Drug & supplement interaction

Latilactobacillus Sakei + Aztreonam

Aztreonam brand name: Azactam.

Moderate Interaction
The bottom line Moderate

Latilactobacillus Sakei has a moderate interaction with Aztreonam. Theoretically, taking Latilactobacillus sakei 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

Latilactobacillus Sakei and Aztreonam

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

Moderate

ANTIBIOTIC DRUGS

Why this applies to Aztreonam

Aztreonam falls under ANTIBIOTIC DRUGS — the group Latilactobacillus Sakei interacts with.

Theoretically, taking Latilactobacillus sakei with antibiotic drugs might decrease the effectiveness of L. sakei.
Latilactobacillus sakei 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. sakei 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 thing to keep in mind: aztreonam is an antibiotic, and its whole job is to kill bacteria. Latilactobacillus sakei is a probiotic made of live, friendly bacteria. So if the two cross paths at the same time, the antibiotic may simply wipe out a good chunk of the probiotic organisms before they can do anything useful. This doesn't make aztreonam less effective or more dangerous, it just blunts the benefit you were hoping to get from the probiotic.

This concern is theoretical, based on how these products work rather than hard studies, so there's no need to worry about harm. A simple fix is to space them apart by at least two hours. Aztreonam is usually given by injection in a clinical setting, so check with your pharmacist or doctor on the best timing for your situation.

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

Latilactobacillus Sakei Also Interacts With Other Medications

Latilactobacillus Sakei has 181 moderate known drug interactions in our database — the Aztreonam one above is one of them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Latilactobacillus Sakei

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

Everything else you take

See Every Supplement That Interacts With Aztreonam

This page covers Latilactobacillus Sakei 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

How much people look this up

Where Latilactobacillus Sakei 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 Latilactobacillus Sakei
Steady interest

#1,253 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Aztreonam
Steady interest

#2,105 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 Latilactobacillus Sakei

What is Latilactobacillus Sakei?

  • Chronic rhinosinusitis and nasal congestion
  • Atopic dermatitis (eczema)
  • Allergies
  • Gut and immune support
  • Skin health

Latilactobacillus sakei is a probiotic bacterium found in fermented foods like kimchi and certain meats, studied mostly for nasal sinus problems and eczema. Early research looks interesting, but evidence is still limited, so it should not replace proven treatments. Talk with a pharmacist or doctor before using it, especially if you have a weakened immune system.

Read the full Latilactobacillus Sakei 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.

See full Aztreonam Injection drug information
Keep checking

Other Drugs & Latilactobacillus Sakei

Browse every other medication we’ve checked against Latilactobacillus Sakei — 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
Moderate

181 interactions

Showing 60 of 181 moderate interactions — see all 181 on the Latilactobacillus Sakei page.

No interaction 2,648 drugs checked — show the list
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

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Pharmacist Counseling Corner

Taking Latilactobacillus Sakei and Aztreonam Together: Common Questions

Can you take Latilactobacillus Sakei with Aztreonam?
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 Latilactobacillus Sakei and Aztreonam 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

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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.