Lactobacillus Gasseri Drug Interactions, Uses, Effectiveness, Safety & More
What is this page for?
First and foremost: how Lactobacillus Gasseri interacts with medications. The heart of this page is the interaction list — every drug Lactobacillus Gasseri is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what Lactobacillus Gasseri 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 Lactobacillus Gasseri against your medication
Add one medicationLactobacillus Gasseri Drug Interactions: The Bottom Line
From the HelloPharmacist Editorial Team · Updated July 2026Based on the available evidence, the overall risk of a clinically significant Lactobacillus Gasseri drug interaction appears low for most people. None of the listed interactions are rated major, and all of them come down to the same single concern rather than many separate risks.
The medications that deserve attention are antibiotics. Because Lactobacillus gasseri is a live probiotic, taking an antibiotic at the same time may kill many of the organisms and reduce the supplement's benefit. Importantly, this concern runs in one direction only: the probiotic may work less well, but the data does not suggest your antibiotic becomes weaker or unsafe.
A long list of interacting medications can look alarming, but here it mostly reflects the many individual antibiotics on the market, all sharing this one predicted effect. The interaction is largely theoretical, based on how antibiotics act against bacteria in general, and it does not point to harm from combining the two. For people not taking an antibiotic, the data raises no notable concerns.
Based on HelloPharmacist’s Lactobacillus Gasseri interaction data and reviewed under our editorial standards.
Drugs that interact with Lactobacillus Gasseri
182 medications have a known interaction with Lactobacillus Gasseri, graded by severity. Select any drug for the full evidence-based detail.
Don’t want to scroll the list? Just ask.
Tell us the medications you take and we’ll check each one against Lactobacillus Gasseri using our pharmacist-reviewed interaction data.
AI summaries are generated from our Lactobacillus Gasseri interaction data for education only — always confirm with your pharmacist. How we use AI
No drugs match “”.
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 Lactobacillus Gasseri combination — clinical detail, likelihood, evidence level, and citations.
- Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
The kinds of drugs Lactobacillus Gasseri affects
Every type of medication (drug category) Lactobacillus Gasseri is known to interact with. Open any category for the detail — or search your exact drug in the checker above.
Antibiotic Drugs
Theoretically, taking Lactobacillus gasseri with antibiotic drugs might decrease the effectiveness of L. gasseri.
Lactobacillus gasseri 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. gasseri preparations by at least two hours.
Lactobacillus Gasseri: Uses, Safety & Side Effects
Lactobacillus gasseri is a 'friendly' probiotic bacterium found naturally in the human gut, mouth, and vaginal tract, and in some fermented foods. Early research suggests it may help with digestion, weight management, and vaginal health, but the evidence is limited and far from conclusive. It is generally well tolerated in healthy people, but anyone who is pregnant, breastfeeding, or has a weakened immune system should talk to a pharmacist or doctor first.
- Scientific name
- Lactobacillus gasseri
- Family
- Lactobacillaceae
- Part used
- Live bacterial cells (probiotic strain)
- Common forms
- Capsules, tablets, powders, fermented dairy products, and combination probiotic supplements
- Digestive health
- Weight and belly fat management
- Vaginal and urinary health
- Bloating and gut discomfort
- General immune support
Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.
Generally well tolerated in healthy adults, but evidence is limited and some people should avoid it.
There is insufficient reliable information available about the safety of Lactobacillus gasseri during pregnancy and lactation. However, there are curr...
Read the full pregnancy detailThere is insufficient reliable information available about the safety of Lactobacillus gasseri during pregnancy and lactation. However, there are curr...
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
Lactobacillus gasseri is a type of beneficial bacteria, often called a probiotic. It naturally lives in the human digestive tract, mouth, and the vaginal area, where it is considered part of the normal, healthy mix of microbes.
It is also found in some fermented foods and is sold as a dietary supplement, usually in capsules, tablets, or powders. Many products combine it with other probiotic strains like Bifidobacterium or other Lactobacillus species.
People take L. gasseri hoping to support gut health, manage weight, and promote vaginal and urinary balance. It has become especially popular because of early studies looking at its possible effect on belly fat.
How it works
Like other probiotics, L. gasseri is thought to work by adding helpful bacteria to the gut and other areas of the body. This may help crowd out harmful microbes and support a more balanced microbiome.
It produces lactic acid and other compounds that can lower the local pH and make the environment less friendly to unwanted bacteria. In the vaginal area, this acid-producing role is part of how natural Lactobacillus species help maintain balance.
Researchers have also studied whether it affects how the body absorbs fat and how it interacts with the immune system. Much of this research comes from laboratory and animal studies, so it is not certain how strongly these effects apply to people.
Does Lactobacillus Gasseri work?
How to read these evidence grades
Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.
For Lactobacillus Gasseri, current evidence isn’t strong enough to rate any specific use. The conditions it has been studied for are listed below.
Also studied for 17 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Allergic rhinitis (hay fever)
It is unclear if oral Lactobacillus gasseri is beneficial for allergic rhinitis.
Insufficient Reliable Evidence To Rate Aspirin-associated gastric damage
It is unclear if oral Lactobacillus gasseri can reduce the risk of aspirin-associated gastric damage.
Insufficient Reliable Evidence To Rate Asthma
It is unclear if oral Lactobacillus gasseri is beneficial for asthma.
Insufficient Reliable Evidence To Rate Bacterial vaginosis
Oral and vaginal Lactobacillus gasseri have only been evaluated in combination with other ingredients; their effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Common cold
Oral Lactobacillus gasseri has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Constipation
It is unclear if oral Lactobacillus gasseri is beneficial in patients with constipation.
Insufficient Reliable Evidence To Rate Diarrhea
Oral Lactobacillus gasseri has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Dyspepsia
It is unclear if oral Lactobacillus gasseri is beneficial for dyspepsia.
Insufficient Reliable Evidence To Rate Gastroparesis
It is unclear if oral Lactobacillus gasseri is beneficial for gastroparesis.
Insufficient Reliable Evidence To Rate Gout
It is unclear if oral Lactobacillus gasseri is beneficial for gout.
Insufficient Reliable Evidence To Rate Helicobacter pylori
It is unclear if oral Lactobacillus gasseri is beneficial for H. pylori symptoms or eradication.
Insufficient Reliable Evidence To Rate Insomnia
It is unclear if oral Lactobacillus gasseri is beneficial for insomnia.
Insufficient Reliable Evidence To Rate Irritable bowel syndrome (IBS)
It is unclear if oral Lactobacillus gasseri is beneficial for IBS.
Insufficient Reliable Evidence To Rate Japanese cedar pollinosis
It is unclear if oral heat-killed Lactobacillus gasseri is beneficial for Japanese cedar pollinosis.
Insufficient Reliable Evidence To Rate Menopausal symptoms
It is unclear if oral heat-killed Lactobacillus gasseri is beneficial for menopausal symptoms.
Insufficient Reliable Evidence To Rate Obesity
Most research shows that oral Lactobacillus gasseri is beneficial for weight loss. However, it is unclear if any benefits are clinically significant.
Insufficient Reliable Evidence To Rate Stress
It is unclear if oral heat-killed Lactobacillus gasseri is beneficial for acute or chronic stress.
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
For most healthy people, L. gasseri is considered generally safe when taken at typical supplement amounts. Probiotics have a long history of use, especially in fermented foods.
However, certain people should be more careful. Those with weakened immune systems, serious illness, central venous catheters, or who are critically ill should not take probiotics without medical advice, because rare infections have been reported in these groups.
Because reliable safety data are limited, people who are pregnant or breastfeeding should talk to their doctor or pharmacist before using L. gasseri supplements. We default to caution when safety is not clearly established.
Supplement quality can vary, so choose products from reputable companies that list the specific strain and the number of live organisms (often shown as CFUs).
Side effects
Side effects are usually mild. The most common ones are digestive, such as gas, bloating, or mild stomach discomfort, especially when first starting. These often improve over a few days.
Serious side effects are rare. In people with severely weakened immune systems or serious underlying illness, probiotics have very rarely been linked to infections. If you develop fever, severe abdominal pain, or signs of an allergic reaction, stop using it and seek medical care.
Lactobacillus Gasseri: Reported Adverse Effects
Documented safety reports on Lactobacillus Gasseri from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.
Reports by conditionCirrhosis Immunologic
Since Lactobacillus gasseri preparations contain live and active microorganisms, there is some concern that they might cause pathogenic infection in some patients. Some lactobacilli species have been isolated in cases of bacteremia, sepsis, splenic abscess, endocarditis, necrotizing fasciitis, pancreatic necrosis, and meningoencephalitis. These cases are thought to be due to the translocation of bacteria from other locations in the body in which they occur naturally, such as the oral cavity, or the gastrointestinal or urogenital tract, and not to dietary or supplemental intake. There are cases of pathogenic infection specifically related to L. gasseri. These include liver abscess, sepsis, septic urinary tract infection, bilateral empyema, endocarditis, and Fournier's gangrene. These cases were in adults and associated with severe underlying health conditions, including type 2 diabetes and/or diabetic ketoacidosis, a history of multiple abdominal surgeries, a recent aortic valve replacement, liver cirrhosis, urinary stasis, and intermittent urinary and fecal incontinence related to spina bifida repaired at birth.
There is at least one case of infection suspected to be related to probiotic supplementation. A 62-year-old male with liver cirrhosis taking probiotics developed spontaneous L. gasseri peritonitis and hepatic encephalopathy. It was suspected that his underlying cirrhosis increased gut permeability and translocation of the bacteria. However, ingredients in the probiotic supplement were not mentioned in this case report and the brand was not provided.
- Rossi F, Amadoro C, Gasperi M, Colavita G. Lactobacilli infection case reports in the last three years and safety implications. Nutrients. 2022;14(6):1178.
- Ranchal P, Gupta R, Goldberg R, A Lobo S, Pascual A, El Khoury MY. Penicillin-sensitive Lactobacillus jensenii bacteremia. Am J Ther 2021;28(2):e250-e252.
- Grazioli-Gauthier L, Rigamonti E, Leo LA, Martinetti Lucchini G, Lo Priore E, Bernasconi E. Lactobacillus jensenii mitral valve endocarditis: Case report, literature review and new perspectives. IDCases 2022;27:e01401.
- Toprak NU, Bozan T, Yilmaz S, Buyukbayrak EE, Tigen ET. Polymicrobial bacteremia due to Lactobacillus jensenii and Veillonella montpellierensis in a pregnant patient; case report and review of literature. Anaerobe 2022;75:102576.
- Chazan B, Raz R, Shental Y, Sprecher H, Colodner R. Bacteremia and pyelonephritis caused by Lactobacillus jensenii in a patient with urolithiasis. Isr Med Assoc J 2008;10(2):164-5.
- Ramos-Coria D, Canto-Losa J, Carrillo-Vázquez D, Carbajal-Morelos L, Estrada-León R, Corona-Rodarte E. Lactobacillus gasseri liver abscess and bacteremia: a case report. BMC Infect Dis 2021;21(1):518.
- Elikowski W, Malek-Elikowska M, Lisiecka M, Bodora A, Wisniewska K, Oko-Sarnowska Z. Lactobacillus gasseri endocarditis on the aortic valve bioprosthesis - a case report. Pol Merkur Lekarski 2017;43(257):220-223.
- Esquibel A, Dababneh AS, Palraj BR. Lactobacillus gasseri causing bilateral empyema. Case Rep Infect Dis 2017;2017:4895619.
- Tleyjeh IM, Routh J, Qutub MO, Lischer G, Liang KV, Baddour LM. Lactobacillus gasseri causing Fournier's gangrene. Scand J Infect Dis 2004;36(6-7):501-3.
- Dickgiesser U, Weiss N, Fritsche D. Lactobacillus gasseri as the cause of septic urinary infection. Infection 1984;12(1):14-6.
- Ramachandran L, Dontaraju VS, Patel K. Lactobacillus-associated spontaneous bacterial peritonitis in a liver cirrhosis patient on probiotics. Cureus. 2020;12(12):e11896.
Adverse-effects data: Natural Medicines, Therapeutic Research Center
Dosing
There is no official standardized dose of L. gasseri. Probiotic amounts are usually measured in colony-forming units (CFUs), and products vary widely.
The best approach is to follow the directions on the product label and not exceed the recommended amount. If you are unsure how much to take or whether it is right for you, ask a pharmacist or doctor.
Probiotics are often taken with or near a meal, and consistency over time may matter more than a single large dose.
Lactobacillus Gasseri & Pregnancy
Lactobacillus Gasseri & Breastfeeding
© 2026 Therapeutic Research Center
Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center
References & further reading
The 12 references that drive our Lactobacillus Gasseri 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.
- Pierce A. The American Pharmaceutical Association Practical Guide to Natural Medicines. New York: The Stonesong Press, 1999:19.
- Ramachandran L, Dontaraju VS, Patel K. Lactobacillus-associated spontaneous bacterial peritonitis in a liver cirrhosis patient on probiotics. Cureus. 2020;12(12):e11896. PubMed
- Rossi F, Amadoro C, Gasperi M, Colavita G. Lactobacilli infection case reports in the last three years and safety implications. Nutrients. 2022;14(6):1178. PubMed
- Ranchal P, Gupta R, Goldberg R, A Lobo S, Pascual A, El Khoury MY. Penicillin-sensitive Lactobacillus jensenii bacteremia. Am J Ther 2021;28(2):e250-e252. PubMed
- Grazioli-Gauthier L, Rigamonti E, Leo LA, Martinetti Lucchini G, Lo Priore E, Bernasconi E. Lactobacillus jensenii mitral valve endocarditis: Case report, literature review and new perspectives. IDCases 2022;27:e01401. PubMed
- Toprak NU, Bozan T, Yilmaz S, Buyukbayrak EE, Tigen ET. Polymicrobial bacteremia due to Lactobacillus jensenii and Veillonella montpellierensis in a pregnant patient; case report and review of literature. Anaerobe 2022;75:102576. PubMed
- Chazan B, Raz R, Shental Y, Sprecher H, Colodner R. Bacteremia and pyelonephritis caused by Lactobacillus jensenii in a patient with urolithiasis. Isr Med Assoc J 2008;10(2):164-5.
- Ramos-Coria D, Canto-Losa J, Carrillo-Vázquez D, Carbajal-Morelos L, Estrada-León R, Corona-Rodarte E. Lactobacillus gasseri liver abscess and bacteremia: a case report. BMC Infect Dis 2021;21(1):518. PubMed
- Elikowski W, Malek-Elikowska M, Lisiecka M, Bodora A, Wisniewska K, Oko-Sarnowska Z. Lactobacillus gasseri endocarditis on the aortic valve bioprosthesis - a case report. Pol Merkur Lekarski 2017;43(257):220-223.
- Esquibel A, Dababneh AS, Palraj BR. Lactobacillus gasseri causing bilateral empyema. Case Rep Infect Dis 2017;2017:4895619.
- Tleyjeh IM, Routh J, Qutub MO, Lischer G, Liang KV, Baddour LM. Lactobacillus gasseri causing Fournier's gangrene. Scand J Infect Dis 2004;36(6-7):501-3. PubMed
- Dickgiesser U, Weiss N, Fritsche D. Lactobacillus gasseri as the cause of septic urinary infection. Infection 1984;12(1):14-6. 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
Brands that make products with Lactobacillus Gasseri
181 brands in our database make a supplement containing Lactobacillus Gasseri.
Supplement products with Lactobacillus Gasseri
852 products in our database contain Lactobacillus Gasseri. Open any to see its full ingredient list and every drug interaction we check.
Lactobacillus Gasseri: Common Questions
What is Lactobacillus Gasseri used for, and does it work?
Does Lactobacillus Gasseri interact with prescription medications?
How are Lactobacillus Gasseri interactions rated?
Is it safe to take Lactobacillus Gasseri with my medications?
Where does this Lactobacillus Gasseri interaction information come from?
What is Lactobacillus Gasseri used for?
Does Lactobacillus Gasseri really help with weight loss?
Is Lactobacillus Gasseri safe to take?
Can I take it while pregnant or breastfeeding?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Products that contain Lactobacillus Gasseri
A rotating sample of real supplements in our database that list Lactobacillus Gasseri — open any to see its full ingredients and every drug interaction we check.
- Women's Total Care Probiotic 50 Billion by Spring Valley
- Nexabiotic Chewable Probiotics Grape Flavor by DrFormulas
- Kyo-Dophilus Enzyme+ Probiotic by Kyo-Dophilus
- Women's Advanced Care by UP4
- Everlean by Peak Biome
- Probiotics Gas & Bloating 50 Billion by Garden of Life Dr. Formulated
- Probiotic by EXOS Performance Nutrition
- BiomeMD by 1MD Nutrition
- PB 15/50 by Bairn Biologics
- Just 4 Kidz Probiotic-14 Natural Berry Flavor by Nature's Truth
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