Drug & supplement interaction

Lactoferrin + Aztreonam

Aztreonam brand name: Azactam.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Lactoferrin and Aztreonam 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

Lactoferrin and Aztreonam

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 Aztreonam and Lactoferrin 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.

Worth understanding: our licensed dataset holds no drug-interaction record for Lactoferrin at all — not against Aztreonam, and not against any other medication we track. This verdict therefore rests on the absence of any recorded data, not on research that looked at this combination and found nothing. We cannot rule an interaction out.

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.

Lactoferrin safety at a glance

Lactoferrin overall Use caution Generally well tolerated short-term, but high-quality long-term safety data are limited.
Pregnancy Likely Safe When used orally in amounts commonly found in foods. Lactoferrin has Generally Regarded as Safe (GRAS) status in the US. Read the full pregnancy detail
Breastfeeding Likely Safe When used orally in amounts commonly found in foods. Lactoferrin has Generally Regarded as Safe (GRAS) status in the US. There is insufficient reliable informat... Read the full breastfeeding detail

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center) — the full detail is in the Special populations card below. Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Aztreonam and Lactoferrin? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

No Interaction Found — But Data Suggests Lactoferrin and Aztreonam May Share Several of the Same Side Effects

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.

  • Yellowing of the skin or eyes Worth acting on Additional detail

    Lactoferrin

    “Orally, lactoferrin has been reported to cause diarrhea in some patients. At higher doses of 7.2 grams daily, anorexia and constipation have been reported. However, gastrointestinal effects of lactoferrin, including epigastric pain, constipation, nausea, and diarrhea, are less common than with other sources of iron such as ferrous sulfate.”

    Lactoferrin · Natural Medicines adverse-effect record, reported in anorexia.

    4 sources cited
    1. 13323. Okada S, Tanaka K, Sato T, et al. Dose-response trial of lactoferrin in patients with chronic hepatitis C. Jpn J Cancer Res 2002;93:1063-9. PubMed
    2. 97788. Abu Hashim H, Foda O, Ghayaty E. Lactoferrin or ferrous salts for iron deficiency anemia in pregnancy: A meta-analysis of randomized trials. Eur J Obstet Gynecol Reprod Biol. 2017;219:45-52. PubMed
    3. 104857. Tarnow-Mordi WO, Abdel-Latif ME, Martin A, et al. The effect of lactoferrin supplementation on death or major morbidity in very low birthweight infants (LIFT): a multicentre, double-blind, randomised controlled trial. Lancet Child Adolesc Health. 2020 Jun PubMed
    4. 104858. ELFIN trial investigators group. Enteral lactoferrin supplementation for very preterm infants: a randomised placebo-controlled trial. Lancet. 2019 Feb 2;393(10170):423-433. doi: 10.1016/S0140-6736(18)32221-9.

    Aztreonam

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

  • Tiredness Additional detail

    Lactoferrin

    “Orally, at higher doses of 7.2 grams daily, lactoferrin has been reported to cause fatigue and chills.”

    Lactoferrin · Natural Medicines adverse-effect record, reported in fatigue.

    1 source cited
    1. 13323. Okada S, Tanaka K, Sato T, et al. Dose-response trial of lactoferrin in patients with chronic hepatitis C. Jpn J Cancer Res 2002;93:1063-9. PubMed

    Aztreonam

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

  • Diarrhea / Nausea Additional detail

    Lactoferrin

    “Orally, bovine and human recombinant lactoferrin are well tolerated when used in typical doses. However, hjgher doses of 7.2 grams daily increase the risk of side effects and decrease tolerability.

    Topically, there is a limited amount of information on the adverse effects of lactoferrin.

    Intravaginally, no adverse effects have been reported.”

    Lactoferrin · Natural Medicines adverse-effect record, reported in constipation.

    Aztreonam

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

Reported for Lactoferrin but not commonly for Aztreonam: a bowel blockage, constipation, reduced appetite and chills.

Effects for Aztreonam come from the ADVERSE REACTIONS section of its FDA label; effects for Lactoferrin come from the Natural Medicines adverse-effect record, quoted above. Where a percentage is shown, it is the share of 7,148 voluntary FDA FAERS reports for Aztreonam 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.

Special populations

Lactoferrin in Pregnancy & Breastfeeding

Pregnancy Likely Safe

When used orally in amounts commonly found in foods. Lactoferrin has Generally Regarded as Safe (GRAS) status in the US.

Pregnancy Possibly Safe

When used orally in medicinal amounts. Lactoferrin has been used with apparent safety during the second or third trimester of pregnancy at doses of up to 250 mg daily for up to 8 weeks. Also, bovine lactoferrin has been used with apparent safety throughout all trimesters of pregnancy at doses of up to 200 mg daily. There is insufficient reliable information available about the safety of intravaginal lactoferrin during pregnancy and lactation; avoid using.

Lactation Likely Safe

When used orally in amounts commonly found in foods. Lactoferrin has Generally Regarded as Safe (GRAS) status in the US. There is insufficient reliable information available about the safety of lactoferrin when used medicinally during lactation; avoid using.

DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.© 2026 Therapeutic Research Center

Overlapping uses

What Aztreonam Is Prescribed For, and What Lactoferrin Has Been Studied For

These two come up together because they touch the same health topic — not because they do the same job. Aztreonam is a prescription medicine with approved uses on its FDA label. Lactoferrin is a supplement: what follows is what researchers have looked at it for, and how strong that evidence is.

Aztreonam is prescribed for: Azactam (aztreonam for injection) is used to treat infections caused by susceptible gram-negative bacteria. It is approved for urinary tract infections (including kidney infections and bladder infections), lower respiratory tract infections (including pneumonia), bloodstream infections (septicemia), skin and skin-structure infections (including those related to wounds, ulcers, and burns), intra-abdominal infections (including peritonitis), and gynecologic infections (including endometritis and pelvic cellulitis). Azactam is also used alongside surgery to manage infections such as abscesses and infections involving perforated organs. In seriously ill patients who may also have gram-positive bacterial infections, it is often started together with another antibiotic that covers those bacteria.

Read the rest of what Aztreonam is prescribed for

When anaerobic bacteria (bacteria that don't need oxygen) are also suspected, an anti-anaerobic antibiotic is added as well.

Lactoferrin has been studied for:

  • Respiratory tract infections studied, not established Lactoferrin has been studied for this. Natural Medicines rates the evidence: Insufficient Reliable Evidence To Rate Read what the research shows

    Lactoferrin for respiratory tract infections

    It is unclear if oral lactoferrin is beneficial for treating or preventing respiratory tract infections.

Effectiveness ratings and the research summaries above are the verbatim record from the Natural Medicines database, which grades evidence from “Effective” down to “Insufficient Reliable Evidence To Rate”. A rating below the top of that scale means researchers have looked at it — not that it works, and never that it can stand in for a prescribed medicine. Do not stop or replace Aztreonam on your own; if you are taking Lactoferrin for the same health topic, tell your prescriber, especially if the medicine is being adjusted to a target.

Everything else you take

See Every Supplement That Interacts With Aztreonam

This page covers Lactoferrin only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Aztreonam page lists 27 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Bacillus Coagulans (moderate), Bacillus Subtilis (moderate), Bifidobacterium Animalis Subsp. Lactis (moderate), Bifidobacterium Bifidum (moderate) and Bifidobacterium Breve (moderate).

By severity: 26 moderate · 1 minor.

From our pharmacist’s overview on the Aztreonam page

“Every entry on this page tells one story, and it is a gentler one than most interaction lists. Aztreonam (Azactam) is an injectable or inhaled antibiotic used for serious infections, often in people with cystic fibrosis, and none of these 27 supplement pairings makes the drug itself riskier or weaker.”

Reviewed by 2 · Jul 18, 2026

Open the Aztreonam interaction page

One more smart check

Taking Lactoferrin as Part of a Dietary Supplement Product? Check It for Interactions

We hold 292 real supplement products containing Lactoferrin, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Lactoferrin. Even though Lactoferrin itself has no known interaction with Aztreonam, another ingredient on your label might. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Lactoferrin and Aztreonam 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 Lactoferrin
Top half

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

29 days ago today
Medication Aztreonam
Top 10%

#151 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 Lactoferrin reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Lactoferrin and Aztreonam records this page draws on were last updated July 11, 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 Lactoferrin

What is Lactoferrin?

  • Iron deficiency and anemia support
  • Immune support
  • Gut health
  • Stomach (H. pylori) infection
  • Acne
  • Diarrhea prevention in infants

Lactoferrin is an iron-binding protein found naturally in milk and other body fluids, and supplements are usually made from cow's milk or rice. It is being studied for immune support, iron levels, gut health, and infections, but the evidence is still limited and mixed for most uses. It is generally well tolerated, but talk with a pharmacist or doctor before starting it.

Protein from milk (colostrum), or made with recombinant technology · Capsules, tablets, powders; also added to some infant formulas and functional foods

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

Lactoferrin: dosing

There is no official standardized dose of lactoferrin, and the right amount can depend on the product, the form, and the reason for use. Doses used in research have varied widely.The best approach is to follow the directions on the product label and not exceed the recommended amount.

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

Read the full Lactoferrin monograph & all interactions
Medication

About Aztreonam Injection

What Is Aztreonam Injection Used For?

Brand name: Azactam

Azactam (aztreonam for injection) is used to treat infections caused by susceptible gram-negative bacteria. It is approved for urinary tract infections (including kidney infections and bladder infections), lower respiratory tract infections (including pneumonia), bloodstream infections (septicemia), skin and skin-structure infections (including those related to wounds, ulcers, and burns), intra-abdominal infections (including peritonitis), and gynecologic infections (including endometritis and pelvic cellulitis).

Azactam is also used alongside surgery to manage infections such as abscesses and infections involving perforated organs. In seriously ill patients who may also have gram-positive bacterial infections, it is often started together with another antibiotic that covers those bacteria. When anaerobic bacteria (bacteria that don't need oxygen) are also suspected, an anti-anaerobic antibiotic is added as well.

Most-Reported Side Effects for Aztreonam

From FAERS, the FDA’s public side-effect reporting system (7,148 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Infective pulmonary exacerbation of cystic fibrosis 849 reports
Dyspnea 440 reports
Hospitalisation 390 reports
Cough 359 reports
Pneumonia 296 reports
See full Aztreonam Injection drug information
Keep checking

Other Drugs & Lactoferrin

Browse every other medication we’ve checked against Lactoferrin — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
0Moderate
0Minor
2,829No known interaction
No interaction 2,829 drugs checked — show the list
Evidence & sources

Lactoferrin References

The 6 references that drive our Lactoferrin 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. Food and Drug Administration, CFSAN/Office of Food Additive Safety. Agency Response Letter GRAS Notice No. GRN 000130. 2003. Available at: http://www.cfsan.fda.gov/~rdb/opa-g130.html (Accessed 29 June 2005).
  2. Okada S, Tanaka K, Sato T, et al. Dose-response trial of lactoferrin in patients with chronic hepatitis C. Jpn J Cancer Res 2002;93:1063-9. PubMed
  3. Abu Hashim H, Foda O, Ghayaty E. Lactoferrin or ferrous salts for iron deficiency anemia in pregnancy: A meta-analysis of randomized trials. Eur J Obstet Gynecol Reprod Biol. 2017;219:45-52. PubMed
  4. Tarnow-Mordi WO, Abdel-Latif ME, Martin A, et al. The effect of lactoferrin supplementation on death or major morbidity in very low birthweight infants (LIFT): a multicentre, double-blind, randomised controlled trial. Lancet Child Adolesc Health. 2020 Jun PubMed
  5. ELFIN trial investigators group. Enteral lactoferrin supplementation for very preterm infants: a randomised placebo-controlled trial. Lancet. 2019 Feb 2;393(10170):423-433. doi: 10.1016/S0140-6736(18)32221-9.
  6. Lepanto MS, Rosa L, Cutone A, Conte MP, Paesano R, Valenti P. Efficacy of lactoferrin oral administration in the treatment of anemia and anemia of inflammation in pregnant and non-pregnant women: An interventional study. Front Immunol. 2018 Sep 21;9:2123. 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 Lactoferrin and Aztreonam Together: Common Questions

Is it safe to take Lactoferrin with Aztreonam?
We do not list a known interaction between Lactoferrin and Aztreonam. 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 Lactoferrin and Aztreonam have any of the same side effects?
Yes — our sources link each of them separately to 4 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.
Are Lactoferrin and Aztreonam used for the same thing?
They overlap in purpose, which usually means the real question is whether you need both rather than whether they are safe together. This page lists the shared uses and how strong the evidence is for Lactoferrin in each. That is a conversation for your prescriber, especially if Aztreonam is being adjusted to a target.
Does Aztreonam interact with any supplements?
Yes. Aztreonam has documented interactions with 27 supplements in our database — Lactoferrin is not one of them. The Aztreonam 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 Aztreonam and Lactoferrin?

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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.