Drug & supplement interaction

Saccharomyces Boulardii + Econazole

Econazole brand name: Spectazole.

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

Saccharomyces Boulardii has a minor interaction with Econazole. Theoretically, taking antifungals with Saccharomyces boulardii might decrease the effectiveness of Saccharomyces boulardii.

Read the full interaction report
SeverityMinor
LikelihoodPossible
EvidenceD
What do Severity, Likelihood & Evidence mean?
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Interaction report

Saccharomyces Boulardii and Econazole

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

Minor

ANTIFUNGALS

Why this applies to Econazole

Econazole falls under ANTIFUNGALS — the group Saccharomyces Boulardii interacts with.

Theoretically, taking antifungals with Saccharomyces boulardii might decrease the effectiveness of Saccharomyces boulardii.
S. boulardii is a live yeast. Therefore, simultaneously taking antifungals might kill a significant number of the organisms.
Severity Minor Likelihood Possible Evidence D

Interaction 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.

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Here's the thing to keep in mind with this pairing: Saccharomyces boulardii is a live yeast, and econazole is an antifungal medicine designed to kill yeast and fungi. So in theory, an antifungal could harm some of the probiotic organisms and make the probiotic less effective. The concern runs toward your supplement, not your medicine, so econazole itself should still work fine for things like athlete's foot, jock itch, or ringworm.

In real life this is a small worry. Econazole (Spectazole) is a topical cream you rub on the skin, so very little gets into your gut where the probiotic lives. This interaction is theoretical and rated minor. Still, if you take both, a quick chat with your pharmacist can ease your mind.

Contact Dr. Brian directly if you have additional questions on this interaction
References
  1. Lewis SJ, Freedman AR. Review article: the use of biotherapeutic agents in the prevention and treatment of gastrointestinal disease. Aliment Pharmacol Ther 1998;12:807-22. PubMed

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

Saccharomyces Boulardii Also Interacts With Other Medications

Saccharomyces Boulardii has 39 minor known drug interactions in our database — the Econazole one above is one of them. If you take anything else, check it against the full list below.

Minor 39 No known interaction 2,791 (incl. Econazole)
Taking anything else?

Check Another of Your Medications Against Saccharomyces Boulardii

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

From our Q&A

Questions About Saccharomyces Boulardii or Econazole

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

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

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

By severity: 1 major · 7 moderate · 12 minor.

From our pharmacist’s overview on the Econazole page

“Econazole (Spectazole) is an antifungal cream for skin infections like athlete's foot and ringworm, and its interaction list is one to treat with real care. The priority is activated charcoal, the lone major-rated entry, which can soak up medications and lower their levels even when a drug is not taken by mouth.”

Reviewed by 2 · Jul 18, 2026

Open the Econazole interaction page

One more smart check

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

We hold 608 real supplement products containing Saccharomyces Boulardii, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Saccharomyces Boulardii. Your product may carry other ingredients that interact with Econazole too, on top of Saccharomyces Boulardii — and those would not show on this page. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Saccharomyces Boulardii and Econazole 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 Saccharomyces Boulardii
Top 25%

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

29 days ago today
Medication Econazole
Top half

#899 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 Saccharomyces Boulardii

What is Saccharomyces Boulardii?

Saccharomyces Boulardii
  • Acute diarrhea
  • Antibiotic-associated diarrhea
  • Traveler's diarrhea
  • Preventing C. difficile recurrence
  • General gut health

Saccharomyces boulardii is a beneficial yeast used as a probiotic, with the strongest evidence for preventing and treating certain types of diarrhea, including antibiotic-associated diarrhea. It is generally well tolerated in healthy people, but those who are seriously ill or have weakened immune systems should avoid it because of rare but serious bloodstream infections. Talk with your pharmacist or doctor before starting it.

Read the full Saccharomyces Boulardii monograph & all interactions
Medication

About Econazole Topical

What Is Econazole Topical Used For?

Brand name: Spectazole

Econazole nitrate is used to treat interdigital tinea pedis (athlete's foot — the kind that affects the skin between the toes), caused by specific fungi including Trichophyton rubrum, Trichophyton mentagrophytes, and Epidermophyton floccosum. It is approved for patients 12 years of age and older.

Econazole nitrate cream is also used for tinea cruris (jock itch), tinea corporis (ringworm), tinea versicolor (a patchy skin discoloration caused by yeast), and cutaneous candidiasis (a skin infection caused by Candida yeast).

See full Econazole Topical drug information
Keep checking

Other Drugs & Saccharomyces Boulardii

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

0Major
0Moderate
39Minor
2,790No known interaction
39 Minor 2,790 No interaction
Minor

39 interactions

No interaction 2,790 drugs checked — show the list

We also checked Saccharomyces Boulardii against these medications and found no known interaction in our sources. Open any page to confirm.

Showing the 60 most looked-up of 2,790 medications checked with no known interaction — see the full Saccharomyces Boulardii list.

See the full Saccharomyces Boulardii interactions page
See every supplement checked against Econazole, 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
Saccharomyces Boulardii monograph › Uses, safety, and every drug interaction in one place Econazole supplement interactions › Every supplement checked against Econazole, ranked by severity Econazole Topical 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 Saccharomyces Boulardii and Econazole Together: Common Questions

Can you take Saccharomyces Boulardii with Econazole?
There is only a minor interaction, which is usually not serious. Read the full details on this page and confirm with your pharmacist before combining them.
How serious is the Saccharomyces Boulardii and Econazole interaction?
We rate it Minor. This interaction is generally not clinically significant, but it remains worth noting and discussing with your pharmacist.

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

Still Have a Question About Econazole and Saccharomyces Boulardii?

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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.