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Probiotics × Immunosuppressants

MODERATE INTERACTION — Probable Evidence

⚠️ Mechanism

Probiotics contain live organisms that may cause infection in immunocompromised patients.

📋 Effect

Possible bacteremia or fungemia in immunosuppressed patients

💊 Management

Avoid in transplant patients and those on high-dose immunosuppressants. Consult specialist.

Plain Language Summary

This combination can be dangerous for individuals with a weakened immune system. Because probiotics contain live bacteria, they may cause an infection in the bloodstream.

Source

Borriello SP et al. Am J Clin Nutr 2003; Honeycutt T et al. Transplantation 2004

Supporting Research

Probiotics for maintenance of remission in ulcerative colitis PMID:32128794 DOI:10.1002/14651858.CD007443.pub3 2020
Probiotics for induction of remission in ulcerative colitis PMID:32128795 DOI:10.1002/14651858.CD005573.pub3 2020
Probiotics for the prevention of Clostridium difficile-associated diarrhea in adults and children PMID:29257353 DOI:10.1002/14651858.CD006095.pub4 2017
Effect of chicory-derived inulin-type fructans on abundance of Bifidobacterium and on bowel function: a systematic review with meta-analyses PMID:35833477 DOI:10.1080/10408398.2022.2098246 2023
Dietary fiber intervention on gut microbiota composition in healthy adults: a systematic review and meta-analysis PMID:29757343 DOI:10.1093/ajcn/nqy041 2018
Probiotics for preventing gestational diabetes PMID:33870484 DOI:10.1002/14651858.CD009951.pub3 2021
Probiotics for treating acute infectious diarrhoea PMID:21069673 DOI:10.1002/14651858.CD003048.pub3 2010
Probiotics for the prevention of Clostridium difficile-associated diarrhea in adults and children PMID:23728658 DOI:10.1002/14651858.CD006095.pub3 2013
Medical Disclaimer: This interaction record is for informational and educational purposes only and does not constitute medical advice. Drug-supplement interactions can be dangerous. Always consult your healthcare provider or pharmacist before combining any supplement with prescription medications. Do not stop or change any medication without professional guidance.