Which probiotics to take at the same time as antibiotics?

2023-04-17 15:37:19

Mixing drugs is not always indicated. And when it comes to probiotics, the question must also be asked!

Probiotics are not automatic…

“During a trip abroad, probiotics are a great help to prevent turista”assures Dr. Martine Cotinat, gastroenterologist1. Too late ? They are taken anyway, because they (very) slightly reduce the intensity and duration of symptoms. They are also essential if you have had an infection that lasted several days (gastro, turista), because it has surely disturbed your intestinal microbiota. And also in parallel with antibiotics to limit the damage.

Which probiotics to choose when taking antibiotics?

S. boulardii CNCM I-745 (Ultra-yeast) or lactobacilli (Lactibiane Voyage, which, as a bonus, remains stable for one month even at 40°C) in anticipation of a travel to an exotic country. To start 5 days before departure (3 capsules/day) then 1 capsule per day once on site. For the duration of the antibiotic treatment, and for one month following the infection, we use a product that mixes S. boulardii, L. plantarum, L. acidophilus and/or L. rhamnosus (Lactibiane ATB; Advanced 40+ Acidophilus; L ‘Essential Probiotics). “Without forgetting to increase the intake of prebiotics in the diet thanks to vegetables, whole grains, etc.”insists Dr Berrebi2. Formulas incorporating prebiotics such as fructo-oligosaccharides (FOS) or inulin (chicory) are, on the other hand, to be avoided in these situations, so as not to aggravate the diarrhoea.

Foods that are gentle on the intestines

When you take antibiotics and probiotics, you also put on the menu foods that are gentle on the intestines, which help regulate transit: bananas, potatoes in soup or mashed potatoes, rice (+ cooking water to drink), pasta, apple or quince compote, savory or sweet biscuits. No meat, juice, raw fruit, eggs and dairy products.

What medicine to regulate transit?

A medication that regulates transit without blocking it, such as racecadotril (Tiorfan), 1 tablet at the first signs of diarrhea, then 1 tablet morning and evening before meals until the stools return to normal. Haro on Imodium type treatments if you have caught an infection, because they prevent the elimination of germs.

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