Bovine Colostrum Drug Interactions, Uses, Effectiveness, Safety & More
What is this page for?
First and foremost: how Bovine Colostrum interacts with medications. The heart of this page is the interaction list — every drug Bovine Colostrum is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what Bovine Colostrum is, what people use it for and how strong the evidence is, its safety and side effects, and answers to the questions we’re asked most — written and reviewed by the clinical staff at HelloPharmacist. It’s educational information from our licensed clinical databases, not medical advice, and we don’t sell or endorse products. Our editorial policy
Check Bovine Colostrum against your medication
Add one medicationDrugs that interact with Bovine Colostrum
0 medications have a known interaction with Bovine Colostrum, graded by severity. Select any drug for the full evidence-based detail.
We don’t currently list any known drug interactions for Bovine Colostrum. This doesn’t guarantee none exist — always confirm with your pharmacist before combining supplements with your medications.
What Severity, Likelihood & Evidence Mean
Severity — How Serious It Can Be
- Major. Clinically significant; generally best avoided, or used only under direct professional supervision.
- Moderate. May need monitoring, a dose adjustment, or separating the times you take each one.
- Minor. Generally not clinically significant, but still worth noting and mentioning to your pharmacist.
- No known interaction. Checked against our sources with nothing documented — not the same as proven safety.
Likelihood — How Well It’s Documented
- Likely. Well-controlled human studies have demonstrated the likely existence of this interaction
- Probable. 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.
- Possible. 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
- Unlikely. Interaction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Where This Data Comes From
- Interaction records are evidence-graded and sourced from the Natural Medicines database (TRC Healthcare), the same reference used by pharmacists and hospitals.
- Each drug listed above links to the full report for that exact Bovine Colostrum combination — clinical detail, likelihood, evidence level, and citations.
- Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
Bovine Colostrum: Uses, Safety & Side Effects
Bovine colostrum is the nutrient-rich first milk from cows, packed with antibodies, growth factors, and protein. Early research suggests it may help with gut health, certain types of diarrhea, and immune support, but more high-quality studies are needed. It is generally well tolerated, but people with milk allergy should avoid it, and pregnant or breastfeeding women should check with a healthcare provider first.

- Part used
- Colostrum (the first milk produced by cows after calving)
- Common forms
- Powder, capsules, chewable tablets, liquid
- Immune support
- Gut health and digestion
- Exercise recovery
- Diarrhea (including infectious diarrhea)
- Anti-inflammatory support
Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.
Generally well tolerated in most adults, but those with milk or dairy allergy should avoid it.
Insufficient reliable information available; avoid using.
Read the full pregnancy detailInsufficient reliable information available; avoid using.
Read the full breastfeeding detailPregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center). Safety guidance is general; always confirm with your pharmacist or doctor for your situation.
Overview
Bovine colostrum is the special milk that cows produce in the first few days after giving birth, before regular milk comes in. This early milk is thicker and richer than normal milk and is naturally full of antibodies, proteins, growth factors, vitamins, and minerals that help newborn calves get a healthy start.
For supplements, the colostrum is collected from cows, then dried into a powder and put into capsules, tablets, or loose powder. Some products are made from "hyperimmune" colostrum, which comes from cows that were vaccinated against certain germs so their milk contains higher levels of specific antibodies.
People take bovine colostrum hoping to support their immune system, improve gut health, recover faster from exercise, and reduce inflammation. It has become popular among athletes and people interested in digestive wellness.
How it works
Bovine colostrum contains a mix of compounds that may explain its proposed effects. The main ones include immunoglobulins (antibodies), which can bind to germs in the gut, and lactoferrin, a protein that may help fight bacteria and support immune function.
It also contains growth factors (such as IGF-1) that may help repair and maintain the lining of the intestines, along with proteins, healthy fats, vitamins, and minerals that provide general nourishment.
Because the antibodies in colostrum work mostly inside the digestive tract rather than being absorbed into the bloodstream, much of its action is thought to happen locally in the gut. It is worth noting that many of these mechanisms come from laboratory and animal studies, and how strongly they apply to people taking supplements is still being studied.
Does Bovine Colostrum work?
How to read these evidence grades
Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.
Possibly Effective Exercise-induced respiratory infections
Small clinical studies suggest that oral bovine colostrum reduces the risk of exercise-induced respiratory infection in healthy adults.
Possibly Effective HIV/AIDS-related diarrhea
Small clinical studies suggest that oral bovine colostrum reduces the frequency of diarrhea in patients with HIV/AIDS-related diarrhea.
Possibly Effective Rotaviral diarrhea
Small clinical studies suggest that oral hyperimmune bovine colostrum is effective for treating rotaviral diarrhea in infants and children.
Possibly Ineffective Necrotizing enterocolitis (NEC)
Small clinical studies suggest that oral bovine colostrum does not prevent NEC in preterm or very low birth weight infants.
Possibly Ineffective Sepsis
Small clinical studies suggest that oral bovine colostrum does not prevent sepsis in preterm or very low birth weight infants.
Possibly Ineffective Short bowel syndrome
Small clinical studies suggest that oral bovine colostrum is not beneficial in children or adults with short bowel syndrome.
Also studied for 30 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Aging
Although there has been interest in using oral bovine colostrum for aging, there is insufficient reliable information about the clinical effects of bovine colostrum for this purpose.
Insufficient Reliable Evidence To Rate Athletic performance
Small clinical studies suggest that oral bovine colostrum might improve some measures of athletic performance; however, results are mixed, and any benefit appears to be small.
Insufficient Reliable Evidence To Rate Autism spectrum disorder
Oral bovine colostrum has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Benign prostatic hyperplasia (BPH)
Oral bovine colostrum has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Chemotherapy-related infection
It is unclear if oral bovine colostrum is effective for the prevention of chemotherapy-related infection.
Insufficient Reliable Evidence To Rate Child growth
Oral bovine colostrum has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Cognitive function
It is unclear if oral bovine colostrum is effective for improving cognitive function.
Insufficient Reliable Evidence To Rate Critical illness (trauma)
It is unclear if oral bovine colostrum is beneficial in patients with critical illness.
Insufficient Reliable Evidence To Rate Dental plaque
Although there has been interest in using topical bovine colostrum for dental plaque, there is insufficient reliable information about the clinical effects of bovine colostrum for this purpose.
Insufficient Reliable Evidence To Rate Diabetes
It is unclear if oral bovine colostrum is beneficial in patients with type 2 diabetes.
Insufficient Reliable Evidence To Rate Dry eye
Although there has been interest in using topical bovine colostrum for dry eye, there is insufficient reliable information about the clinical effects of bovine colostrum for this purpose.
Insufficient Reliable Evidence To Rate Graft-versus-host disease (GVHD)
Although there has been interest in using oral bovine colostrum for diarrhea associated with GVHD, there is insufficient reliable information about the clinical effects of bovine colostrum for this purpose.
Insufficient Reliable Evidence To Rate Hematopoietic stem cell transplant (HSCT)
Oral and topical bovine colostrum have only been evaluated in combination with other ingredients; their effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Human papillomavirus (HPV)
It is unclear if intravaginal bovine colostrum is beneficial in patients with HPV infection.
Insufficient Reliable Evidence To Rate Influenza
It is unclear if oral bovine colostrum is effective for the prevention of influenza in adults.
Insufficient Reliable Evidence To Rate Lichen planus
Although there has been interest in using topical bovine colostrum for lichen planus, there is insufficient reliable information about the clinical effects of bovine colostrum for this purpose.
Insufficient Reliable Evidence To Rate Malnutrition
It is unclear if oral bovine colostrum is beneficial in children with malnutrition.
Insufficient Reliable Evidence To Rate Multiple sclerosis (MS)
It is unclear if oral bovine colostrum is beneficial in patients with MS.
Insufficient Reliable Evidence To Rate Muscle strength
Although there has been interest in using oral bovine colostrum for muscle strength, there is insufficient reliable information about the clinical effects of bovine colostrum for this purpose.
Insufficient Reliable Evidence To Rate Oral mucositis
It is unclear if oral bovine colostrum is effective for the prevention of chemotherapy-induced oral mucositis.
Insufficient Reliable Evidence To Rate Physical performance
It is unclear if oral bovine colostrum is effective for improving physical performance in older adults.
Insufficient Reliable Evidence To Rate Prematurity
It is unclear if oral bovine colostrum improves outcomes in very preterm infants.
Insufficient Reliable Evidence To Rate Psychological well-being
Although there has been interest in using oral bovine colostrum for psychological well-being, there is insufficient reliable information about the clinical effects of bovine colostrum for this purpose.
Insufficient Reliable Evidence To Rate Shigellosis
It is unclear if oral bovine colostrum is beneficial in children with shigellosis.
Insufficient Reliable Evidence To Rate Sjogren syndrome
Although there has been interest in using topical bovine colostrum for Sjogren syndrome, there is insufficient reliable information about the clinical effects of bovine colostrum for this purpose.
Insufficient Reliable Evidence To Rate Travelers' diarrhea
Several very small clinical studies suggest that oral hyperimmune bovine colostrum is beneficial for the prevention of travelers' diarrhea in adults.
Insufficient Reliable Evidence To Rate Ulcerative colitis
It is unclear if rectal bovine colostrum is beneficial in patients with ulcerative colitis.
Insufficient Reliable Evidence To Rate Upper respiratory tract infection (URTI)
It is unclear if oral bovine colostrum is effective for preventing or treating URTIs in children or adults.
Insufficient Reliable Evidence To Rate Vaginal atrophy
Intravaginal bovine colostrum has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Wound healing
It is unclear if oral bovine colostrum is beneficial for wound healing.
Source & disclaimer. Effectiveness ratings and evidence summaries are provided by Natural Medicines (Therapeutic Research Center) and shown as licensed. Where Natural Medicines hasn’t rated a use, HelloPharmacist’s pharmacists may add their own reviewed rating and evidence (each such entry is labeled). This is educational information, not medical advice — talk with your pharmacist or doctor before starting, stopping, or changing a supplement.
Safety & precautions
Bovine colostrum is generally considered well tolerated when used by mouth for short periods. However, because it is a dairy product, people with a milk or cow's milk allergy should not use it, as it could trigger an allergic reaction.
People who are lactose intolerant may have digestive discomfort, although colostrum is usually lower in lactose than regular milk. Those with weakened immune systems should talk to their doctor before using it, since these products are made from animal sources.
For pregnancy and breastfeeding, there is not enough reliable safety information. Because of this uncertainty, it is best to avoid bovine colostrum during pregnancy and to use caution while breastfeeding unless your healthcare provider says it is okay.
As with any supplement, quality can vary between brands. Choose products from reputable companies, ideally ones that use third-party testing, and check with a pharmacist or doctor before starting.
Side effects
Most people who take bovine colostrum do not have serious side effects. When side effects do happen, they are usually mild and related to digestion, such as nausea, gas, bloating, or loose stools.
The most important concern is allergic reactions in people sensitive to milk or dairy. Signs of a serious allergic reaction can include hives, swelling, trouble breathing, or dizziness, and require emergency medical care.
Because colostrum comes from cows, there is also a theoretical concern about contamination if products are not made and tested properly, which is another reason to choose trusted brands.
Bovine Colostrum: Reported Adverse Effects
Documented safety reports on Bovine Colostrum from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.
Reports by conditionDiarrhea Gastrointestinal
Orally, bovine colostrum has caused nausea and vomiting in an individual with HIV-related cryptosporidiosis. In clinical trials of bovine colostrum, bloating, nausea, diarrhea, and unsettled stomach have been reported as mild in nature by a few patients with a similar rate of occurrence as those taking a whey-based control.
- Greenberg PD, Cello JP. Treatment of severe diarrhea caused by Cryptosporidium parvum with oral bovine immunoglobulin concentrate in patients with AIDS. J Acquir Immune Defic Syndr Hum Retrovirol 1996;13:348-54.
- Duff WR, Chilibeck PD, Rooke JJ, Kaviani M, Krentz JR, Haines DM. The effect of bovine colostrum supplementation in older adults during resistance training. Int J Sport Nutr Exerc Metab. 2014 Jun;24(3):276-85.
- Sanctuary MR, Kain JN, Chen SY, et al. Pilot study of probiotic/colostrum supplementation on gut function in children with autism and gastrointestinal symptoms. PLoS One. 2019;14(1):e0210064.
- Halasa M, Skonieczna-Zydecka K, Machalinski B, Bühner L, Baskiewicz-Halasa M. Six Weeks of Supplementation with Bovine Colostrum Effectively Reduces URTIs Symptoms Frequency and Gravity for Up to 20 Weeks in Pre-School Children. Nutrients 2023;15(16):3626
Diarrhea Hepatic
Orally, bovine colostrum has caused elevated liver function tests in HIV patients treated for infectious diarrhea.
Diarrhea Hematologic
Orally, bovine colostrum has caused decreased serum hematocrit in HIV patients treated for infectious diarrhea.
Encephalitis Other
Theoretical adverse effects to bovine colostrum include an allergic reaction in individuals allergic to bovine milk products. There is also some concern that bovine colostrum that is obtained from cows in countries where bovine spongiform encephalitis (BSE) has been reported might be unsafe, however, there is no research indicating that colostrum can be contaminated with the BSE-causing prion. Countries where BSE has been reported include Great Britain, France, The Netherlands, Portugal, Luxembourg, Ireland, Switzerland, Oman, and Belgium. Until more is known, tell patients to avoid these products unless country of origin can be determined. Patients should avoid products that are produced in countries where BSE has been found.
- Lewis CJ. Letter to reiterate certain public health and safety concerns to firms manufacturing or importing dietary supplements that contain specific bovine tissues. FDA. Available at: www.cfsan.fda.gov/~dms/dspltr05.html.
Myasthenia gravis Renal
Enterally, bovine colostrum added to breastmilk for infant feeding until postnatal day 14 among very preterm infants has been associated with higher blood urea nitrogen levels by about 3 mg/dL when compared with preterm formula added to breastmilk.
Prematurity Endocrine
Enterally, the addition of bovine colostrum to breastmilk for very preterm infant feeding resulted in infants requiring more calcium and phosphate supplementation to maintain acceptable blood levels when compared with conventional fortifier in one clinical trial.
Prematurity Neurologic/CNS
Enterally , bovine colostrum has been associated with increased risk of periventricular leukomalacia in very preterm infants. Specifically, in a large, multi-center, clinical study conducted in 7 neonatal intensive care units in China, 5 cases of periventricular leukomalacia (PVL), diagnosed with magnetic resonance imaging, were reported among the 155 infants fed bovine colostrum supplemented breastmilk until postnatal day 14, while no cases were reported among the 181 infants receiving preterm formula supplemented breastmilk. Three of the 5 infants with PVL were fed small volumes of bovine colostrum (less than 10 mL/kg daily) while 2 were fed larger volumes of bovine colostrum (18-35 mL/kg daily). in addition to preterm formula.
Pruritus Immunologic
Topically, there is a case report of anaphylaxis, urticaria, and itching related to bovine colostrum.
Adverse-effects data: Natural Medicines, Therapeutic Research Center
Dosing
There is no official standardized dose for bovine colostrum. Studies have used a wide range of amounts depending on the product and the condition being studied, so there is no single "right" dose for everyone.
The best approach is to follow the directions on the product label and not take more than recommended. Because products differ in strength and how they are processed, dosing instructions can vary from brand to brand.
Before starting bovine colostrum, talk with a pharmacist or doctor, especially if you have a health condition, take other medications, or are pregnant or breastfeeding.
Bovine Colostrum & Pregnancy
Bovine Colostrum & Breastfeeding
© 2026 Therapeutic Research Center
Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center
References & further reading
The 8 references that drive our Bovine Colostrum 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.
- Lewis CJ. Letter to reiterate certain public health and safety concerns to firms manufacturing or importing dietary supplements that contain specific bovine tissues. FDA. Available at: www.cfsan.fda.gov/~dms/dspltr05.html.
- Greenberg PD, Cello JP. Treatment of severe diarrhea caused by Cryptosporidium parvum with oral bovine immunoglobulin concentrate in patients with AIDS. J Acquir Immune Defic Syndr Hum Retrovirol 1996;13:348-54. PubMed
- Duff WR, Chilibeck PD, Rooke JJ, Kaviani M, Krentz JR, Haines DM. The effect of bovine colostrum supplementation in older adults during resistance training. Int J Sport Nutr Exerc Metab. 2014 Jun;24(3):276-85. PubMed
- Sanctuary MR, Kain JN, Chen SY, et al. Pilot study of probiotic/colostrum supplementation on gut function in children with autism and gastrointestinal symptoms. PLoS One. 2019;14(1):e0210064. PubMed
- Porcaro F, Caminiti L, Crisafulli G, Guglielmo F, Pajno GB. Anaphylaxis to cutaneous exposure to bovine colostrum based cream. Asian Pac J Allergy Immunol. 2019;37(1):9-11.
- Yan X, Pan X, Ding L, et al. Bovine colostrum to supplement the first feeding of very preterm infants: The PreColos randomized controlled trial. Clin Nutr 2023;42(8):1408-1417. PubMed
- Halasa M, Skonieczna-Zydecka K, Machalinski B, Bühner L, Baskiewicz-Halasa M. Six Weeks of Supplementation with Bovine Colostrum Effectively Reduces URTIs Symptoms Frequency and Gravity for Up to 20 Weeks in Pre-School Children. Nutrients 2023;15(16):3626 PubMed
- Simonsen MB, Kappel SS, Aunsholt L, Möller S, Sangild PT, Zachariassen G. Mineral supplementation for very preterm infants fed fortified human milk. J Pediatr Gastroenterol Nutr 2024;78(6):1389-1397. PubMed
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.
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
Bovine Colostrum: Common Questions
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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