{"id":6434,"date":"2024-12-10T05:08:45","date_gmt":"2024-12-10T05:08:45","guid":{"rendered":"https:\/\/healthmedicinet.com\/review\/hmn-why-you-should-take-probiotics-with-antibiotics-in-2025\/"},"modified":"2024-12-10T05:08:45","modified_gmt":"2024-12-10T05:08:45","slug":"hmn-why-you-should-take-probiotics-with-antibiotics-in-2025","status":"publish","type":"post","link":"https:\/\/healthmedicinet.com\/review\/hmn-why-you-should-take-probiotics-with-antibiotics-in-2025\/","title":{"rendered":"HMN: Why you should take probiotics with antibiotics in 2025"},"content":{"rendered":"<p>\n<br \/>Do you know:  Why you should take probiotics with antibiotics in 2025<\/p>\n<div id=\"main-content\">\n<div id=\"post-intro\">\n<div id=\"takeaways\">\n<h2>Key takeaways<\/h2>\n<ul>\n<li>\n<p><span style=\"font-weight: 400;\">Antibiotics can disrupt the gut microbiome, leading to side effects like diarrhea. However, taking probiotics during and after antibiotic treatment can help reduce common side effects and restore good bacteria for a healthy gut.<\/span><\/p>\n<\/li>\n<li>\n<p><span style=\"font-weight: 400;\">Taking probiotics at least two hours apart from antibiotics can prevent interaction and ensure the effectiveness of the antibiotic treatment and the probiotic supplementation.<\/span><\/p>\n<\/li>\n<li>\n<p><span style=\"font-weight: 400;\">Probiotic supplements should have diversity in strains, a high dose of colony-forming units (CFUs), and a form that is well-tolerated by the individual. Recommendations often suggest 10 billion CFUs or higher.<\/span><\/p>\n<\/li>\n<li>\n<p><span style=\"font-weight: 400;\">Incorporating foods rich in prebiotics and probiotics into one\u2019s diet during antibiotic therapy supports gut health by stimulating the growth of beneficial bacteria. It is an alternative or complementary approach to taking probiotic supplements.<\/span><\/p>\n<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<section class=\"table-of-contents\">\n<div class=\"anchorLinks\">\n<div class=\"mobile-only\">\n<div class=\"dropdownLists\">\n<div class=\"dropdownBtn\"><span class=\"listsIcon\"><br \/>\n\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.singlecare.com\/blog\/wp-content\/themes\/singlecare\/images\/union.svg\" width=\"14\" height=\"20\"\/><\/span><br \/>\n\t\t\t\t\t\t\t<label><\/label><br \/>\n\t\t\t\t\t\t\t<span class=\"downArrow\"><br \/>\n\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.singlecare.com\/blog\/wp-content\/themes\/singlecare\/images\/dropDownArrow.svg\" width=\"24\" height=\"24\"\/><br \/>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/section>\n<p><span style=\"font-weight: 400;\">Antibiotics<\/span><span style=\"font-weight: 400;\"> play a critical role in killing bad bacteria. However, as they destroy infections, they can also cause collateral damage by killing the <\/span><i><span style=\"font-weight: 400;\">good<\/span><\/i><span style=\"font-weight: 400;\"> gut bacteria that support immune system function. This could result in diarrhea after starting treatment, which can continue for weeks after you stop taking the medicine.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">You need the health benefits of antibiotic treatment, but, of course, you don\u2019t want the nasty stomach side effects. The answer might be found in <\/span><a href=\"https:\/\/nccih.nih.gov\/health\/probiotics\/introduction.htm\"><span style=\"font-weight: 400;\">probiotics<\/span><\/a><span style=\"font-weight: 400;\">, which are live microorganisms that boost gut health. Read on if you\u2019re wondering about the best way to take probiotics with antibiotics.<\/span><\/p>\n<h2 id=\"the-impact-of-antibiotics-on-gut-health\"><b>The impact of antibiotics on gut health<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Antibiotics are medications that <\/span><a href=\"https:\/\/medlineplus.gov\/antibiotics.html\"><span style=\"font-weight: 400;\">fight bacterial infections<\/span><\/a><span style=\"font-weight: 400;\">. They work in one of two ways: either by destroying a specific type of bacteria or preventing its growth. Antibiotics achieve these results in several ways. They are usually taken orally but can also be used topically for skin infections or administered intravenously for more serious and systemic bacterial infections.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Because they fight bacteria, antibiotics won\u2019t work for viral infections. They should <\/span><span style=\"font-weight: 400;\">only be taken when necessary<\/span><span style=\"font-weight: 400;\"> to avoid antibiotic resistance, which happens when bacteria adapt to protect themselves from being destroyed by antibiotics.<\/span><\/p>\n<h3 id=\"why-do-antibiotics-upset-your-stomach\"><b>Why do antibiotics upset your stomach?<\/b><\/h3>\n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6000740\/\"><span style=\"font-weight: 400;\">Researchers<\/span><\/a><span style=\"font-weight: 400;\"> have identified a diverse community of about 100 trillion microorganisms and their genetic material that inhabit the gastrointestinal tract (GI tract). This is known as the gut <\/span><i><span style=\"font-weight: 400;\">microbiome<\/span><\/i><span style=\"font-weight: 400;\"> or gut flora. Most of these microorganisms are bacteria but also include fungi, viruses, and protozoa (a type of parasite). Together, they play an <\/span><a href=\"https:\/\/www.hsph.harvard.edu\/nutritionsource\/microbiome\/\"><span style=\"font-weight: 400;\">important role<\/span><\/a><span style=\"font-weight: 400;\"> in human health, affecting many bodily processes, including digestion, synthesis of nutrients, and the regulation of metabolism, body weight, and the immune system. It also affects <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6469458\/\"><span style=\"font-weight: 400;\">brain function and mood<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The microbiome is made up of both beneficial and harmful microbes. The good guys work in symbiosis with the human body, while the bad microbes can promote disease. Usually, the good and bad microbes comprising the microbiome live in balance and can coexist without any issues.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Antibiotic use changes the balance in the gut microbiome, which may result in a decrease in the healthy bacteria and an increase in the harmful bacteria, explains <\/span><a href=\"https:\/\/endomune.com\/meet-dr-hoberman\"><span style=\"font-weight: 400;\">Lawrence Hoberman<\/span><\/a><span style=\"font-weight: 400;\">, MD, a board-certified gastroenterologist.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Antibiotic use can have <\/span><a href=\"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcimb.2020.572912\/full\"><span style=\"font-weight: 400;\">negative effects<\/span><\/a><span style=\"font-weight: 400;\"> on the microbiome, such as reduced species diversity and altered metabolic activity. What\u2019s more, antibiotic use can cause antibiotic-related complications such as nausea, diarrhea, and <\/span><span style=\"font-weight: 400;\">Clostridioides difficile infections<\/span><span style=\"font-weight: 400;\"> (also known as C. difficile or C. diff). One study found the <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/9892789\/\"><span style=\"font-weight: 400;\">antibiotics-diarrhea connection impacts between 5% and 39% of patients,<\/span><\/a><span style=\"font-weight: 400;\"> depending on which antibiotic they take.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Clostridioides difficile is a bad bacteria that is allowed to grow when antibiotics kill the good bacteria. A C diff infection can cause anything from chronic diarrhea to life-threatening colitis with sepsis. It is diagnosed by a stool test and treated with the oral antibiotics <\/span><span style=\"font-weight: 400;\">vancomycin<\/span><span style=\"font-weight: 400;\"> or <\/span><span style=\"font-weight: 400;\">fidaxomicin<\/span><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h2 id=\"should-you-take-probiotics-with-antibiotics\"><b>Should you take probiotics with antibiotics?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">If your stomach is upset when taking antibiotics, you likely want to find a way to feel better. <\/span><span style=\"font-weight: 400;\">Probiotics<\/span><span style=\"font-weight: 400;\"> could be the answer.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Research shows that probiotic use can curb digestion problems. <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3601687\/\"><span style=\"font-weight: 400;\">Taking probiotics<\/span><\/a><span style=\"font-weight: 400;\"> during the entire course of antibiotic treatment is an effective way to reduce side effects like antibiotic-associated diarrhea (AAD). A meta-analysis of 34 studies found that <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/16728323\"><span style=\"font-weight: 400;\">probiotics reduce instances of AAD by 52%<\/span><\/a><span style=\"font-weight: 400;\">. Probiotics replenish the beneficial bacteria in the gut to prevent disrupting the microbiome\u2019s balance.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In addition to diminishing antibiotics\u2019 digestive side effects, the use of probiotics can make antibiotics more effective. <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4588086\/\"><span style=\"font-weight: 400;\">One study<\/span><\/a><span style=\"font-weight: 400;\"> found that among 6,000 people with H. pylori infections, supplementing antibiotic therapy with probiotics increased the eradication rate by about 10%, an effect supported by more <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7037652\/\"><span style=\"font-weight: 400;\">recent research<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This is why doctors often recommend taking probiotics when you\u2019ve been prescribed antibiotics\u2014just be sure to space out when you take them, so you\u2019re not taking a dose of antibiotic at the same time as a <\/span><span style=\"font-weight: 400;\">probiotic supplement<\/span><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h2 id=\"when-to-take-probiotics-with-antibiotics\"><b>When to take probiotics with antibiotics<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Start taking probiotics daily on the same day you begin your antibiotics, at least two hours apart. \u201cBy waiting two hours, the probiotic or antibiotic level is low in the intestines,\u201d Dr. Hoberman says. \u201cIt doesn\u2019t make any difference which is taken first, as long as it\u2019s separated by two hours.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The specific dosage will vary depending on the product you use. Still, a typical probiotic dose <\/span><a href=\"https:\/\/www.aafp.org\/pubs\/afp\/issues\/2008\/1101\/p1073.html\"><span style=\"font-weight: 400;\">ranges between<\/span><\/a><span style=\"font-weight: 400;\"> 10 to 20 billion colony-forming units per day for adults and 5-10 billion colony-forming units per day for children.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Continue taking probiotics for at least a week after your course of antibiotics ends.<\/span><\/p>\n<h2 id=\"which-probiotics-should-you-take-with-antibiotics\"><b>Which probiotics should you take with antibiotics?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Your pharmacy probably has shelves filled with different bottles of probiotic supplements, which can make it difficult to know which one to take. Common strains include Lactobacillus, <\/span><span style=\"font-weight: 400;\">Saccharomyces boulardii<\/span><span style=\"font-weight: 400;\">, and <\/span><span style=\"font-weight: 400;\">Acidophilis<\/span><span style=\"font-weight: 400;\">. The <\/span><a href=\"https:\/\/www.aafp.org\/pubs\/afp\/issues\/2017\/0801\/p170-s1.html\"><span style=\"font-weight: 400;\">American Family Physician<\/span><\/a><span style=\"font-weight: 400;\"> says to look for the three D\u2019s: diversity, dose, and delivery.<\/span><\/p>\n<h3 id=\"diversity\"><b>Diversity<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">The label on a bottle of probiotics will tell you which strains of bacteria the capsules contain. Look for probiotics that have five to 10 different strains. The most widely studied types of probiotics include Lactobacillus acidophilus and Bifidobacterium species. These strains of probiotics have been shown in more studies to help stabilize the microbiome and keep it healthy compared to other probiotic strains. If you\u2019re considering adding a probiotic supplement to your daily regimen, consult your provider first about what type of diversity you need.<\/span><\/p>\n<h3 id=\"dose\"><b>Dose<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">The active microbiota in a probiotic is measured in colony-forming units, or CFUs. Many providers recommend a dose of 10 billion CFUs or higher.<\/span><\/p>\n<h3 id=\"delivery\"><b>Delivery<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Probiotic supplements come in various forms, including capsules, powders, gel caps, gummies, and liquids. The best kind for you will be the kind that you tolerate best.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">You can ask your pharmacist for a recommendation on the best probiotic that fits these three criteria.<\/span><\/p>\n<h2 id=\"are-there-any-risks-to-taking-probiotics-with-antibiotics\"><b>Are there any risks to taking probiotics with antibiotics?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">For healthy individuals, there are no major risks or adverse effects of taking probiotics with antibiotics. However,<\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC4490230\/\"> <span style=\"font-weight: 400;\">research<\/span><\/a><span style=\"font-weight: 400;\"> indicates that probiotics may increase infection risk in immunocompromised patients and may cause gastrointestinal side effects like gas, bloating, and constipation. Consult a healthcare provider for personalized advice about using probiotics.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Although probiotics don\u2019t fight against antibiotics, it\u2019s essential to time your probiotic supplementation around your antibiotics dose appropriately. If you take antibiotics at the same time as probiotics, the latter will be less effective. That\u2019s because antibiotics are designed to kill or inhibit all good and bad bacteria. Taking probiotics two hours before or after your antibiotic dose is best. This way, they can help restore the microbiome without antibiotic interference.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">While some healthcare professionals prescribe probiotics with antibiotics, not all do. That\u2019s likely because research isn\u2019t universally strong regarding the benefits of probiotics in restoring gut flora after antibiotics. For example, a<\/span>\u00a0<a href=\"https:\/\/bmcmedicine.biomedcentral.com\/articles\/10.1186\/s12916-023-02961-0\"><span style=\"font-weight: 400;\">2023 research review and meta-analysis<\/span><\/a><span style=\"font-weight: 400;\"> found that probiotic supplementation during antibiotic therapy was not clinically beneficial for gut microbiome diversity.<\/span><span style=\"font-weight: 400;\"> Still, that\u2019s not to say probiotics have no impact, as they are useful for the prevention of antibiotic-associated diarrhea.<\/span><span style=\"font-weight: 400;\"> Your prescribing healthcare provider can discuss the potential benefits of probiotics with you.<\/span><\/p>\n<h2 id=\"what-you-should-eat-during-antibiotic-therapy\"><b>What you should eat during antibiotic therapy<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Don\u2019t stop with supplements alone\u2014eating foods that are rich in probiotics and prebiotics can help your stomach stay strong and is an alternative approach to probiotic supplements. Prebiotics are the high-fiber foods that your body can\u2019t digest. As they pass through your digestive tract, they feed the probiotics living there and stimulate their growth. In other words, they help the good bacteria (the probiotics) in your gut flourish and make them <\/span><a href=\"https:\/\/www.mayoclinic.org\/prebiotics-probiotics-and-your-health\/art-20390058\"><span style=\"font-weight: 400;\">more effective<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">When you\u2019re taking antibiotics, it\u2019s a good idea to eat a diet that\u2019s rich in both prebiotics and probiotics.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Try eating prebiotic-rich foods, which can help to increase beneficial bacteria like Bifidobacteria and Lactobacillus, such as:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Leafy bitter greens, like dandelion greens, seaweed, and spinach<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Onions, garlic, and leeks<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Asparagus<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bananas<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Apples<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Barley<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Oats<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cocoa<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Flaxseeds<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Roots, like chicory root and jicama root<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Jerusalem artichoke<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Then, add probiotic-rich foods to your diet, such as:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fermented foods like raw, unpasteurized sauerkraut (pasteurization kills the live and active bacteria), tempeh, and kimchi<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Miso<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Yogurt (with live and active cultures), kefir, and buttermilk (traditional, not cultured)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Kombucha<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pickles (cucumbers pickled in salty water and fermented; pickles made with vinegar do not have probiotic effects)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If you are trying to 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