Drug & supplement interaction

Bifidobacterium Breve + Dalbavancin Hydrochloride

Dalbavancin Hydrochloride brand name: Dalvance.

Moderate Interaction
The bottom line Moderate

Bifidobacterium Breve has a moderate interaction with Dalbavancin Hydrochloride. Theoretically, taking Bifidobacterium breve with antibiotic drugs might decrease the effectiveness of B.

Read the full interaction report
SeverityModerate
LikelihoodProbable
EvidenceD
What do Severity, Likelihood & Evidence mean?
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Interaction report

Bifidobacterium Breve and Dalbavancin Hydrochloride

Here is the interaction we found between these two, with the evidence behind it.

Moderate

ANTIBIOTIC DRUGS

Why this applies to Dalbavancin Hydrochloride

Dalbavancin Hydrochloride falls under ANTIBIOTIC DRUGS — the group Bifidobacterium Breve interacts with.

Theoretically, taking Bifidobacterium breve with antibiotic drugs might decrease the effectiveness of B. breve.
Since B. breve preparations usually contain live and active organisms, simultaneously taking antibiotics might kill a significant number of the organisms. Tell patients to separate administration of antibiotics and B. breve preparations by at least 2 hours.
Severity Moderate Likelihood Probable Evidence D

Interaction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports..

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Here's the simple version: dalbavancin (Dalvance) is an antibiotic, and antibiotics don't pick favorites. They go after bacteria in general, and that includes the friendly Bifidobacterium breve you're swallowing in your probiotic. So the worry here isn't that the probiotic makes your antibiotic dangerous. It's the other way around. The antibiotic may kill off a good chunk of those live probiotic bugs, leaving you paying for a supplement that isn't doing much.

One thing to know about dalbavancin: it's given as a long-acting IV in the clinic and lingers in your body for weeks, so simple timing tricks won't fully sidestep this. This concern is theoretical, based on how antibiotics work, not on hard studies. If a probiotic matters to you, just run the timing past your pharmacist or doctor.

References
  1. Pierce A. The American Pharmaceutical Association Practical Guide to Natural Medicines. New York: The Stonesong Press, 1999:19.
  2. Xiao JZ, Takahashi S, Odamaki T, et al. Antibiotic susceptibility of bifidobacterial strains distributed in the Japanese market. Biosci Biotechnol Biochem. 2010;74(2):336-42. PubMed

What These Ratings Mean

Every interaction above is graded three ways — here’s the key to each label.

Severity how clinically significant the interaction is
Major

Clinically significant. Avoid the combination, or use only under close professional supervision.

Moderate

Usually worth avoiding or managing — may need monitoring, a dose change, or timing apart.

Minor

Generally not serious. Be aware of it and mention it to your pharmacist.

Likelihood how strong the evidence is that the interaction actually happens in people
  • LikelyWell-controlled human studies have demonstrated the likely existence of this interaction.
  • ProbableInteraction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • PossibleInteraction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.
  • UnlikelyInteraction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Evidence the quality of the studies behind the rating (graded A–D)
  • AHigh-quality meta-analysis (quantitative systematic review).
  • BCase-control study.
  • CConsensus.
  • DAnecdotal evidence.

These ratings are for information only. Never start, stop, or otherwise change your therapy before speaking with your provider.

Keep it in perspective

Bifidobacterium Breve Also Interacts With Other Medications

Bifidobacterium Breve has 181 moderate known drug interactions in our database — the Dalbavancin Hydrochloride one above is one of them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Bifidobacterium Breve

Covers the 2,830 medications we’ve checked against Bifidobacterium Breve. Pick one to open its full report.

Everything else you take

See Every Supplement That Interacts With Dalbavancin Hydrochloride

This page covers Bifidobacterium Breve only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Dalbavancin Hydrochloride page lists 27 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Bacillus Coagulans (moderate), Bacillus Subtilis (moderate), Bifidobacterium Animalis Subsp. Lactis (moderate), Bifidobacterium Bifidum (moderate) and Bifidobacterium Longum (moderate).

By severity: 26 moderate · 1 minor.

From our pharmacist’s overview on the Dalbavancin Hydrochloride page

“Everything on the dalbavancin (Dalvance) interaction list points in one direction. No supplement on file makes this IV skin-infection antibiotic dangerous or weaker; instead, dalbavancin can kill the live organisms in probiotic products, so the supplement is the one that loses.”

Reviewed by 2 · Jul 18, 2026

Open the Dalbavancin Hydrochloride interaction page

One more smart check

Taking Bifidobacterium Breve as Part of a Dietary Supplement Product? Check It for Interactions

We hold 1,771 real supplement products containing Bifidobacterium Breve, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Bifidobacterium Breve. Your product may carry other ingredients that interact with Dalbavancin Hydrochloride too, on top of Bifidobacterium Breve — and those would not show on this page. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Bifidobacterium Breve and Dalbavancin Hydrochloride Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Bifidobacterium Breve
Top 25%

#173 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Dalbavancin Hydrochloride
Steady interest

#2,458 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Supplement

About Bifidobacterium Breve

What is Bifidobacterium Breve?

  • Digestive health and regularity
  • Infant colic and gut support
  • Diarrhea (including antibiotic-related)
  • Constipation
  • General immune and gut microbiome support

Bifidobacterium breve is a 'friendly' gut bacterium taken as a probiotic, most often to support digestion and balance the gut microbiome. Some studies suggest possible benefits for certain digestive and infant conditions, but evidence is still limited and varies by strain. It is generally well tolerated in healthy people, but anyone with a weak immune system or serious illness should check with a doctor or pharmacist first.

Read the full Bifidobacterium Breve monograph & all interactions
Medication

About Dalbavancin Injection

What Is Dalbavancin Injection Used For?

Brand name: Dalvance

Dalvance (dalbavancin) injection is approved to treat acute bacterial skin and skin structure infections (ABSSSI) in adults and children from birth through age 17. These are serious bacterial skin infections that require treatment with an antibacterial given by IV.

It works against specific Gram-positive bacteria, including Staphylococcus aureus (both methicillin-susceptible and methicillin-resistant strains, known as MRSA), several Streptococcus species, and vancomycin-susceptible Enterococcus faecalis. It should only be used when one of these susceptible bacteria is proven or strongly suspected to be causing the infection.

See full Dalbavancin Injection drug information
Keep checking

Other Drugs & Bifidobacterium Breve

Browse every other medication we’ve checked against Bifidobacterium Breve — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
181Moderate
0Minor
2,648No known interaction
Moderate

181 interactions

Showing 60 of 181 moderate interactions — see all 181 on the Bifidobacterium Breve page.

No interaction 2,648 drugs checked — show the list
Sources

Sources & How We Checked

Interaction details are evidence-graded and sourced from the Natural Medicines database. The medication overview comes from MedlinePlus.

Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

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Pharmacist Counseling Corner

Taking Bifidobacterium Breve and Dalbavancin Hydrochloride Together: Common Questions

Can you take Bifidobacterium Breve with Dalbavancin Hydrochloride?
There is a moderate interaction, so it may be acceptable with monitoring or timing changes — but check with your pharmacist first. Read the full details on this page and confirm with your pharmacist before combining them.
How serious is the Bifidobacterium Breve and Dalbavancin Hydrochloride interaction?
We rate it Moderate. This combination may require monitoring, a dose adjustment, or separating the times you take each one. Consult your pharmacist before using them together.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Still Have a Question About Dalbavancin Hydrochloride and Bifidobacterium Breve?

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.