Drug & supplement interaction

Lacticaseibacillus Casei + Ceftazidime

Ceftazidime brand names: Ceftazidime, Fortaz, Tazidime, Ceptaz, Tazicef.

Moderate Interaction
The bottom line Moderate

Lacticaseibacillus Casei has a moderate interaction with Ceftazidime. Theoretically, taking Lacticaseibacillus casei with antibiotic drugs might decrease the effectiveness of L.

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

Lacticaseibacillus Casei and Ceftazidime

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

Moderate

ANTIBIOTIC DRUGS

Why this applies to Ceftazidime

Ceftazidime falls under ANTIBIOTIC DRUGS — the group Lacticaseibacillus Casei interacts with.

Theoretically, taking Lacticaseibacillus casei with antibiotic drugs might decrease the effectiveness of L. casei.
L. casei preparations usually contain live and active organisms. Therefore, simultaneously taking antibiotics might kill a significant number of the organisms. Tell patients to separate administration of antibiotics and L. casei preparations by at least two 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 thing to understand: this interaction works in one direction, and it's the probiotic that loses out, not your antibiotic. Ceftazidime is a powerful injectable antibiotic that kills bacteria, and L. casei is itself a live, friendly bacterium. So if the two overlap, the antibiotic may simply kill off a good chunk of those probiotic organisms before they can do anything helpful in your gut.

Your ceftazidime will still work exactly as your doctor intends, so don't worry there. This is more about making the probiotic worth taking. A common tip is to space the two apart, but since ceftazidime is given as an injection on a set schedule, it's worth asking your pharmacist how best to time your probiotic. Good news: this is theoretical and based on pharmacology, not proven harm.

References
  1. Pierce A. The American Pharmaceutical Association Practical Guide to Natural Medicines. New York: The Stonesong Press, 1999:19.

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

Lacticaseibacillus Casei Also Interacts With Other Medications

Lacticaseibacillus Casei has 181 moderate known drug interactions in our database — the Ceftazidime 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 Lacticaseibacillus Casei

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

Everything else you take

See Every Supplement That Interacts With Ceftazidime

This page covers Lacticaseibacillus Casei only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Ceftazidime page lists 37 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: African Wild Potato (moderate), Bacillus Coagulans (moderate), Bacillus Subtilis (moderate), Banderol (moderate) and Bifidobacterium Animalis Subsp. Lactis (moderate).

By severity: 36 moderate · 1 minor.

From our pharmacist’s overview on the Ceftazidime page

“A course of ceftazidime, an injectable antibiotic for serious infections, often comes with a probiotic to steady the gut, and that pairing is most of this list. Twenty-seven of the 37 ingredients on file are probiotics or fermented milk products whose live organisms the antibiotic can kill, blunting the supplement rather than the drug.”

Reviewed by 2 · Jul 18, 2026

Open the Ceftazidime interaction page

How much people look this up

Where Lacticaseibacillus Casei and Ceftazidime 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
Top half

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

29 days ago today
Medication Ceftazidime
Steady interest

#1,696 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 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.

Read the full Lacticaseibacillus Casei monograph & all interactions
Medication

About Ceftazidime Injection

What Is Ceftazidime Injection Used For?

Brand names: Ceftazidime, Fortaz, Tazidime, Ceptaz, Tazicef

Ceftazidime injection is used to treat infections caused by susceptible bacteria in several parts of the body. These include lower respiratory tract infections (including pneumonia), urinary tract infections (both simple and complicated), skin and skin-structure infections, bone and joint infections, gynecologic infections, intra-abdominal infections (including peritonitis), bacterial septicemia (bloodstream infection), and central nervous system infections including meningitis.

Tazicef (ceftazidime for injection, USP) may be used on its own for confirmed or suspected sepsis, or combined with other antibiotics such as aminoglycosides, vancomycin, or clindamycin for severe or life-threatening infections and in patients with weakened immune systems. Treatment is intended only for infections proven or strongly suspected to be caused by bacteria that respond to ceftazidime.

See full Ceftazidime Injection 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
181Moderate
0Minor
2,648No known interaction
Moderate

181 interactions

Showing 60 of 181 moderate interactions — see all 181 on the Lacticaseibacillus Casei 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 Lacticaseibacillus Casei and Ceftazidime Together: Common Questions

Can you take Lacticaseibacillus Casei with Ceftazidime?
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 Lacticaseibacillus Casei and Ceftazidime 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

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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.