Drug & supplement interaction

Lactiplantibacillus Pentosus + Metaxalone

Metaxalone brand name: Skelaxin.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Lactiplantibacillus Pentosus and Metaxalone 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.

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Interaction report

Lactiplantibacillus Pentosus and Metaxalone

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 Metaxalone 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 Metaxalone and Lactiplantibacillus Pentosus? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Metaxalone

Interactions in our licensed database are recorded against drug classes, not just single drug names. Metaxalone is filed under 2 classifications — skeletal muscle relaxants, oral drugs. Lactiplantibacillus Pentosus has documented interactions with 1 drug class — the most serious being antibiotic drugs (moderate) — and none of Metaxalone’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 — Metaxalone isn’t one of them. If you take anything else, check it against the full list below.

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

What Lactiplantibacillus Pentosus Itself Has Been Linked To

This is not an interaction — nothing below involves Metaxalone. It is the side-effect record for Lactiplantibacillus Pentosus on its own, from the licensed Natural Medicines monograph. If something new turns up after you add Lactiplantibacillus Pentosus, this list is the first place to look. One entry is worth acting on rather than waiting out — marked below.

  • A higher chance of infection Worth acting on Additional detail

    “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

Everything above comes from the Natural Medicines adverse-effect record for Lactiplantibacillus Pentosus — expand a row for the licensed statement it rests on. We read the ADVERSE REACTIONS section of Metaxalone’s FDA label too, and the two lists don’t meaningfully overlap — which is why no Metaxalone column appears here.

From our Q&A

Questions About Lactiplantibacillus Pentosus or Metaxalone

These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Lactiplantibacillus Pentosus or Metaxalone, not necessarily both, but if one is close to what you were about to ask it will usually go further than a database entry can:

Not quite your question? Ask our pharmacists directly — it is free, there is no account required, and answers usually come back within 24 hours.

Everything else you take

See Every Supplement That Interacts With Metaxalone

This page covers Lactiplantibacillus Pentosus only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Metaxalone page lists 20 supplements it has a documented interaction with, worst first, each one explained.

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

By severity: 2 major · 9 moderate · 9 minor.

From our pharmacist’s overview on the Metaxalone page

“Most of what interacts with metaxalone (Skelaxin), a muscle relaxant prescribed for painful muscle spasms, works by getting between the pill and your bloodstream. Fiber gums, mucilage herbs like slippery elm, and above all activated charcoal can bind or slow the drug in the gut, leaving you with less relief than your dose should deliver.”

Reviewed by 2 · Jul 18, 2026

Open the Metaxalone interaction page

How much people look this up

Where Lactiplantibacillus Pentosus and Metaxalone 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

#1,275 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Metaxalone
Steady interest

#2,305 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 Metaxalone 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 Metaxalone

What Is Metaxalone Used For?

Brand name: Skelaxin

Metaxalone tablets are used to help relieve discomfort caused by acute (short-term), painful musculoskeletal conditions — things like muscle strains, sprains, and similar injuries. It is meant to be used together with rest, physical therapy, and other treatments, not as a stand-alone fix.

This use applies to adults and adolescents 13 years of age and older. Metaxalone tablets are available as the branded product Skelaxin and as a generic.

Most-Reported Side Effects for Metaxalone

From FAERS, the FDA’s public side-effect reporting system (3,328 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Completed suicide 261 reports
Nausea 198 reports
Fatigue 196 reports
Headache 172 reports
Toxicity to various agents 164 reports
See full Metaxalone 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
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
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 Metaxalone Together: Common Questions

Is it safe to take Lactiplantibacillus Pentosus with Metaxalone?
We do not list a known interaction between Lactiplantibacillus Pentosus and Metaxalone. 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.
How was the Lactiplantibacillus Pentosus and Metaxalone combination checked?
Interactions in our licensed database are recorded against drug classes. Metaxalone is filed under 2 classifications, and Lactiplantibacillus Pentosus has documented interactions with 1 drug class — none of Metaxalone'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 — Metaxalone 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 Metaxalone interact with any supplements?
Yes. Metaxalone has documented interactions with 20 supplements in our database — Lactiplantibacillus Pentosus is not one of them. The Metaxalone interaction page linked on this page lists every one, ranked by severity.

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

Still Have a Question About Metaxalone 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.