Herb & supplement monograph

Levilactobacillus Brevis Drug Interactions, Uses, Effectiveness, Safety & More

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Levilactobacillus Brevis Drug Interactions: The Bottom Line

From the HelloPharmacist Editorial Team · Updated August 2026

Based on the available evidence, the overall risk of a clinically significant Levilactobacillus Brevis drug interaction is low for most people, because the main concern is a weaker probiotic effect rather than harm from the medication. None of the listed interactions are rated major, and the entire profile comes down to a single, well-understood issue involving one class of drugs.

Interactions deserving the most attention

The one combination worth attention is antibiotics. Because Levilactobacillus brevis is a live, friendly bacteria, an antibiotic taken at the same time can kill many of the organisms and blunt the probiotic's benefit. This does not make the antibiotic less effective or dangerous, and the supporting evidence, while reasonable, is still largely theoretical rather than proven in careful human studies.

What the rest of the list means

The long list of interacting medications looks bigger than it really is. Every entry reflects the same single mechanism applied across many individual antibiotic products, not many separate risks. Nothing in the data suggests this probiotic changes how the body handles other medicines or raises safety concerns like bleeding, blood sugar, or drug levels.

Check your medications against Levilactobacillus Brevis

Based on HelloPharmacist’s Levilactobacillus Brevis interaction data and reviewed under our editorial standards.

Interaction report

Drugs that interact with Levilactobacillus Brevis

182 medications have a known interaction with Levilactobacillus Brevis, graded by severity. Select any drug for the full evidence-based detail.

2,830 drugs
AmikacinAmikin, Arikayce› AmoxicillinAmix, Amoram, Amoxident, Amoxil Capsules, Amoxil Injection, Galenamox +3 more› Amoxicillin VeterinaryBiomox› Amoxicillin, Clavulanate PotassiumAugmentin, Augmentin '125/31 SF', Augmentin '250/62 SF', Augmentin XR, Augmentin-Duo 400/57, Clavulin› Amoxicillin, Omeprazole Magnesium, RifabutinTalicia› Amphotericin, TetracyclineMysteclin-F› AmpicillinOmnipen, Omnipen-N, Penbritin, Principen, Rimacillin› Ampicillin, SulbactamUnasyn› Avibactam Sodium, CeftazidimeAvycaz› AzithromycinAzasite, Zithromax, Zmax› AztreonamAzactam› BacampicillinPenglobe› BacitracinBaci-IM, Baciguent, Bacitracin Ointment› BenznidazoleBenznidazole› Bismuth Subsalicylate, Metronidazole, TetracyclineHelidac› CapreomycinCapastat› Carbenicillin Indanyl SodiumGeocillin› CefaclorCeclor, Ceclor CD› CefadroxilCef-Tab, Duricef, Ultracef› CefamandoleMandol› CefazolinAncef› CefdinirOmnicef› Cefditoren PivoxilSpectracef› CefepimeMaxipime› Cefiderocol Sulfate TosylateFetroja› CefiximeSuprax› CefmetazoleZefazone› CefonicidMonocid› CefoperazoneCefobid› CefotaximeClaforan›
Read The List Like a Pharmacist

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 Levilactobacillus Brevis combination — clinical detail, likelihood, evidence level, and citations.
  • Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
The big picture

The kinds of drugs Levilactobacillus Brevis affects

Every type of medication (drug category) Levilactobacillus Brevis is known to interact with. Open any category for the detail — or search your exact drug in the checker above.

All 1 drug category Levilactobacillus Brevis interacts with
Antibiotic Drugs
Antibiotic Drugs

Theoretically, taking Levilactobacillus brevis with antibiotic drugs might decrease the effectiveness of L. brevis.
Levilactobacillus brevis 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. brevis preparations by at least two hours.

Likelihood Probable Evidence D
Monograph

Levilactobacillus Brevis: Uses, Safety & Side Effects

The bottom line

Levilactobacillus brevis (formerly Lactobacillus brevis) is a lactic acid bacterium found in fermented foods like sauerkraut, pickles, and kimchi, and is used as a probiotic. Early research suggests possible benefits for gut and immune health, but strong human evidence is still limited. It is generally well tolerated in healthy people, but anyone with a weakened immune system or serious illness should talk to a doctor first.

Scientific name
Levilactobacillus brevis
Family
Lactobacillaceae
Part used
Whole live bacteria (probiotic strain)
Common forms
Capsules, tablets, powders, fermented foods, and combination probiotic products
People commonly use it for
  • Digestive health
  • Gut microbiome support
  • Immune support
  • Oral and dental health
  • Vaginal health

Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.

Safety at a glance
OverallUse caution

Generally well tolerated in healthy people, but people who are seriously ill or immunocompromised should be cautious.

PregnancyInsufficient reliable information

There is insufficient reliable information available about the safety of Levilactobacillus brevis during pregnancy and lactation. However, there are c...

Read the full pregnancy detail
BreastfeedingInsufficient reliable information

There is insufficient reliable information available about the safety of Levilactobacillus brevis during pregnancy and lactation. However, there are c...

Read the full breastfeeding detail

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center). Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

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Overview

Levilactobacillus brevis is a type of friendly bacteria. It was previously called Lactobacillus brevis, but scientists renamed it. It belongs to a large group of bacteria called lactic acid bacteria, which produce lactic acid as they grow.

This bacterium is found naturally in many fermented foods. You may eat it without knowing in sauerkraut, pickles, kimchi, certain cheeses, and some types of beer and sourdough. It also lives in the human gut and mouth.

Because it can survive in the gut and produce helpful substances, it is sold as a probiotic. People take it alone or as part of a blend of probiotic strains to support digestion and overall gut health.

How it works

Like other probiotics, Levilactobacillus brevis is thought to work by adding helpful bacteria to the gut. This may help keep a healthy balance between good and harmful microbes.

In laboratory and animal studies, this bacterium can produce lactic acid and other compounds that may make the gut environment less friendly to harmful bacteria. Some strains may also help strengthen the gut lining and interact with the immune system in ways that may calm inflammation.

It is important to remember that much of this is based on laboratory and animal research. How strongly these effects happen in the human body is still being studied.

Effectiveness

Does Levilactobacillus Brevis work?

Evidence overview · 19 uses evaluated
19 Insufficient evidence
How to read these evidence grades

Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.

1EffectiveStrong, consistent evidence it works.
2Likely EffectiveGood evidence, though not yet conclusive.
3Possibly EffectiveSome evidence suggests a benefit.
4Possibly IneffectiveSome evidence it may not help.
5Likely IneffectiveFairly strong evidence it doesn’t help.
6IneffectiveStrong evidence it doesn’t work.
7Insufficient Reliable Evidence to RateToo little research to say either way.

For Levilactobacillus Brevis, current evidence isn’t strong enough to rate any specific use. The conditions it has been studied for are listed below.

Also studied for 19 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Alcohol-related liver disease
Rating & evidence shown verbatim from Natural Medicines

Although there has been interest in using oral Levilactobacillus brevis for alcohol-related liver disease, there is insufficient reliable information about the clinical effects of Levilactobacillus brevis for this condition.

Insufficient Reliable Evidence To Rate Bacterial vaginosis
Rating & evidence shown verbatim from Natural Medicines

Oral or vaginal Levilactobacillus brevis have only been evaluated in combination with other ingredients; its effect when used alone is unclear.

Insufficient Reliable Evidence To Rate Behcet disease
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral Levilactobacillus brevis is beneficial for oral ulcers in patients with Behcet disease.

Insufficient Reliable Evidence To Rate Cognitive function
Rating & evidence shown verbatim from Natural Medicines

Oral Levilactobacillus brevis has only been evaluated in combination with other ingredients; its effect when used alone is unclear.

Insufficient Reliable Evidence To Rate Common cold
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral Levilactobacillus brevis is beneficial for the common cold.

Insufficient Reliable Evidence To Rate Coronavirus disease 2019 (COVID-19)
Rating & evidence shown verbatim from Natural Medicines

Topical Levilactobacillus brevis has only been evaluated in combination with other ingredients; its effect when used alone is unclear.

Insufficient Reliable Evidence To Rate Dental caries
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral Levilactobacillus brevis is beneficial for caries prevention.

Insufficient Reliable Evidence To Rate Dry skin
Rating & evidence shown verbatim from Natural Medicines

It is unclear if topical Levilactobacillus brevis extract is beneficial for dry skin.

Insufficient Reliable Evidence To Rate Genital herpes
Rating & evidence shown verbatim from Natural Medicines

It is unclear if intravaginal Levilactobacillus brevis is beneficial for genital herpes.

Insufficient Reliable Evidence To Rate Gingivitis
Rating & evidence shown verbatim from Natural Medicines

Although there has been interest in using oral Levilactobacillus brevis for gingivitis, there is insufficient reliable information about the clinical effects of Levilactobacillus brevis for this condition.

Insufficient Reliable Evidence To Rate Influenza
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral Levilactobacillus brevis is beneficial for influenza prevention.

Insufficient Reliable Evidence To Rate Insomnia
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral Levilactobacillus brevis is beneficial for insomnia.

Insufficient Reliable Evidence To Rate Irritable bowel syndrome (IBS)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral Levilactobacillus brevis is beneficial for IBS.

Insufficient Reliable Evidence To Rate Oral mucositis
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral Levilactobacillus brevis is beneficial for oral mucositis.

Insufficient Reliable Evidence To Rate Periodontitis
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral or topical Levilactobacillus brevis are beneficial for periodontitis.

Insufficient Reliable Evidence To Rate Pregnancy-induced nausea and vomiting
Rating & evidence shown verbatim from Natural Medicines

Oral Levilactobacillus brevis has only been evaluated in combination with other ingredients; its effect when used alone is unclear.

Insufficient Reliable Evidence To Rate Pressure ulcers
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral Levilactobacillus brevis is beneficial for healing of bed sores.

Insufficient Reliable Evidence To Rate Traumatic oral ulcers
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral Levilactobacillus brevis is beneficial for prevention of traumatic oral ulcers.

Insufficient Reliable Evidence To Rate Vaginal candidiasis
Rating & evidence shown verbatim from Natural Medicines

Although there has been interest in using vaginal Levilactobacillus brevis for vaginal candidiasis, there is insufficient reliable information about the clinical effects of Levilactobacillus brevis for this condition.

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, probiotics containing Levilactobacillus brevis are considered generally safe when used as directed. It is found in common foods and has a long history of dietary use.

People who are seriously ill, have a weakened immune system, have a central venous catheter, or are recovering from surgery should be cautious. In rare cases, probiotics have caused infections in such people. These individuals should only use probiotics under medical supervision.

For pregnancy and breastfeeding, there is not enough reliable safety information about taking concentrated probiotic supplements. To be safe, talk to your doctor or pharmacist before using them during these times. Eating normal amounts of fermented foods is usually considered fine, but supplements are more concentrated.

Side effects

Most people tolerate Levilactobacillus brevis well. The most common side effects are mild and affect digestion, such as gas, bloating, or stomach discomfort. These often go away as your body adjusts.

Serious side effects are rare. In very rare cases, mostly in people who are severely ill or immunocompromised, probiotics have been linked to infections in the blood or other parts of the body. Stop using the product and seek medical care if you develop a high fever or feel very unwell after starting a probiotic.

Levilactobacillus Brevis: Reported Adverse Effects

Documented safety reports on Levilactobacillus Brevis from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.

Reports by condition
Diarrhea Gastrointestinal
Sepsis Immunologic

Since Levilactobacillus brevis 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. Most of 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 and gastrointestinal tract, and not to dietary or supplemental intake.

  1. 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.
DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.

Adverse-effects data: Natural Medicines, Therapeutic Research Center

Dosing

There is no official standardized dose for Levilactobacillus brevis. Probiotic amounts are usually measured in colony-forming units (CFU), and products vary widely in strength and strain.

The best approach is to follow the directions on the product label. Doses are often taken once or twice daily, sometimes with food. Because each product is different, it is wise to check with a pharmacist before starting, especially if you have a health condition or take other medicines.

Pregnancy & Breastfeeding

Levilactobacillus Brevis & Pregnancy

Insufficient reliable information

There is insufficient reliable information available about the safety of Levilactobacillus brevis during pregnancy and lactation. However, there are currently no reasons to expect safety concerns when used appropriately.

Levilactobacillus Brevis & Breastfeeding

Insufficient reliable information

There is insufficient reliable information available about the safety of Levilactobacillus brevis during pregnancy and lactation. However, there are currently no reasons to expect safety concerns when used appropriately.

DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.

© 2026 Therapeutic Research Center

Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center

References & further reading

The 4 references that drive our Levilactobacillus Brevis 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.

  1. Pierce A. The American Pharmaceutical Association Practical Guide to Natural Medicines. New York: The Stonesong Press, 1999:19.
  2. 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
  3. Tasli L, Mat C, De Simone C, Yazici H. Lactobacilli lozenges in the management of oral ulcers of Behçet's syndrome. Clin Exp Rheumatol. 2006;24(5 Suppl 42):S83-6.
  4. Silva NLNV, Della Bona A, Cardoso M, et al. Lactobacillus brevis CD2 attenuates traumatic oral lesions induced by fixed orthodontic appliance: A randomized phase 2 trial. Orthod Craniofac Res. 2021;24(3):379-385.
Keep reading

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

Pharmacist Counseling Corner

Levilactobacillus Brevis: Common Questions

What is Levilactobacillus Brevis used for, and does it work?
People use Levilactobacillus Brevis for a range of reasons, but according to the Natural Medicines database the current clinical evidence is insufficient to confirm it works for the specific conditions it has been studied for. See the graded list on this page, and talk to your pharmacist or doctor before relying on it for any condition.
Does Levilactobacillus Brevis interact with prescription medications?
Yes. We list 182 medications with a known interaction with Levilactobacillus Brevis. Use the checker above to see how Levilactobacillus Brevis interacts with a specific drug.
How are Levilactobacillus Brevis interactions rated?
Each interaction is graded major, moderate, or minor based on how clinically significant it is and the strength of the evidence behind it. Major interactions are the most serious and are best avoided, or used only under close professional supervision.
Is it safe to take Levilactobacillus Brevis with my medications?
It depends on the specific medication. Some combinations are fine, while others call for monitoring, timing changes, or should be avoided. Check your exact drug above and confirm with your pharmacist or doctor before starting, stopping, or changing anything.
Where does this Levilactobacillus Brevis interaction information come from?
Our interaction data is built on the Natural Medicines database — an evidence-graded reference for vitamins, herbs, and supplements — and is reviewed by licensed HelloPharmacist pharmacists, who may add clinical context.
What is Levilactobacillus Brevis used for?
It is a probiotic bacterium that people use to support gut health, digestion, and the immune system. Evidence for most specific uses is still limited and preliminary.
Is Levilactobacillus Brevis the same as Lactobacillus brevis?
Yes. Levilactobacillus Brevis is the newer scientific name for the bacterium that used to be called Lactobacillus brevis. You may still see both names on labels.
Can I get Levilactobacillus Brevis from food?
Yes. It is found naturally in fermented foods such as sauerkraut, pickles, kimchi, and some cheeses. Supplements provide a more concentrated amount.
Is it safe to take during pregnancy?
There is not enough reliable safety data on concentrated probiotic supplements during pregnancy. Talk to your doctor or pharmacist before using one.

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

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