Drug & supplement interaction

Lacticaseibacillus Casei + Bosutinib

Bosutinib brand name: Bosulif.

No Known Interaction

Medically reviewed by Dr. Brian Staiger, PharmD, BCPS · Updated July 2026 · Pair last verified Sep 20, 2026

The bottom line No known interaction

We found no known interaction between Lacticaseibacillus Casei and Bosutinib in our sources. Absence of a documented interaction is not the same as proven safety, and does not guarantee one does not exist. Do not start, stop, or change a medication or supplement based on this page; confirm with your pharmacist or doctor first. Additionally, although there is no interaction, the label for Bosutinib states a food rule worth keeping to, and the two are separately associated with some of the same side effects, which would make a new symptom harder to attribute to one or the other.

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Interaction report

Lacticaseibacillus Casei and Bosutinib

We checked these two against our interaction database. Here is what we found.

No Known Interaction Found

We did not find a documented interaction between Bosutinib and Lacticaseibacillus Casei in our sources. This does not guarantee that the combination is completely free of risk — there is often limited research on supplements and herbal products, especially around drug interactions.

If you decide to take both, the practical routine is simple: add one new thing at a time and note the date you started it. If the combination is going to disagree with you, it usually shows in the first days to a couple of weeks — and a start date turns “I’ve been feeling off” into something a pharmacist can actually work with. Do not stop a prescribed medicine on your own.

Always talk with your pharmacist or doctor before making changes to your medications or supplements, particularly if you take several medications or have an ongoing health condition.

Lacticaseibacillus Casei safety at a glance

Lacticaseibacillus... overall Use caution Generally well tolerated in healthy people, but caution is needed for those with weakened immune systems or serious illness.

Pregnancy Possibly Safe When used orally and appropriately. A combination of Lacticaseibacillus casei, Lactobacillus acidophilus, and Bifidobacterium bifidum has been used with apparen... Read the full pregnancy detail

Breastfeeding Use caution Likely low risk but not well studied; talk to your healthcare provider first.

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center) — the full detail is in the Special populations card below. Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Bosutinib and Lacticaseibacillus Casei? Ask Dr. Brian Staiger, PharmD, BCPS directly ›

How we checked

Why No Interaction Is Listed for Bosutinib

Interactions in our licensed database are recorded against drug classes, not just single drug names. Bosutinib is filed under 4 classifications — including nephrotoxic drugs, hepatotoxic drugs, cytochrome p450 3a4 (cyp3a4) substrates. Lacticaseibacillus Casei has documented interactions with 1 drug class — the most serious being antibiotic drugs (moderate) — and none of Bosutinib’s classifications are among them.

Classification data comes from our licensed Natural Medicines dataset. A medication can belong to classes beyond those recorded there, so this describes how the check was run — it is not a safety guarantee.

Keep it in perspective

Lacticaseibacillus Casei Does Interact With Other Medications

Lacticaseibacillus Casei has 182 moderate known drug interactions in our database — Bosutinib isn’t one of them. If you take anything else, check it against the full list below.

Moderate 182 No known interaction 2,648 (incl. Bosutinib)

Taking anything else?

Check Another of Your Medications Against Lacticaseibacillus Casei

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

What to actually watch for

No Interaction Found — But Data Suggests Lacticaseibacillus Casei and Bosutinib May Share Several of the Same Side Effects

This is not an interaction. Neither one changes how your body handles the other, and nothing here says they react together. What our sources do show is that each has separately been linked to the effects below — so taking both can make those effects more likely to turn up, and harder to pin on one or the other if they do. One of them is worth acting on rather than waiting out — marked below.

A higher chance of infection Worth acting on Additional detail
Lacticaseibacillus Casei
“Since Lacticaseibacillus casei preparations contain live and active microorganisms, there is some concern that they might cause pathogenic infection in some patients. Some lactobacilli species have been isolated in some cases of bacteremia, sepsis, splenic abscess, endocarditis, aortic dissection, necrotizing fasciitis, pancreatic necrosis, and meningoencephalitis.”

Lacticaseibacillus Casei · Natural Medicines adverse-effect record, reported in cardiovascular disease (cvd).
6 sources cited

107543. Rossi F, Amadoro C, Gasperi M, Colavita G. Lactobacilli infection case reports in the last three years and safety implications. Nutrients. 2022;14(6):1178. PubMed

112516. Russo A, Angeletti S, Lorino G, et al. A case of Lactobacillus casei bacteraemia associated with aortic dissection: is there a link?. New Microbiol 2010;33(2):175-8.

112520. Rahman A, Alqaisi S, Nath J. A Case of Lactobacillus casei endocarditis associated with probiotic intake in an immunocompromised patient. Cureus. 2023;15(4):e38049. PubMed

90282. Orkaby AR, Chen B, Iliaki EF, Sulis CA, Oates DJ. A curious case of Lactobacillus casei in a prosthetic joint: was it the yogurt? J Am Geriatr Soc. 2012;60(6):1177-8.

112514. de Seynes C, Dutronc H, Cremer P, Dupon M. Lactobacillus casei prosthetic joint infection. Med Mal Infect 2018;48(6):422-423. PubMed

96890. Topcuoglu S, Gursoy T, Ovali F, Serce O, Karatekin G. A new risk factor for neonatal vancomycin-resistant Enterococcus colonisation: bacterial probiotics. J Matern Fetal Neonatal Med. 2015;28(12):1491-4. PubMed
Bosutinib

Listed in the ADVERSE REACTIONS section of the FDA label for Bosutinib. Read the label on DailyMed ›
Stomach pain Additional detail
Lacticaseibacillus Casei
“Orally, taking Lacticaseibacillus casei in combination with other probiotics may cause gastrointestinal side effects including abdominal pain; however, these events are uncommon.”

Lacticaseibacillus Casei · Natural Medicines adverse-effect record, reported in pain.
1 source cited

90291. Shavakhi A, Tabesh E, Yaghoutkar A, Hashemi H, Tabesh F, Khodadoostan M,Minakari M, Shavakhi S, Gholamrezaei A. The effects of multistrain probiotic compound on bismuth-containing quadruple therapy for Helicobacter pylori infection: a randomized placebo-c
Bosutinib

Listed in the ADVERSE REACTIONS section of the FDA label for Bosutinib. Read the label on DailyMed ›

Reported for Lacticaseibacillus Casei but not commonly for Bosutinib: raised blood pressure.

Effects for Bosutinib come from the ADVERSE REACTIONS section of its FDA label; effects for Lacticaseibacillus Casei come from the Natural Medicines adverse-effect record, quoted above. Where a percentage is shown, it is the share of 8,931 voluntary FDA FAERS reports for Bosutinib that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Wording is matched across sources by our own clinical vocabulary, so treat this as a prompt to pay attention, not a diagnosis.

Special populations

Lacticaseibacillus Casei in Pregnancy & Breastfeeding

Pregnancy Possibly Safe

When used orally and appropriately. A combination of Lacticaseibacillus casei, Lactobacillus acidophilus, and Bifidobacterium bifidum has been used with apparent safety for 6 weeks, starting at 24-28 weeks' gestation.

DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.© 2026 Therapeutic Research Center

How to take them

Some Bosutinib Products Have a Food Rule — Lacticaseibacillus Casei Should Not Break It

At least one FDA label for a product containing Bosutinib says to take it with food. If you take Lacticaseibacillus Casei on an empty stomach out of habit, keep them separate — and take Bosutinib with a meal where the label says to.

This may not be true of your version. Food instructions belong to the product, not the ingredient: two Bosutinib products can carry different directions, and extended-release forms often differ from immediate-release ones. The label we read is quoted below — check the directions on your own box or bottle, or ask your pharmacist, for how to take the exact product you were given.

Adult patients with newly-diagnosed chronic phase Ph+ CML: 400 mg orally once daily with food.

From the Dosage and Administration section of the FDA label we read for Bosutinib — where that label names a specific product, the instruction is that product's. Read the label on DailyMed ›

A food rule is not an interaction — it is about how much of the medicine you absorb. The directions that came with your own product, and your pharmacist, outrank anything on this page.

Overlapping uses

What Bosutinib Is Prescribed For, and What Lacticaseibacillus Casei Has Been Studied For

These two come up together because they touch the same health topic — not because they do the same job. Bosutinib is a prescription medicine with approved uses on its FDA label. Lacticaseibacillus Casei is a supplement: what follows is what researchers have looked at it for, and how strong that evidence is.

Bosutinib is prescribed for: Bosutinib is used to treat Philadelphia chromosome-positive chronic myelogenous leukemia (Ph+ CML) — a type of blood cancer. It can be used for newly diagnosed patients or for those whose cancer has stopped responding to, or who cannot tolerate, a prior treatment. Bosulif (the brand-name product) is approved for adults and children 1 year and older with chronic phase Ph+ CML, and for adults with accelerated phase or blast phase Ph+ CML that is resistant or intolerant to prior therapy. Generic bosutinib tablets are approved for adults only with the same range of disease phases.

Lacticaseibacillus Casei has been studied for:

Cancer studied, not established Lacticaseibacillus Casei has been studied for this. Natural Medicines rates the evidence: Insufficient Reliable Evidence To Rate Read what the research shows

Lacticaseibacillus Casei for cancer

Although there has been interest in using oral Lacticaseibacillus casei for cancer prevention or treatment, there is insufficient reliable information about the clinical effects of L. casei for this condition.

Effectiveness ratings and the research summaries above are the verbatim record from the Natural Medicines database, which grades evidence from “Effective” down to “Insufficient Reliable Evidence To Rate”. A rating below the top of that scale means researchers have looked at it — not that it works, and never that it can stand in for a prescribed medicine. Do not stop or replace Bosutinib on your own; if you are taking Lacticaseibacillus Casei for the same health topic, tell your prescriber, especially if the medicine is being adjusted to a target.

Everything else you take

See Every Supplement That Interacts With Bosutinib

This page covers Lacticaseibacillus Casei only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Bosutinib page lists 172 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Asarabacca (major), Beer (major), Grapefruit (major) and Siberian Cocklebur (major).

By severity: 7 major · 126 moderate · 39 minor.

From our pharmacist’s overview on the Bosutinib page

“Grapefruit is the first thing to know about if you take bosutinib (Bosulif) for chronic myeloid leukemia. Bosutinib is cleared by the enzyme CYP3A4, and grapefruit blocks that pathway, so drug levels climb and side effects with them.”

Reviewed by 2 · Jul 18, 2026

Open the Bosutinib interaction page

How much people look this up

Where Lacticaseibacillus Casei and Bosutinib 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 Lacticaseibacillus Casei

Steady interest

#1,139 of 1,452 supplements looked up here in the last 7 days

29 days ago today

Medication Bosutinib

Steady interest

#1,582 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.

Where does our data come from?

Source: the Natural Medicines (TRC Healthcare) clinical database — the evidence-graded professional reference for herb & supplement interactions.
Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Lacticaseibacillus Casei reference on this page ↓
Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Lacticaseibacillus Casei and Bosutinib records this page draws on were last updated July 11, 2026.
What “no known interaction” means: no documented interaction in the sources above — not a guarantee of safety. Supplements are studied far less than prescription drugs, so we say exactly what the evidence supports, and nothing more.

Data structure & sourcing designed and verified by Dr. Brian Staiger, PharmD, BCPS.

Supplement

About Lacticaseibacillus Casei

What is Lacticaseibacillus Casei?

Digestive health
Diarrhea (including antibiotic-related)
Immune support
Constipation
Gut microbiome balance

Lacticaseibacillus casei (formerly Lactobacillus casei) is a 'friendly' probiotic bacterium found in fermented foods and many supplements. It is most studied for digestive issues like diarrhea, where some evidence is encouraging, but results vary by strain and condition. It is generally well tolerated in healthy people, but those with weakened immune systems should check with a doctor first.

Lacticaseibacillus casei · Lactobacillaceae · Whole live bacteria (probiotic strain) · Capsules, tablets, powders, fermented dairy products like yogurt and probiotic drinks

An interaction check asks whether these two react with each other — it does not ask whether Lacticaseibacillus Casei is a good idea for someone in your situation. Here is what our Lacticaseibacillus Casei record says about it on its own.

Lacticaseibacillus Casei: dosing

There is no single official standardized dose for L. casei. Probiotic amounts are usually measured in colony-forming units (CFUs), and products vary widely.The best approach is to follow the directions on the product label.

From our Lacticaseibacillus Casei monograph — the full record covers uses, side effects and every documented interaction.

Read the full Lacticaseibacillus Casei monograph & all interactions

Medication

About Bosutinib

What Is Bosutinib Used For?

Brand name: Bosulif

Bosutinib is used to treat Philadelphia chromosome-positive chronic myelogenous leukemia (Ph+ CML) — a type of blood cancer. It can be used for newly diagnosed patients or for those whose cancer has stopped responding to, or who cannot tolerate, a prior treatment.

Bosulif (the brand-name product) is approved for adults and children 1 year and older with chronic phase Ph+ CML, and for adults with accelerated phase or blast phase Ph+ CML that is resistant or intolerant to prior therapy. Generic bosutinib tablets are approved for adults only with the same range of disease phases.

Most-Reported Side Effects for Bosutinib

From FAERS, the FDA’s public side-effect reporting system (8,931 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Diarrhea 2,071 reports

Nausea 1,015 reports

Fatigue 726 reports

Vomiting 542 reports

Rash 491 reports

See full Bosutinib drug information

Keep checking

Other Drugs & Lacticaseibacillus Casei

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

0Major

182Moderate

0Minor

2,647No known interaction

182 Moderate 2,647 No interaction

Moderate

182 interactions

Showing 60 of 182 moderate interactions — see all 182 on the Lacticaseibacillus Casei page.

No interaction 2,647 drugs checked — show the list

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

Showing the 60 most looked-up of 2,647 medications checked with no known interaction — see the full Lacticaseibacillus Casei list.

See the full Lacticaseibacillus Casei interactions page

See every supplement checked against Bosutinib, ranked by severity

Evidence & sources

Lacticaseibacillus Casei References

The 10 references that drive our Lacticaseibacillus Casei monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.

Pierce A. The American Pharmaceutical Association Practical Guide to Natural Medicines. New York: The Stonesong Press, 1999:19.
Orkaby AR, Chen B, Iliaki EF, Sulis CA, Oates DJ. A curious case of Lactobacillus casei in a prosthetic joint: was it the yogurt? J Am Geriatr Soc. 2012;60(6):1177-8.
Shavakhi A, Tabesh E, Yaghoutkar A, Hashemi H, Tabesh F, Khodadoostan M,Minakari M, Shavakhi S, Gholamrezaei A. The effects of multistrain probiotic compound on bismuth-containing quadruple therapy for Helicobacter pylori infection: a randomized placebo-c
Karamali M, Dadkhah F, Sadrkhanlou M, et al. Effects of probiotic supplementation on glycaemic control and lipid profiles in gestational diabetes: a randomized, double-blind, placebo-controlled trial. Diabetes Metab 2016;42(4):234-41. PubMed
Topcuoglu S, Gursoy T, Ovali F, Serce O, Karatekin G. A new risk factor for neonatal vancomycin-resistant Enterococcus colonisation: bacterial probiotics. J Matern Fetal Neonatal Med. 2015;28(12):1491-4. PubMed
Badehnoosh B, Karamali M, Zarrati M, et al. The effects of probiotic supplementation on biomarkers of inflammation, oxidative stress and pregnancy outcomes in gestational diabetes. J Matern Fetal Neonatal Med. 2018 May;31(9):1128-1136.
Rossi F, Amadoro C, Gasperi M, Colavita G. Lactobacilli infection case reports in the last three years and safety implications. Nutrients. 2022;14(6):1178. PubMed
de Seynes C, Dutronc H, Cremer P, Dupon M. Lactobacillus casei prosthetic joint infection. Med Mal Infect 2018;48(6):422-423. PubMed
Russo A, Angeletti S, Lorino G, et al. A case of Lactobacillus casei bacteraemia associated with aortic dissection: is there a link?. New Microbiol 2010;33(2):175-8.
Rahman A, Alqaisi S, Nath J. A Case of Lactobacillus casei endocarditis associated with probiotic intake in an immunocompromised patient. Cureus. 2023;15(4):e38049. PubMed

Medication overviews come from MedlinePlus (NIH); supplement label data from the NIH Dietary Supplement Label Database. Content is written and reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.

Pharmacist Counseling Corner

Taking Lacticaseibacillus Casei and Bosutinib Together: Common Questions

Is it safe to take Lacticaseibacillus Casei with Bosutinib?

We do not list a known interaction between Lacticaseibacillus Casei and Bosutinib. That does not guarantee the combination is risk-free, so confirm with your pharmacist or doctor — especially if you take other medications or have a health condition.

Do Lacticaseibacillus Casei and Bosutinib have any of the same side effects?

Yes — our sources link each of them separately to 2 of the same effects. That is not an interaction: neither changes how your body handles the other. It does mean that if one of those effects turns up, it can be harder to tell which one is behind it. They are listed on this page with the source behind each.

Should I take Lacticaseibacillus Casei and Bosutinib at the same time of day?

At least one FDA label for a product containing Bosutinib says to take it with food. If you take Lacticaseibacillus Casei on an empty stomach out of habit, keep them separate and take Bosutinib with a meal where the label says to. Food instructions belong to the product rather than the ingredient — two Bosutinib products can differ — so check the directions on your own box. This is about absorption, not an interaction.

Are Lacticaseibacillus Casei and Bosutinib used for the same thing?

They overlap in purpose, which usually means the real question is whether you need both rather than whether they are safe together. This page lists the shared uses and how strong the evidence is for Lacticaseibacillus Casei in each. That is a conversation for your prescriber, especially if Bosutinib is being adjusted to a target.

How was the Lacticaseibacillus Casei and Bosutinib combination checked?

Interactions in our licensed database are recorded against drug classes. Bosutinib is filed under 4 classifications, and Lacticaseibacillus Casei has documented interactions with 1 drug class — none of Bosutinib's classifications are among them. A medication can belong to classes beyond those recorded in our dataset, so this describes how the check was run rather than guaranteeing safety.

Does Lacticaseibacillus Casei interact with any other medications?

Yes. Lacticaseibacillus Casei has 182 documented drug interactions in our database — Bosutinib is simply not one of them. If you take anything else, it is worth checking each one; they are all listed on this page.

Does Bosutinib interact with any supplements?

Yes. Bosutinib has documented interactions with 172 supplements in our database — Lacticaseibacillus Casei is not one of them. The Bosutinib interaction page linked on this page lists every one, ranked by severity.

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

Where next

Keep Exploring

Lacticaseibacillus Casei monograph Uses, safety profile, and every drug interaction in one place Bosutinib drug information The full plain-English guide to this medication Bosutinib supplement interactions Every supplement checked against Bosutinib, ranked by severity Supplement interaction checker Check any supplement or product against your medications Browse medications A–Z Every drug we’ve checked against herbs & supplements References The 10 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Bosutinib and Lacticaseibacillus Casei?

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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.