Drug & supplement interaction

Lactiplantibacillus Pentosus + Bicalutamide

Bicalutamide brand name: Casodex.

No Known Interaction
Medically reviewed by · Updated July 2026 · Pair last verified Sep 13, 2026
The bottom line No known interaction

We found no known interaction between Lactiplantibacillus Pentosus and Bicalutamide 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 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

Lactiplantibacillus Pentosus and Bicalutamide

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 Bicalutamide and Lactiplantibacillus Pentosus 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.

Lactiplantibacillus Pentosus safety at a glance

Lactiplantibacillu... overall Use caution Generally well tolerated in healthy people, but evidence is limited and some groups should be cautious.
Pregnancy Use caution Not enough safety data in pregnancy, so check with your doctor before using.
Breastfeeding Use caution Not enough safety data while breastfeeding, so check with your doctor before using.

Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Bicalutamide and Lactiplantibacillus Pentosus? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Bicalutamide

Interactions in our licensed database are recorded against drug classes, not just single drug names. Bicalutamide is filed under a single classification — oral drugs. Lactiplantibacillus Pentosus has documented interactions with 1 drug class — the most serious being antibiotic drugs (moderate) — and none of Bicalutamide’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

Lactiplantibacillus Pentosus Does Interact With Other Medications

Lactiplantibacillus Pentosus has 182 moderate known drug interactions in our database — Bicalutamide 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. Bicalutamide)
Taking anything else?

Check Another of Your Medications Against Lactiplantibacillus Pentosus

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

What to actually watch for

No Interaction Found — But Data Suggests Lactiplantibacillus Pentosus and Bicalutamide May Share a Side Effect

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

    Lactiplantibacillus Pentosus

    “Since Lactiplantibacillus pentosus 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 cases of bacteremia, sepsis, splenic abscess, endocarditis, necrotizing fasciitis, pancreatic necrosis, and meningoencephalitis.”

    Lactiplantibacillus Pentosus · Natural Medicines adverse-effect record, reported in sepsis.

    1 source cited
    1. 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

    Bicalutamide

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

Effects for Bicalutamide come from the ADVERSE REACTIONS section of its FDA label; effects for Lactiplantibacillus Pentosus come from the Natural Medicines adverse-effect record, quoted above. Where a percentage is shown, it is the share of 15,149 voluntary FDA FAERS reports for Bicalutamide 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.

Everything else you take

See Every Supplement That Interacts With Bicalutamide

This page covers Lactiplantibacillus Pentosus only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Bicalutamide page lists 17 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Coffee Charcoal (moderate), European Mandrake (moderate), Glucomannan (moderate) and Guar Gum (moderate).

By severity: 1 major · 7 moderate · 9 minor.

Open the Bicalutamide interaction page

How much people look this up

Where Lactiplantibacillus Pentosus and Bicalutamide 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 Lactiplantibacillus Pentosus
Steady interest

#1,216 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Bicalutamide
Steady interest

#2,068 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 Lactiplantibacillus Pentosus reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Lactiplantibacillus Pentosus and Bicalutamide records this page draws on were last updated July 10, 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 .
Supplement

About Lactiplantibacillus Pentosus

What is Lactiplantibacillus Pentosus?

  • Digestive and gut health
  • Immune support
  • Maintaining a healthy gut microbiome
  • Fermentation of foods (such as olives and vegetables)

Lactiplantibacillus pentosus is a 'friendly' probiotic bacterium found in many fermented foods and used in some supplements for gut and immune health. Research is still early, so it is not proven to treat any specific condition. It is generally considered safe for healthy adults, but people with weakened immune systems or serious illness should talk to a doctor first.

Lactiplantibacillus pentosus · Lactobacillaceae · Whole live bacterial cells (probiotic strain) · Capsules, powders, fermented foods, and some functional drinks

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

Lactiplantibacillus Pentosus: dosing

There is no established standard dose for Lactiplantibacillus pentosus. Probiotic products are usually measured in colony-forming units (CFU), and the amount can vary widely between products.The best approach is to follow the directions on the product label.

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

Read the full Lactiplantibacillus Pentosus monograph & all interactions
Medication

About Bicalutamide

What Is Bicalutamide Used For?

Brand name: Casodex

Bicalutamide (50 mg daily) — available as the brand Casodex and as generic bicalutamide tablets — is used together with an LHRH analog (a hormone-lowering injection) to treat Stage D2 metastatic carcinoma of the prostate (advanced prostate cancer that has spread to other parts of the body). It is not used alone for this purpose.

Important: The 150 mg daily dose of bicalutamide is not approved for use alone or with any other treatment.

Most-Reported Side Effects for Bicalutamide

From FAERS, the FDA’s public side-effect reporting system (15,149 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Fatigue 1,328 reports
Prostatic specific antigen increased 939 reports
Asthenia 809 reports
Hot flush 793 reports
Prostate cancer 754 reports
See full Bicalutamide drug information
Keep checking

Other Drugs & Lactiplantibacillus Pentosus

Browse every other medication we’ve checked against Lactiplantibacillus Pentosus — 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 Lactiplantibacillus Pentosus page.

No interaction 2,647 drugs checked — show the list

We also checked Lactiplantibacillus Pentosus 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 Lactiplantibacillus Pentosus list.

See the full Lactiplantibacillus Pentosus interactions page
See every supplement checked against Bicalutamide, ranked by severity
Evidence & sources

Lactiplantibacillus Pentosus References

The 2 references that drive our Lactiplantibacillus Pentosus 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.

  1. Pierce A. The American Pharmaceutical Association Practical Guide to Natural Medicines. New York: The Stonesong Press, 1999:19.
  2. 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

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 Lactiplantibacillus Pentosus and Bicalutamide Together: Common Questions

Is it safe to take Lactiplantibacillus Pentosus with Bicalutamide?
We do not list a known interaction between Lactiplantibacillus Pentosus and Bicalutamide. 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 Lactiplantibacillus Pentosus and Bicalutamide have any of the same side effects?
Yes — our sources link each of them separately to one 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.
How was the Lactiplantibacillus Pentosus and Bicalutamide combination checked?
Interactions in our licensed database are recorded against drug classes. Bicalutamide is filed under 1 classification, and Lactiplantibacillus Pentosus has documented interactions with 1 drug class — none of Bicalutamide'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 Lactiplantibacillus Pentosus interact with any other medications?
Yes. Lactiplantibacillus Pentosus has 182 documented drug interactions in our database — Bicalutamide 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 Bicalutamide interact with any supplements?
Yes. Bicalutamide has documented interactions with 17 supplements in our database — Lactiplantibacillus Pentosus is not one of them. The Bicalutamide 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

Lactiplantibacillus Pentosus monograph Uses, safety profile, and every drug interaction in one place Bicalutamide drug information The full plain-English guide to this medication Bicalutamide supplement interactions Every supplement checked against Bicalutamide, 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 2 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Bicalutamide and Lactiplantibacillus Pentosus?

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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.