Drug & supplement interaction

Ligilactobacillus Salivarius + Clarithromycin

Clarithromycin brand names: Biaxin, Biaxin XL.

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

Ligilactobacillus Salivarius has a moderate interaction with Clarithromycin. Theoretically, taking Ligilactobacillus salivarius 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

Ligilactobacillus Salivarius and Clarithromycin

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

Moderate

ANTIBIOTIC DRUGS

Why this applies to Clarithromycin

Clarithromycin falls under ANTIBIOTIC DRUGS — the group Ligilactobacillus Salivarius interacts with.

Theoretically, taking Ligilactobacillus salivarius with antibiotic drugs might decrease the effectiveness of L. salivarius.
Ligilactobacillus salivarius 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. salivarius 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 understand: this interaction works in one direction only. Clarithromycin is an antibiotic, and its whole job is to kill bacteria. Ligilactobacillus salivarius is a live, beneficial bacterium, so if you swallow your probiotic at the same time as your clarithromycin, the antibiotic can wipe out a good chunk of those friendly organisms before they ever get to work. In short, the probiotic becomes less effective, not the antibiotic.

Your clarithromycin will still treat your infection just fine, so don't worry about that. To get value from the probiotic, a simple fix usually does the trick: separate the two doses by at least two hours. This is based on how these products behave rather than hard human studies, but spacing them out is easy and sensible. If you're unsure about timing, your pharmacist can map out a schedule for you.

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

Ligilactobacillus Salivarius Also Interacts With Other Medications

Ligilactobacillus Salivarius has 181 moderate known drug interactions in our database — the Clarithromycin 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. Clarithromycin)
Taking anything else?

Check Another of Your Medications Against Ligilactobacillus Salivarius

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

From our Q&A

Questions About Ligilactobacillus Salivarius or Clarithromycin

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

This page covers Ligilactobacillus Salivarius only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Clarithromycin page lists 196 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: 9 major · 146 moderate · 41 minor.

Open the Clarithromycin interaction page

How much people look this up

Where Ligilactobacillus Salivarius and Clarithromycin 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 Ligilactobacillus Salivarius
Top half

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

29 days ago today
Medication Clarithromycin
Top 25%

#444 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 Ligilactobacillus Salivarius

What is Ligilactobacillus Salivarius?

  • Digestive and gut health
  • Oral and dental health
  • Immune support
  • Vaginal and urinary health
  • General probiotic supplementation

Ligilactobacillus salivarius (formerly called Lactobacillus salivarius) is a probiotic bacterium found naturally in the mouth and gut of humans and animals. People take it to support digestion, oral health, and immunity, but solid human evidence is still limited for most uses. It is generally well tolerated in healthy people, but those with weakened immune systems should check with a doctor first.

Read the full Ligilactobacillus Salivarius monograph & all interactions
Medication

About Clarithromycin

What Is Clarithromycin Used For?

Brand names: Biaxin, Biaxin XL

Clarithromycin tablets and oral suspension treat a range of mild to moderate bacterial infections in adults and children, including community-acquired pneumonia, acute sinus infections, acute bacterial flare-ups of chronic bronchitis, strep throat and tonsillitis, uncomplicated skin infections, and middle ear infections in children. Tablets are also used in adults to eliminate H. pylori bacteria (in combination with other medicines) to reduce the risk of duodenal ulcer recurrence.

Clarithromycin tablets — but not the extended-release tablet — are also used to treat and prevent disseminated Mycobacterium avium complex (MAC) infections in people with advanced HIV. Clarithromycin extended-release tablets are approved only for acute bacterial exacerbation of chronic bronchitis, acute maxillary sinusitis, and community-acquired pneumonia in adults — not for the other conditions listed above.

See full Clarithromycin drug information
Keep checking

Other Drugs & Ligilactobacillus Salivarius

Browse every other medication we’ve checked against Ligilactobacillus Salivarius — 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 Ligilactobacillus Salivarius page.

No interaction 2,648 drugs checked — show the list

We also checked Ligilactobacillus Salivarius 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 Ligilactobacillus Salivarius list.

See the full Ligilactobacillus Salivarius interactions page
See every supplement checked against Clarithromycin, 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
Ligilactobacillus Salivarius monograph › Uses, safety, and every drug interaction in one place Clarithromycin supplement interactions › Every supplement checked against Clarithromycin, ranked by severity Clarithromycin drug information › The full plain-English guide to this medication Supplement interaction checker › Check any supplement or product against your medications Browse medications A–Z › Every drug we've checked against herbs & supplements Ask a pharmacist › Free, personal answer from our licensed team
Pharmacist Counseling Corner

Taking Ligilactobacillus Salivarius and Clarithromycin Together: Common Questions

Can you take Ligilactobacillus Salivarius with Clarithromycin?
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 Ligilactobacillus Salivarius and Clarithromycin 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 Clarithromycin and Ligilactobacillus Salivarius?

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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.