Drug & supplement interaction

Lacticaseibacillus Rhamnosus + Avibactam Sodium, Ceftazidime

Avibactam Sodium, Ceftazidime brand name: Avycaz.

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

Lacticaseibacillus Rhamnosus has a moderate interaction with Avibactam Sodium, Ceftazidime. Theoretically, taking Lacticaseibacillus rhamnosus 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 Rhamnosus and Avibactam Sodium, Ceftazidime

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

Moderate

ANTIBIOTIC DRUGS

Why this applies to Avibactam Sodium, Ceftazidime

Avibactam Sodium, Ceftazidime falls under ANTIBIOTIC DRUGS — the group Lacticaseibacillus Rhamnosus interacts with.

Theoretically, taking Lacticaseibacillus rhamnosus with antibiotic drugs might decrease the effectiveness of L. rhamnosus.
L. rhamnosus 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. rhamnosus 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 a simple way to think about this one. Avycaz (ceftazidime with avibactam) is an antibiotic given by IV, and its whole job is to kill bacteria. The catch is that L. rhamnosus is a live, friendly bacterium. So an antibiotic strong enough to fight an infection can also knock out a good chunk of the probiotic organisms you're trying to add. That doesn't make the antibiotic dangerous, it just means the probiotic may not do much while they overlap.

This is a theoretical concern based on how antibiotics work, not a serious safety problem. If your doctor wants you on both, just space them out and take the probiotic at least two hours apart from your antibiotic. When in doubt, ask your pharmacist for timing tips.

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.

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 Rhamnosus Also Interacts With Other Medications

Lacticaseibacillus Rhamnosus has 181 moderate known drug interactions in our database — the Avibactam Sodium, Ceftazidime one above is one of them. If you take anything else, check it against the full list below.

Moderate 181 No known interaction 2,649 (incl. Avibactam Sodium, Ceftazidime)
Taking anything else?

Check Another of Your Medications Against Lacticaseibacillus Rhamnosus

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

Everything else you take

See Every Supplement That Interacts With Avibactam Sodium, Ceftazidime

This page covers Lacticaseibacillus Rhamnosus only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Avibactam Sodium, 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 Avibactam Sodium, Ceftazidime page

“Avycaz, the combination of ceftazidime and avibactam, is an intravenous antibiotic for serious infections, and its supplement list is calmer than that setting might suggest. None of the 37 ingredients on file carries a major rating; 36 are moderate and one is minor.”

Reviewed by 2 · Jul 18, 2026

Open the Avibactam Sodium, Ceftazidime interaction page

How much people look this up

Where Lacticaseibacillus Rhamnosus and Avibactam Sodium, 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 Rhamnosus
Top half

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

29 days ago today
Medication Avibactam Sodium, Ceftazidime
Top half

#732 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 Rhamnosus

What is Lacticaseibacillus Rhamnosus?

  • Diarrhea (including antibiotic-related)
  • Digestive health
  • Vaginal and urinary health
  • Eczema and allergy prevention in children
  • Immune support

Lacticaseibacillus rhamnosus (often labeled L. rhamnosus GG) is a well-studied probiotic bacterium used mainly for diarrhea and general gut health. It is considered safe for most healthy people, with the best evidence for preventing certain types of diarrhea, but benefits for many other uses are uncertain. People who are seriously ill or have weakened immune systems should check with a doctor first.

Read the full Lacticaseibacillus Rhamnosus monograph & all interactions
Medication

About Ceftazidime and Avibactam Injection

What Is Ceftazidime and Avibactam Injection Used For?

Brand name: Avycaz

Avycaz (ceftazidime and avibactam) is used to treat three types of serious bacterial infections in adults and children at least 31 weeks gestational age: complicated intra-abdominal infections (cIAI), complicated urinary tract infections (cUTI) including pyelonephritis (a kidney infection), and hospital-acquired bacterial pneumonia or ventilator-associated bacterial pneumonia (HABP/VABP). All three of these infections must be caused by specific susceptible gram-negative bacteria for Avycaz to be effective.

When treating complicated intra-abdominal infections, Avycaz must be used together with metronidazole, another antibiotic. Avycaz is only meant for infections proven or strongly suspected to be caused by bacteria that it can actually fight — using it otherwise can lead to antibiotic resistance.

See full Ceftazidime and Avibactam Injection drug information
Keep checking

Other Drugs & Lacticaseibacillus Rhamnosus

Browse every other medication we’ve checked against Lacticaseibacillus Rhamnosus — 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
181 Moderate 2,648 No interaction
Moderate

181 interactions

Showing 60 of 181 moderate interactions — see all 181 on the Lacticaseibacillus Rhamnosus page.

No interaction 2,648 drugs checked — show the list

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

Showing the 60 most looked-up of 2,648 medications checked with no known interaction — see the full Lacticaseibacillus Rhamnosus list.

See the full Lacticaseibacillus Rhamnosus interactions page
See every supplement checked against Avibactam Sodium, Ceftazidime, 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
Lacticaseibacillus Rhamnosus monograph › Uses, safety, and every drug interaction in one place Avibactam Sodium, Ceftazidime supplement interactions › Every supplement checked against Avibactam Sodium, Ceftazidime, ranked by severity Ceftazidime and Avibactam 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
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Taking Lacticaseibacillus Rhamnosus and Avibactam Sodium, Ceftazidime Together: Common Questions

Can you take Lacticaseibacillus Rhamnosus with Avibactam Sodium, 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 Rhamnosus and Avibactam Sodium, 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

Still Have a Question About Avibactam Sodium, Ceftazidime and Lacticaseibacillus Rhamnosus?

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