Drug & supplement interaction

Fermented Milk + Imipenem, Cilastatin, Relebactam

Imipenem, Cilastatin, Relebactam brand name: Recarbrio.

Moderate Interaction
Medically reviewed by · Updated September 2026
The bottom line Moderate

Fermented Milk has a moderate interaction with Imipenem, Cilastatin, Relebactam. Theoretically, antibiotic drugs might decrease the effectiveness of fermented milk.

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

Fermented Milk and Imipenem, Cilastatin, Relebactam

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

Moderate

ANTIBIOTIC DRUGS

Why this applies to Imipenem, Cilastatin, Relebactam

Imipenem, Cilastatin, Relebactam falls under ANTIBIOTIC DRUGS — the group Fermented Milk interacts with.

Theoretically, antibiotic drugs might decrease the effectiveness of fermented milk.
Some fermented milk preparations contain live and active organisms, including lactobacilli and bifidobacteria strains. Simultaneously taking antibiotics might kill a significant number of these organisms. Tell patients to separate administration of antibiotics and fermented milk 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: this works the other way around from what most people worry about. Recarbrio (imipenem, cilastatin, relebactam) is a strong antibiotic that kills bacteria, and it can't tell the difference between the bad bugs causing your infection and the friendly probiotic strains in fermented milk like Lactobacillus and Bifidobacterium. So the antibiotic may simply wipe out a chunk of those live cultures, meaning you'd get less of the gut benefit you were hoping for.

This won't make the antibiotic dangerous, and it doesn't hurt you. It just makes the fermented milk less useful. Worth noting too, this is a theoretical concern based on how things work, not hard proof. One easy fix is to space them out by at least 2 hours. Recarbrio is given in the hospital through an IV, so your care team can help time things if probiotics matter to you.

Contact Dr. Brian directly if you have additional questions on this interaction
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

Fermented Milk Also Interacts With Other Medications

Fermented Milk has 473 moderate known drug interactions in our database — the Imipenem, Cilastatin, Relebactam one above is one of them. If you take anything else, check it against the full list below.

Moderate 473 No known interaction 2,357 (incl. Imipenem, Cilastatin, Relebactam)
Taking anything else?

Check Another of Your Medications Against Fermented Milk

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

Everything else you take

See Every Supplement That Interacts With Imipenem, Cilastatin, Relebactam

This page covers Fermented Milk only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Imipenem, Cilastatin, Relebactam page lists 33 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 Breve (moderate).

By severity: 32 moderate · 1 minor.

From our pharmacist’s overview on the Imipenem, Cilastatin, Relebactam page

“Anyone getting Recarrio (imipenem, cilastatin, and relebactam) is fighting a serious infection, usually in a hospital, and probiotics are exactly what people reach for during a course of antibiotics. That is why 27 of the 33 supplement interactions on file involve probiotic organisms, from acidophilus to fermented milk drinks.”

Reviewed by 2 · Jul 18, 2026

Open the Imipenem, Cilastatin, Relebactam interaction page

How much people look this up

Where Fermented Milk and Imipenem, Cilastatin, Relebactam 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 Fermented Milk
Top half

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

29 days ago today
Medication Imipenem, Cilastatin, Relebactam
Top 10%

#284 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 Fermented Milk

What is Fermented Milk?

  • Digestive health
  • Supporting gut bacteria (probiotics)
  • Lactose-related digestive discomfort
  • General nutrition (protein, calcium)
  • Immune support
  • Diarrhea prevention

Fermented milk is a food made by culturing milk with helpful bacteria or yeast, and it provides protein, calcium, and probiotics. It is generally safe for most people and may help digestion and gut health, though benefits depend on the product and strains used. People with milk allergy or weakened immune systems should be cautious.

Read the full Fermented Milk monograph & all interactions
Medication

About Imipenem, Cilastatin, and Relebactam Injection

What Is Imipenem, Cilastatin, and Relebactam Injection Used For?

Brand name: Recarbrio

Recarbrio (imipenem, cilastatin, and relebactam) is used to treat serious bacterial infections in adults and in children weighing at least 2 kg. It targets infections caused by susceptible gram-negative bacteria — the kinds that can be resistant to many other antibiotics.

Recarbrio is approved to treat hospital-acquired bacterial pneumonia and ventilator-associated bacterial pneumonia (HABP/VABP). It is also approved — in patients who have limited or no other treatment options — for complicated urinary tract infections (cUTI), including pyelonephritis (a kidney infection), and complicated intra-abdominal infections (cIAI) such as serious abdominal cavity infections.

See full Imipenem, Cilastatin, and Relebactam Injection drug information
Keep checking

Other Drugs & Fermented Milk

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

0Major
473Moderate
0Minor
2,356No known interaction
473 Moderate 2,356 No interaction
Moderate

473 interactions

Showing 60 of 473 moderate interactions — see all 473 on the Fermented Milk page.

No interaction 2,356 drugs checked — show the list

We also checked Fermented Milk against these medications and found no known interaction in our sources. Open any page to confirm.

Showing the 60 most looked-up of 2,356 medications checked with no known interaction — see the full Fermented Milk list.

See the full Fermented Milk interactions page
See every supplement checked against Imipenem, Cilastatin, Relebactam, ranked by severity
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

Keep exploring
Fermented Milk monograph › Uses, safety, and every drug interaction in one place Imipenem, Cilastatin, Relebactam supplement interactions › Every supplement checked against Imipenem, Cilastatin, Relebactam, ranked by severity Imipenem, Cilastatin, and Relebactam Injection drug information › The full plain-English guide to this medication Supplement interaction checker › Check any supplement or product against your medications Browse medications A–Z › Every drug we've checked against herbs & supplements Ask a pharmacist › Free, personal answer from our licensed team
Pharmacist Counseling Corner

Taking Fermented Milk and Imipenem, Cilastatin, Relebactam Together: Common Questions

Can you take Fermented Milk with Imipenem, Cilastatin, Relebactam?
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 Fermented Milk and Imipenem, Cilastatin, Relebactam 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 Imipenem, Cilastatin, Relebactam and Fermented Milk?

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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.