Drug & supplement interaction

Lactobacillus Jensenii + Trimethoprim

Trimethoprim brand names: Proloprim, Trimpex.

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

Lactobacillus Jensenii has a moderate interaction with Trimethoprim. Theoretically, taking Lactobacillus jensenii 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

Lactobacillus Jensenii and Trimethoprim

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

Moderate

ANTIBIOTIC DRUGS

Why this applies to Trimethoprim

Trimethoprim falls under ANTIBIOTIC DRUGS — the group Lactobacillus Jensenii interacts with.

Theoretically, taking Lactobacillus jensenii with antibiotic drugs might decrease the effectiveness of L. jensenii.
Lactobacillus jensenii 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. jensenii 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 key thing to know: this interaction works the other way around from what most people worry about. Trimethoprim, the antibiotic you're taking for that urinary tract infection or other bug, doesn't get weaker or stronger from the probiotic. Instead, it's the Lactobacillus jensenii that takes the hit. Since this probiotic is made of live bacteria, an antibiotic can't tell the difference between the good bacteria you swallowed and the bad ones it's meant to wipe out, so it may kill off a good chunk of those probiotic organisms.

This is a theoretical concern based on how these products work, not something proven to cause harm. A simple fix helps: take your Lactobacillus and your trimethoprim at least two hours apart. As always, run it by your pharmacist or doctor first.

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

Lactobacillus Jensenii Also Interacts With Other Medications

Lactobacillus Jensenii has 181 moderate known drug interactions in our database — the Trimethoprim 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. Trimethoprim)
Taking anything else?

Check Another of Your Medications Against Lactobacillus Jensenii

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

From our Q&A

Questions About Lactobacillus Jensenii or Trimethoprim

These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Lactobacillus Jensenii or Trimethoprim, 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 Trimethoprim

This page covers Lactobacillus Jensenii only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Trimethoprim page lists 59 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), American Hellebore (major), Arsenic (major), Cesium (major) and Ephedra (major).

By severity: 7 major · 41 moderate · 11 minor.

From our pharmacist’s overview on the Trimethoprim page

“Most prescriptions for trimethoprim are short courses for bladder infections, which makes it easy to assume nothing swallowed alongside it matters much. Seven of the 59 supplement and herbal ingredients here rate major, though, and nearly all of them involve heart rhythm: grapefruit in large amounts, ephedra, and a few others can prolo…”

Reviewed by 2 · Jul 18, 2026

Open the Trimethoprim interaction page

How much people look this up

Where Lactobacillus Jensenii and Trimethoprim 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 Lactobacillus Jensenii
Top half

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

29 days ago today
Medication Trimethoprim
Steady interest

#1,454 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 Lactobacillus Jensenii

What is Lactobacillus Jensenii?

  • Vaginal health
  • Maintaining healthy vaginal flora
  • Bacterial vaginosis support
  • Yeast infection support
  • General probiotic use

Lactobacillus jensenii is one of the natural 'good' bacteria found in a healthy vagina, and it is sometimes added to probiotic products marketed for vaginal health. While its role in the body is well recognized, there is only limited human research on taking it as a supplement, so the benefits are not proven. Talk with your pharmacist or doctor before using it, especially if you have a weakened immune system.

Read the full Lactobacillus Jensenii monograph & all interactions
Medication

About Trimethoprim

What Is Trimethoprim Used For?

Brand names: Proloprim, Trimpex

Trimethoprim tablets are used to treat initial episodes of uncomplicated urinary tract infections (UTIs). It works against specific bacteria — including E. coli, Proteus mirabilis, Klebsiella pneumoniae, Enterobacter species, and coagulase-negative Staphylococcus species (including S. saprophyticus).

It should only be used when there is a proven or strongly suspected bacterial infection. Your doctor may order a urine culture to confirm which bacteria are present and whether trimethoprim will work against them.

See full Trimethoprim drug information
Keep checking

Other Drugs & Lactobacillus Jensenii

Browse every other medication we’ve checked against Lactobacillus Jensenii — 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 Lactobacillus Jensenii page.

No interaction 2,648 drugs checked — show the list

We also checked Lactobacillus Jensenii 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 Lactobacillus Jensenii list.

See the full Lactobacillus Jensenii interactions page
See every supplement checked against Trimethoprim, 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
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Pharmacist Counseling Corner

Taking Lactobacillus Jensenii and Trimethoprim Together: Common Questions

Can you take Lactobacillus Jensenii with Trimethoprim?
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 Lactobacillus Jensenii and Trimethoprim 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 Trimethoprim and Lactobacillus Jensenii?

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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.