cannot be seen to promote a given supplier. However, since I used to attend a number of CF conferences for my work, I did buttonhole one researcher who admitted they got their L. acidophilus from Culturelle. This was years ago, but I still use that one. It worked great for IV antibiotic-induced diarrhea, but now I'm searching for probiotics to help treat SIBO, so I'm going to have to try to contact some of my old (and I do mean old) colleagues.
Please note I am not promoting Culturelle. The company may have changed hands 10 times since then for all I know. Also, YMMV!
@mjb24
I have also looked on the iHerb website. My drug regimen will include Rifampin, Ethambutol, and Azithromycin for 12-18 months. The literature suggests both Saccharomyces boulardii and Lactobacillus rhamnosus GG, and some lean toward recommending the former, since it is a probiotic yeast rather than a bacteria, so it will not be killed by the antibiotics I will be taking. I see my pulmonologist in 2 weeks and I want to have all of my questions lined up. I will start the treatment at that time.